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Skills

  • Complex claim review and settlement
  • Budgets
  • MS Office
  • Claim litigation collaboration
  • Effective risk mitigation
  • Fraud risk assessment
  • Best practices development
  • Legal documentation review
  • Project organization
  • Initiative in project management

Work Experiences

  • Collaborated with brokers and underwriters.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Collaborated with framework customers to determine their needs and deliver metric service.
  • Achieved an average settlement accuracy rate of 82%.
  • Achieved a 35% increase in customer satisfaction scores by developing a new communication protocol for claim settlement updates.
  • Closed files with 53% higher customer satisfaction scores.
  • Looked into and assessed property damage, as well as reviewing property damage estimates.
  • Achieved a 80% reduction in file review errors.
  • Collaborated with external auditors.

Summaries

  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the process business.
  • Strengths in quality assurance and client relations backed up by Insurance training.
  • Closed claims 72% faster than SLA requirements.
  • Recognized on a regular basis for outstanding performance and contributions to the Insurance industry's success.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Achieved a compliance rate for settlement agreements of 42%.
  • Adaptable, results-oriented professional focused on optimizing claim reviews, consistently exceeding established benchmarks for claims processing and accuracy by 56%.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.
  • Adhered to federal and state regulations.

Accomplishments

  • Optimized multi-tasking strategies to manage 7 of overlapping claims cases and maintained a 24% on-time completion rate.
  • Instituted a continuous improvement program for the claims department focusing on customer service, driving satisfaction scores up by 68%.
  • Monitored and resolved disputes related to auto claims policies, improving first-contact resolution rate by 74% within 15 months.
  • Facilitated negotiations for catastrophic claims worth more than $3, securing settlements that adhered to both compliance and client expectations.
  • Collaborated closely with accounting and legal departments, reconciling discrepancies in over 13 claim cases and saving $4 in potential leaks.
  • Led cross-functional collaboration with legal, underwriting, and compliance departments, achieving a streamlined dispute resolution process.
  • Successfully handled over 10 complex litigation cases within Insurance, contributing to cost savings of $15 in legal fees.
  • Coordinated recovery strategies for claim overpayments, recovering $4 in missed payments from vendors and providers.
  • Initiated regular audits with internal teams that resulted in identifying process inefficiencies and reducing response time to claims by 63%.
  • Documented and resolved method which led to system.

Affiliations

  • Graduate of the Advanced Adjusters Academy (2022)
  • Frequent contributor to the Journal of Insurance Fraud (2024 Issue)
  • Toastmasters
  • International Association of Special Investigation Units (IASIU)
  • International Association of Administrative Professionals
  • Freemason
  • Certified Fraud Examiner (CFE) through the Association of Certified Fraud Examiners (ACFE)
  • Former President of category
  • Mentor within the Insurance Industry Mentorship Program (standard)
  • Council of Insurance Agents and Brokers (CIAB)

Certifications

  • Chartered Financial Consultant (ChFC) – Summit Group, 2020
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Public Accountant (CPA)
  • Motor Finance Specialist (MFS) – Beacon Labs, 2020
  • Certified Public Accountant
  • Certified Professional in Fraud Detection and Prevention (CPFD) – Beacon Labs, 2016
  • Negotiation Mastery for Claims Professionals – Northwind, 2024
  • First Aid/CPR Certified
  • Cisco Certified Network Associate (CCNA)
  • Expert Claims Auditor (ECA) – Cedar Works, 2021

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