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Skills

  • Claims Process Optimization
  • Coverage analysis
  • Training and development
  • Budget-conscious decision making
  • Administrative support
  • Customer Relationship Management (CRM)
  • Negotiation skills
  • Business operations
  • Vendor management
  • Cross-functional collaboration

Work Experiences

  • Achieved cost savings of $7 annually.
  • Collaborated with vendors to expedite vehicle salvage, achieving optimal recovery values and reducing overall claims costs by 8.
  • Collaborated with underwriting teams to identify trends in coverage gaps, leading to new policy regulations that reduced total loss payouts.
  • Consistently exceeded KPI metrics in claim closure rates by 57% through effective prioritization and comprehensive file documentation.
  • Achieved more accurate total loss valuations.
  • Answered 5 phone calls per two years to assist customers.
  • Assisted in the creation of standard procedures.
  • Was in charge of all tasks delegated to me, including client relations and quality assurance.
  • Saved money by developing functional solutions to process problems.
  • Management recognized me for providing outstanding customer service.

Summaries

  • Results-oriented Insurance professional with cross-functional collaboration, process improvement, and cross-functional collaboration strengths.
  • Strong technical skills and experience in data analysis.
  • Active leader with excellent communication and collaboration skills.
  • A results-driven claims professional skilled at handling catastrophic event claims, facilitating rapid settlements and timely updates for impacted policyholders.
  • Total Loss Claims Adjuster with strategic planning and process improvement abilities.
  • Adept at resolving litigation issues.
  • SAP and Power BI experts with exceptional interpersonal skills.
  • ITIL certified
  • With a 8-year career assessing properties, determining liabilities, and negotiating settlements, I am an experienced insurance professional.
  • Total Loss Claims Adjuster and team leader with 8 years of experience in initiative settings.

Accomplishments

  • Facilitated end-to-end claim processing for total loss cases, generating $44,000 in salvage recoveries and reducing write-offs by 85% within two years.
  • Led a cross-functional team to modernize the claims scoring and assessment platform, which reduced manual input for valuations by 81% and provided more accurate evaluations.
  • Incorporated data-driven decisions to model risk coding for claims, resulting in a 36% reduction in risk exposure and increasing the company’s portfolio resilience.
  • Successfully processed 8 total loss claims per week amid high-volume periods, maintaining a file substantiation rate of 30% for regulatory audit trails.
  • Leveraged catastrophe modeling tools to settle 8 claims quickly after metric, reducing claim processing time by 60% and satisfying more than 77% of customers.
  • Trained junior claims adjusters on best practices for identifying total loss indicators, improving team efficiency and ensuring 51% accuracy in claims adjustments.
  • Collaborated with actuaries and underwriters to redesign internal process flows, which saved the organization over 14 in cases of total loss settlements involving high-value assets.
  • Conducted forensic analysis of claim information to validate total-loss claims, preventing fraudulent settlements in 14 instances and saving the company 9.
  • Utilized advanced estimating software to assess vehicle damages and quickly enable total loss valuations for 3 claims, expediting the claims process by 39%.
  • Managed data consolidation and report generation for 13 annual claims, optimizing loss payout accuracy and flagging potential recoveries efficiently.

Affiliations

  • Volunteer Claims Process Trainer for the Insurance Institute of America (IIA), offering professional development to aspiring claims adjusters.
  • Participation in the Association of Insurance Compliance Professionals (AICP) on maintaining compliance standards in total loss claim processing.
  • Engaged with the Risk and Insurance Management Society (RIMS) to explore developments in claims handling procedures and mitigation approaches.
  • Affiliated with the Auto Claim Professionals Group, sharing strategies on mitigating losses and accelerating claim resolution timelines.
  • Member of the American Society of Appraisers (ASA) Auto Claims committee, focused on ensuring fair and accurate vehicle damage settlements.
  • Graduate of the Total Loss Adjuster Master Program by the Institute of Automotive Claims Management (IACM), specializing in total loss claims assessment.
  • Member of the National Association of Independent Insurance Adjusters (NAIIA) focused on advancing skills and best practices within claims adjustment.
  • Active role in the Auto Claim Standards Council (ACSC), contributing to best practices on total loss vehicle valuations and repairs.
  • Participant in the Insurance Professional Development Program (IPDP) specializing in refining claims processing workflows and claim accuracy improvement.
  • Active member of the Association of Financial Assurance (AFA), with a focus on total loss auto claims and fraud detection techniques.

Certifications

  • Certificate in Reinsurance (CRe)
  • Certified Business Analysis Professional (CBAP)
  • National General Adjuster Certification (NGA)
  • Insurance Law and Regulation Training Phoenix, 2019
  • First Notice of Loss Master Certification
  • Certified Claims Professional (CCP)
  • CompTIA A+ Technician
  • Customer Communication in Insurance Claims Certification
  • Chartered Property Casualty Underwriter (CPCU)
  • Project Management Professional (PMP)

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