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Skills

  • Multilingual communication skills (German)
  • Supervision
  • Team building
  • Multi-state claims portfolio management
  • Relationship development
  • Contract compliance monitoring
  • Business operations
  • Process Optimization Methodologies
  • Error Reduction Strategies
  • Claims tracking system implementation

Work Experiences

  • Achieved a 46% improvement in adjustment efficiency.
  • Addressed and resolved complex adjustment cases.
  • Championed an initiative to automate adjustment processing that resulted in a 39% decrease in processing time.
  • Analyzed the data gathered during the investigation and wrote a report with my findings and recommendations.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Looked into and assessed property damage, as well as reviewing property damage estimates.
  • Assessed claims for compliance regulations.
  • Analyzed 10 high-priority claims.
  • Collaborated with external stakeholders to negotiate and settle adjusted claims within 17 weeks on average.
  • Achieved a 83% higher resolution rate year-over-year.

Summaries

  • Adept in claims analytics.
  • Oversee 12 cases per month with care.
  • Accomplished in regulatory compliance adjustments.
  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.
  • Accomplished within one fiscal year.
  • Bringing a proven track record of success in Adjustment Specialist roles throughout a progressive insurance industry career.
  • Achieved a 62% higher resolution rate.
  • Accomplished in regulatory compliance adjustments, reducing discrepancies by 74% in 2019 and ensuring seamless adherence to all industry standards.
  • Addressed payment discrepancies.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.

Accomplishments

  • Investigated discrepancies arising from third-party vendor contracts, resulting in the recovery of $4 from misfiled claims.
  • Worked with IT to optimize system functionalities, resulting in the reduction of repetitive adjustment tasks by 18%.
  • Conducted thorough root-cause analysis on adjustment errors, presenting data-driven recommendations leading to standard.
  • Supported the legal team in resolving adjustment disputes, decreasing potential liability by $17 through timely interventions.
  • Analyzed 2 high-priority claims, successfully resolving 64% within company-imposed deadlines.
  • Led a cross-functional team to improve reconciliation efforts, reducing recurring errors in financial adjustments by 47%.
  • Reviewed and resolved over 14 adjustment claims per day, maintaining an 16% accuracy rate in payment adjustments.
  • Led initiative to integrate automated reporting tools that saved 17 hours in manual adjustments each quarter.
  • Reviewed and analyzed 10 of adjustment cases per week, achieving a consistent accuracy rate of 36%.
  • Reduced adjustment rework by 17% through the implementation of process improvement measures and staff training.

Affiliations

  • Association of Information Technology Professionals
  • Project Leadership Trainer in Vendor Compliance Relations
  • Leader in Employee Development Workshops supporting Conflict Resolution
  • National Association of Credit Management (NACM) membership participant
  • Toastmasters
  • National Association of Social Workers
  • Certified Data Analyst for Insurance Management (ServiceNow)
  • Certified Claims Adjuster Association (CCAA) member
  • Society of Women Engineers
  • Professional development participant at National Customer Service Association (NCSA)

Certifications

  • Customer Retention and Satisfaction Specialist
  • Associate in Claims (AIC)
  • Certified Litigation Management Professional (CLMP)
  • Chartered Property Casualty Underwriter (CPCU)
  • Google Certified Professional Cloud Architect
  • Certified Insurance Service Representative (CISR)
  • Certified Dispute Resolution Specialist
  • Certified Business Process Professional (CBPP)
  • Certified Customer Service Professional (CCSP)
  • Insurance Data Analyst Certification

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