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Skills

  • Critical thinking in claim validation
  • Communications
  • Accuracy in data entry
  • Client communication and empathy
  • First-Contact Resolution
  • Claims documentation systems (Power BI)
  • Customer Relationship Management (CRM)
  • Insurance regulations and compliance
  • Legal settlement negotiations
  • Vendor relationship management

Work Experiences

  • Collaborated with method customers to determine their needs and deliver category service.
  • Collaborated with actuaries in Columbus.
  • Built strong relationships with third-party service providers.
  • Delivered excellent customer service.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Assessed and authorized disbursements up to $13 for minor auto claims, reducing the backlog by 38% in two years.
  • Collaborated with procedure.
  • Collaborated with the legal department to settle high-value disputes on claims, saving the company $5 in potential liability.
  • Assessed filed claims.
  • Presented customers with insurance options in order to close new policy sales.

Summaries

  • Achieved a 65% decrease in rework.
  • Auto Claims Associate with a keen eye for detail.
  • Offering 14 years of experience as well as the willingness to take on any challenge.
  • Listening to customers, meeting productivity goals, and staying current on company offerings are all skills she possesses.
  • Expert at providing insurance coverage advice to current and potential clients, as well as processing applications, payments, and corrections.
  • Auto Claims Associate with 13 years of experience, dedicated to providing personalized, courteous service.
  • Auto Claims Associate with 8 years of experience.
  • Accomplished Auto Claims Associate.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Experienced method Insurance Specialist with a track record of managing large caseloads in high-pressure situations.

Accomplishments

  • Resolved product issue through consumer testing.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Performed detailed root cause analysis on unresolved claims, resulting in action plans that improved first-call resolution rates by 52%.
  • Trained 5 new hires on claims assessment procedures, improving team compliance and reducing claim errors by 19%.
  • Reduced overall claim rejection rates by 50% by introducing standardized documentation review procedures and claim accuracy initiatives.
  • Served as a primary point of contact for over 4 policyholders, delivering empathetic customer service that improved client satisfaction ratings by 56%.
  • Investigated 12 high-complexity auto claims, leading to a 20% improvement in claim processing efficiency.
  • Reduced average claim resolution time by 72% through consistent cross-departmental collaboration.
  • Collaborated with legal teams and external counsel to manage high-risk liability cases, successfully reducing potential company exposure by 65%.
  • Improved policyholder satisfaction by 76% through enhanced guidance on claim processes and resolution strategies.

Affiliations

  • Claims and Litigation Management Alliance (CLM)
  • American Association of Insurance Services (AAIS)
  • Society of Insurance Research (SIR)
  • National General Adjuster Network (NGAN)
  • American Marketing Association
  • Society of Women Engineers
  • American Insurance Association (AIA)
  • Certified Risk Manager (CRM) designation
  • National Society of Professional Insurance Investigators (NSPII)
  • Rotary International

Certifications

  • CompTIA Network+
  • Microsoft Certified Systems Engineer (MCSE)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Negotiation and Conflict Resolution Certification - Northwind, 2018
  • Google Certified Professional Cloud Architect
  • Certified Legal Principles Claims Specialist (CLCS), Harbor & Co., 2016
  • Apple Certified Associate (ACA)
  • Certified Casualty Claims Specialist (CCCS), 2016
  • Leadership Certificate in Claims Management, Cedar Works, 2021
  • Licensed Insurance Adjuster Colorado, 2017

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