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Skills

  • Data Analytics for Case Trends
  • Case management
  • Dispute Resolution & Avoidance Strategies
  • Problem resolution
  • Reporting skills
  • MS Office
  • Case Tracking Systems (e.g., Tableau)
  • Collaborative problem-solving
  • Continuous improvement methodologies
  • Legal Compliance system

Work Experiences

  • Achieved 41% satisfaction rate.
  • Addressed client concerns effectively.
  • Answered 7 calls per the past year to help customers with their questions and concerns.
  • Was able to effectively communicate with members of the operations, finance, and clinical departments.
  • Boosted team performance by 30%.
  • Achieved a 46% within 6 months.
  • ITIL completed 2021.
  • Achieved a less than 17% error rate.
  • Achieved a 52% faster closure rate.
  • Adhered to company policies.

Summaries

  • Addressed client concerns promptly.
  • Case Handler with a proven ability to streamline operations.
  • Offering 12 years of experience as well as the willingness to take on any challenge.
  • Case Handler is a multi-talented Case Handler who is consistently rewarded for planning and operational improvements.
  • Case Handler with a strong background in confidentiality.
  • Effective at managing phone calls, emails, letters, and in-person requests for assistance while adhering to process regulations and framework department guidelines.
  • Case Handler with a successful track record.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Case Handler with a strong background in cases requiring confidentiality and compliance, maintaining a pristine track record in HIPAA and GDPR adherence.
  • Case Handler with 7 years of successful stakeholder engagement and quality assurance experience.

Accomplishments

  • Successfully mediated 14 high-conflict cases, achieving an amicable solution and reducing client complaints by 66%.
  • Coordinated with legal counsel to gather documentation, which expedited case settlements by 81% and resulted in cost savings.
  • Led performance reviews across case-closure metrics, refining processes and achieving a 38% reduction in unresolved cases.
  • Directed multi-party case conferences, resolving 16 high-priority cases with a 47% success rate in conflict resolution.
  • Analyzed case data using process, developing dashboards that helped reduce case backlog by 16%.
  • Collaborated with external vendors and stakeholders to resolve 6 cases successfully in 2024, adhering to legal guidelines.
  • Managed case load during peak periods, handling 12 cases concurrently without compromising on process or documentation quality.
  • Resolved product issue through consumer testing.
  • Obtained ITIL to enhance proficiency in case management, resulting in a 69% quality improvement of case handling.
  • Documented and resolved metric which led to system.

Affiliations

  • Jaycees
  • American Bar Association (ABA) - Tort Trial and Insurance Practice Section
  • American Health Information Management Association (AHIMA)
  • American College of Legal Medicine
  • HIPAA Academy, Certified HIPAA Privacy Expert (CHPE)
  • Freemason
  • Membership in Local Arizona Bar Association
  • Society for Human Resource Management (SHRM)
  • National Association of Subrogation Professionals (NASP)
  • Risk and Insurance Management Society (RIMS)

Certifications

  • Operational Workflow Optimization Specialist Certification - Meridian
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Professional in Pre-Litigation Case Management - Harbor & Co.
  • Legal Compliance Training in standard - 2022
  • Certified Case Manager (CCM) - Commission for Case Manager Certification (CCMC)
  • Professional Certification in Case File Documentation Audits - Vantage
  • Google Certified Professional Cloud Architect
  • Microsoft Certified Systems Engineer (MCSE)
  • Project Management Professional (PMP)
  • Certified Professional in Online Case Management (CPOCM) - Harbor & Co.

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