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Skills

  • Cross-functional collaboration
  • Complex, high-value claim management
  • External adjuster collaboration
  • Litigation expense reduction
  • Project organization
  • Client Dispute Resolution
  • Client satisfaction tracking
  • Client satisfaction maintenance
  • Claims processing workflow enhancement
  • Damage itemization

Work Experiences

  • Collaborated with actuarial teams.
  • Achieved this over 18 months.
  • Contributed to a 36% success rate in litigation cases.
  • Conducted diligent investigations.
  • Looked for industry trends on social media and through online sources.
  • Analyzed high-volume data.
  • Achieved successful resolution of 17 cases.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Achieved results within one year.
  • Oversaw the delivery of initiative project by process team, which resulted in procedure.

Summaries

  • Adopted technology best practices.
  • Committed to excellence in performance metrics tracking.
  • Achieved a 53% satisfaction rate.
  • Aptitude for balancing simultaneous caseloads.
  • Casualty Claims Specialist with a history of orchestrating favorable outcomes in negotiations, resolving disputes outside of court, and saving the company $16 in legal expenses.
  • Authored claims policy manuals.
  • Casualty Claims Specialist recognized for enhancing adjuster training on best practices, increasing team productivity by 38% within 2019.
  • Adaptable Casualty Claims Specialist with expertise in policy interpretation, litigation management, and multi-disciplinary team leadership, leading to a 69% reduction in claim disputes.
  • Achieved resolutions within two years.
  • Bringing 5 years of experience in the field, as well as superior process improvement and workflow optimization abilities.

Accomplishments

  • Led efforts in recovering $12 in reimbursable damages via subrogation from liable third parties over 18 months.
  • Recognized with Excellence Award for maintaining a claim accuracy rate of 57% across a portfolio of 7 active cases.
  • Trained team of 3 adjusters in best practices for casualty claim investigations, improving accuracy and compliance in reporting.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Built strong relationships with external partners including medical providers, legal teams, and adjusters, ensuring an optimal 59% increase in claim settlement efficiency.
  • Reduced average claim resolution time by 8 days by enhancing adjuster training programs and procedural efficiency.
  • Documented and resolved category which led to standard.
  • Spearheaded the digital transformation of claim files, improving data accuracy and reducing document retrieval time by 27%.
  • Collaborated with team of 8 in the development of category.
  • Recognized for achieving Top Performer after reducing 6 months-year claims leakage by 36% through a newly introduced reporting system.

Affiliations

  • Casualty Actuarial Society (CAS)
  • Professional Liability Underwriting Society (PLUS)
  • Insurance Accounting & Systems Association, Inc. (IASA)
  • National Flood Insurance Program (NFIP)
  • Society of Insurance Research (SIR)
  • Toastmasters
  • International Association of Special Investigation Units (IASIU)
  • American Society of Appraisers (ASA)
  • National Catastrophe Adjusters Association (NCAA)
  • American Marketing Association

Certifications

  • Cyber Liability Insurance and Claims Management Course
  • ServSafe
  • Professional Liability Insurance Specialist (PLIS) Certification
  • Workers' Compensation Claims Professional (WCCP)
  • Apple Certified Associate (ACA)
  • Certified Insurance Fraud Investigator (CIFI)
  • Cisco Certified Network Associate (CCNA)
  • Chartered Property Casualty Underwriter (CPCU)
  • Associate in Claims (AIC) Certification
  • Senior Claim Law Associate (SCLA)

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