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Skills

  • Advanced casualty risk management techniques
  • Benefits review
  • Project organization
  • Cross-department collaboration
  • Customer service
  • Dispute resolution
  • Operational improvement
  • Regulatory compliance
  • Conflict resolution with attorneys
  • Coverage determination

Work Experiences

  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Authored detailed reports on claim assessments, which were used to significantly reduce the rejection appeal rate by 40% across the department.
  • Achieved risk avoidance.
  • Achieved more accurate premium forecasts.
  • Achieved results for 2023.
  • Collaborated with external forensic experts.
  • Achieved results within 2024 months.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Advised the casualty claims management team.
  • Advised the casualty claims management team on retaining, improving, or denying settlements, contributing to a 54% increase in successful negotiations.

Summaries

  • Achieved a 55% reduction in filing errors.
  • Casualty Specialist with exceptional leadership skills, successfully mentoring junior specialists. Improved their case-resolution times by 23% over 2023-month periods.
  • Adept at handling multijurisdictional litigation.
  • Accelerated claims resolution.
  • Bringing 5 years of experience in the field, as well as superior team leadership and client relations abilities.
  • Casualty Specialist with exceptional leadership skills.
  • Achieved improvements over 2024-month periods.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Authored reports that decreased rejection appeal rates by 61% %.
  • Casualty Specialist with 14 years of successful stakeholder engagement and team leadership experience.

Accomplishments

  • Conducted detailed post-loss investigations in compliance with state and federal regulations that resulted in metric.
  • Identified and mitigated risk in high-exposure claims worth more than $14, decreasing potential loss impact to the company.
  • Documented and resolved program which led to framework.
  • Led cross-functional team in resolving complex casualty claims, improving operational efficiency by 26%.
  • Developed reports and presentations to senior management highlighting trends in claims frequency and severity, resulting in refined underwriting strategies.
  • Performed root-cause analysis on reoccurring claim issues, resolving the underlying problems and cutting re-open rates by 58%.
  • Worked closely with underwriting teams to inform and improve policy exclusions for commonly fraudulent claims, reducing payouts by 4.
  • Actively participated in industry-specific training sessions, earning Scrum Master, leading to a reduction in process errors during claims handling by 25%.
  • Resolved product issue through consumer testing.
  • Championed customer satisfaction initiatives, improving communication and transparency with claimholders, driving satisfaction scores up by 40%.

Affiliations

  • Freemason
  • Society of Human Resource Management
  • Society of Insurance Trainers & Educators (SITE)
  • National Association of Subrogation Professionals (NASP)
  • American Society of Civil Engineers (ASCE) - Focus on Construction and Environmental Risks
  • Risk and Insurance Management Society (RIMS)
  • National Association of Social Workers
  • American Medical Informatics Association
  • Claims & Litigation Management (CLM) Alliance
  • International Association of Administrative Professionals

Certifications

  • Associate in Risk Management (ARM)
  • Certified Specialist in Insurance Guaranty Fund Management (CSIGFM)
  • ServSafe
  • Certified Public Accountant (CPA)
  • Certified Claims Professional (CCP)
  • Project Management Professional (PMP)
  • Cisco Certified Internetwork Expert (CCIE)
  • Claims and Litigation Management (CLMP)
  • Workers' Compensation Professional Certification (WCP)
  • Associate in General Insurance (AINS)

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