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Skills

  • Data analysis
  • Project management
  • Cross-departmental collaboration
  • Automobile claims specialist
  • Hardware evaluation
  • Subrogation expert
  • Settlement Negotiation
  • Process implementation
  • Microsoft Office Suite
  • Claims Auditing

Work Experiences

  • Investigated potentially fraudulent claims that claims representatives had initiated.
  • Answered an average of 9 calls, emails, and faxes per day, responding to customer inquiries, resolving problems, and informing customers about new products.
  • Started two key partnerships that resulted in a 54% increase in revenue.
  • Was in charge of maintaining claims data in framework systems.
  • Verified the accuracy of category records to maintain the accuracy of the records database.
  • Created boardroom and courtroom multimedia presentations that included video and text-synced depositions for better understanding.
  • Entered data into the QuickBooks system, including payments, account information, and call logs.
  • Conducted an initial client assessment and analysis to begin the research process.
  • Examined claim forms and other records to determine insurance coverage.
  • Created a new employee evaluation process that resulted in significant performance improvements.

Summaries

  • Detailed Adjuster with 15 years of corporate insurance claims experience.
  • Reliable and trustworthy.
  • Among his accomplishments is the creation of a metric app for use in the category industry.
  • Strong understanding of claimant intake processes, record documentation, and fraud investigation protocols.
  • Solid skills in formulating goals and strategies for resolving procedure claims.
  • Claims Administrator is a multi-talented Claims Administrator who is consistently rewarded for planning and operational improvements.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Customer-focused Sales Representative with 14 years of experience solving problems for clients.
  • Strengths in stakeholder engagement and project management backed up by Miscellaneous training.
  • Accomplished Claims Administrator with over 4 years of experience managing high-volume claims processing and reducing turnaround times by 70%.

Accomplishments

  • Created
  • Recorded
  • Developed
  • Competitive Analysis: Performed competitive analysis to make recommendations for future company growth.
  • Documented
  • Recommended
  • Design: Responsible for creative design for prominent framework.
  • Marketing: Implemented marketing strategies which resulted in method growth of customer base.
  • Solved
  • Consulted

Affiliations

  • American Association of Inside Adjusters (AAIA)
  • National Association of Insurance Commissioners (NAIC)
  • Claims & Litigation Management Alliance (CLM)
  • National Association for Independent Claims Professionals (NAICP)
  • National Association of Subrogation Professionals (NASP)
  • American Institute for Insurance Thought Leadership (AIITL)
  • Insurance Professionals of America (IPA)
  • Association of Information Technology Professionals
  • Society of Human Resource Management
  • Association for Computing Machinery

Certifications

  • National Alliance Certified Insurance Counselor (CIC)
  • Cisco Certified Network Associate (CCNA)
  • Certified Professional in Health Care Risk Management (CPHRM)
  • Chartered Property Casualty Underwriter (CPCU) – Meridian
  • Property Claims Law Associate (PCLA) - system
  • Certified Customer Service Representative (CCSR) - standard
  • Certified Professional Insurance Agent (CPIA) - method
  • Salesforce
  • Regulatory Compliance Management Certification (RCM) - process
  • Certified Business Analysis Professional (CBAP)

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