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Skills

  • Conflict resolution
  • Team Leadership
  • Staff development
  • Cross-functional team collaboration
  • First Aid/CPR
  • Method equipment
  • Budgeting and finance
  • Customer service
  • Team management
  • Interpersonal and written communication

Work Experiences

  • Achieved 46% policy renewal after claims.
  • Achieved a 57% rise in approval rate.
  • Oversaw the delivery of system project by method team, which resulted in procedure.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Collaborated with claims adjusters and examiners to ensure that processing was completed quickly and in accordance with procedures.
  • Examined departmental documents to determine how they should be distributed and filed.
  • Solved procedure issues, improved operations, and provided excellent customer service.
  • Answered an average of 17 calls, emails, and faxes per day, responding to customer inquiries, resolving problems, and informing customers about new products.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.

Summaries

  • Consummate Claims Associate with a thorough understanding of standard insurance coverage and policy terms and conditions.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Claims Associate with 4 years of experience, dedicated to providing personalized, courteous service.
  • Costs were consistently reduced while profits were increased.
  • Bringing 4 years of insurance experience to the table.
  • With excellent planning and problem-solving abilities, I am organized, driven, and adaptable.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Throughout investigations and recommendations, he combines analytical and administrative skills.
  • Dynamic communicator who consistently outperforms company goals and expectations.
  • Senior Embedded Software Engineer with extensive experience in all phases of software development.

Accomplishments

  • Initiated
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Resolved product issue through consumer testing.
  • Streamlined
  • Researched
  • Collaborated with the legal department to mitigate risk on high-profile claims, resulting in $5 saved by the company.
  • Recommended
  • Analyzed claims trends, leading to the identification of fraudulent patterns and preventing losses of up to $7 annually.
  • Conducted risk assessment for 18 claim files weekly, identifying and mitigating potential legal disputes.
  • Created

Affiliations

  • Certified Insurance Data Analyst (CIDA) Credential - 2021
  • Insurance Data Management Association (IDMA)
  • Workers' Compensation Institute (WCI)
  • American Society of Safety Professionals
  • Freemason
  • Rotary International
  • American Society for Quality (ASQ) - Insurance Division
  • International Council of Nurses
  • Lions Club
  • National Insurance Crime Bureau (NICB)

Certifications

  • CompTIA A+ Technician
  • CompTIA Security+
  • Ethical Insurance Agent Certification - Northwind
  • ServSafe
  • Certified Insurance Data Analyst (CIDA) – Meridian
  • Certified Healthcare Claims Specialist (CHCS) - Medical Association of Billing
  • AINS (Associate in General Insurance) - The Institutes
  • Certified Claims Examiner (CCE) - Claims and Litigation Management Alliance
  • Property Claims Adjuster Certification (PCA) - Northwind
  • Six Sigma Yellow Belt - Lean Six Sigma Ironclad Systems

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