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Skills

  • Reporting skills
  • MS Office
  • Extremely organized
  • Process implementation
  • Customer service
  • Pricing tool development
  • Clerical support
  • Account management
  • Methodology implementation
  • Public speaking

Work Experiences

  • Achieved a 57% rise in approval rate.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Aided the legal team in defending the company against wrongdoers.
  • Evaluated and settled complex insurance claims in order to meet strict deadlines.
  • Saved $10 by putting in place cost-cutting measures that addressed long-standing issues.
  • Accomplished over 18 months.
  • Transported Power BI to two years customer locations.
  • Created a new employee evaluation process that resulted in significant performance improvements.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Achieved error-free processing.

Summaries

  • Working with Agile and Scrum methodologies to meet project milestones within specified timeframes is a strong suit.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the procedure business.
  • Strengths in process improvement and team leadership backed up by Miscellaneous training.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Achieved department recognition for improving customer satisfaction by 35% through timely updates and responsive client communication.
  • Offering 8 years of experience as well as the willingness to take on any challenge.
  • Bringing 4 years of insurance experience to the table.
  • Within Miscellaneous, senior Claims Associate and outstanding performer in cross-functional collaboration and data analysis.
  • Design and development of successful program embedded software applications in the past.
  • Dynamic communicator who consistently outperforms company goals and expectations.

Accomplishments

  • Created and implemented best practices for claims tracking, reducing overall claim errors by 85%
  • Reduced
  • Created
  • Proposed
  • Executed quality control measures for 4 claims per month, ensuring compliance with regulatory standards and reducing audit penalties.
  • Streamlined
  • Process Improvement: Created new departmental procedures manual. Assessed organizational training needs.
  • Integrated
  • Recorded
  • Established

Affiliations

  • Toastmasters
  • National Association of Subrogation Professionals (NASP)
  • Fraud Claims Law Specialist (FCLS) Certification - 2016
  • Society of Human Resource Management
  • International Council of Nurses
  • Association of Information Technology Professionals
  • National Healthcare Anti-Fraud Association (NHCAA)
  • Workers' Compensation Institute (WCI)
  • Society of Claims Law Associates (SCLA)
  • Society of Women Engineers

Certifications

  • Certified Public Accountant
  • Health Insurance Associate (HIA) – America's Health Insurance Plans (AHIP)
  • Insurance Regulatory Compliance Certification Vantage
  • Negotiation Skills in Insurance Claims Certification - Lakeside Partners
  • Data Analytics for Insurance Professionals Certification - Northwind
  • First Aid/CPR Certified
  • Certified Fraud Examiner (CFE) category
  • Project Management Professional (PMP)
  • Google Certified Professional Cloud Architect
  • Microsoft Certified Systems Engineer (MCSE)

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