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Skills

  • Cross-functional collaboration
  • Workers’ compensation claims
  • Analytical
  • Report writing
  • Supervision
  • Property claims
  • CCTV
  • Administrative support
  • Business operations
  • Continuous process improvement

Work Experiences

  • Reduced loss ratios by processing claims in a fair and timely manner.
  • Automated the generation of performance reports.
  • Looked into potentially fraudulent claims, focusing on accuracy, quality, and cost control.
  • Saved money by developing functional solutions to standard problems.
  • Was in charge of all tasks delegated to me, including performance reporting and project management.
  • Automated insurance claims analytics reporting, providing real-time insights that helped leadership reduce operational costs by $12.
  • Site evaluations, customer surveys, and team audits were all things I did.
  • Provided excellent service and attention when dealing with customers face-to-face or over the phone.
  • Achieved a $9 reduction in fraud costs.
  • Increased customer satisfaction by coming up with new ways to solve problems.

Summaries

  • Expert in procedure with a strong aptitude for coordinated and launched.
  • System, metric, and category are all available.
  • Six Sigma certified
  • Exceptional at juggling multiple goals in order to maximize efficiency and influence positive outcomes.
  • Program and procedure have a proven track record.
  • Achieved up to 64% reduction in manual processing time.
  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
  • Achieved 16% faster turnaround times.
  • Communicative and team-oriented, with Microsoft Excel expertise.
  • Achieved zero violations over 18 months.

Accomplishments

  • Championed automation of claims processing tasks, resulting in a 64% faster claims cycle time while reducing manual errors.
  • Created automated systems to ensure compliance with changing regulatory requirements, lowering risk by 80% in audit findings.
  • Implemented new AI-based scanning technology that reduced the time to process claims documentation by 11 days and increased consistency.
  • Drove the implementation of automated fraud detection tools, catching potentially fraudulent claims 48% faster than traditional methods.
  • Developed and executed an automation strategy that integrated SAP, reducing the time required for claims submission by 16 hours per week.
  • Spearheaded automation efforts for the intake of supporting documentation for claims, improving documentation accuracy by 71%.
  • Developed automation scripts tailored for claims auditor tasks, reducing the time spent on manual reviews by 13 hours per month.
  • Led claims automation process redesign efforts, successfully reducing error rates by 30% and ensuring a smoother workflow across departments.
  • Reduced monthly reporting time by automating claims data analysis reports, cutting process time from 16 hours to just 13 minutes.
  • Collaborated with compliance teams to introduce automated audit tracking, leading to Innovation Award for regulatory excellence in 2018.

Affiliations

  • Automation Process Specialist Member, Institute for Robotic Process Automation & AI (IRPA AI), 2016 – Present
  • Certificate Holder, Claims Process Automation Professional (CPAP), ServiceNow, 2017
  • Member, Professional Claims Adjuster’s Association (PCAA), specializing in process efficiency through automation, 2024 – 2021
  • Member, International Society for Claims Performance Optimization (ISCPO), focused on operational efficiency, 2019 – 2024
  • Member, Network for Automation in Insurance Claims Solutions, Atlanta, 2020
  • Active Contributor, Annual Claims Management Automation Summit, focused on improving claims workflows using SAP, 2019
  • Mentor, National Digital Claims Automation Guild, conducted training and mentorship in automation best practices, 2016 – 2019
  • Member, Association for Information and Image Management (AIIM), supporting claims process digitalization, 2024 – 2019
  • Professional Member, American Society for Automation in Healthcare, 2020 – Present
  • Executive Member, International Association of Claims Processing Automation, 2023 – Present

Certifications

  • Certified Data Analyst (CDA) - Cedar Works
  • Certified Business Process Professional (CBPP) from the Association of Business Process Management Professionals (ABPMP)
  • ITIL 4 Managing Professional (MP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Google Cloud Professional Cloud Architect Certification
  • Association for Project Management (APM)
  • Certified Claims Professional (CCP) - Summit Group
  • Six Sigma Green Belt Certification system, 2015
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Information Systems Auditor (CISA)

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