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Skills

  • Relationship development
  • Client relationship management
  • Damage itemization
  • Client-Focused Communication
  • Liability Analysis
  • AI-Powered Claims Processing Tools
  • Legal collaboration
  • Benefits review
  • Customer service
  • Time management

Work Experiences

  • Analyzed trends in fraudulent claims.
  • Analyzed policy language to mitigate risk on claims worth over $15, reducing company exposure to liabilities by 22%.
  • Conducted root cause analyses of recurring claims issues, rectifying internal inefficiencies and reducing the claims cycle time by 6 months.
  • Collaborated with IT departments to resolve software issues.
  • Advised internal departments on policy compliance.
  • Achieved a 57% reduction in delays related to technical issues.
  • Conducted comprehensive analysis.
  • Achieved savings of 19% for the company.
  • Solved category issues, improved operations, and provided excellent customer service.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.

Summaries

  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved a 67% improvement in audit accuracy.
  • Within Miscellaneous, senior Claims Executive and outstanding performer in risk assessment and performance reporting.
  • Awarded Employee of the Year for exceptional customer satisfaction.
  • Clear understanding of cross-functional collaboration and budget management as well as cross-functional collaboration training.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the system business.
  • Accomplished in training and mentoring claims associates, resulting in a streamlined onboarding process that reduced training hours by 38%.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Consistently preserved client relationships.
  • Strengths in vendor management and project management backed up by Miscellaneous training.

Accomplishments

  • Piloted a partnership with legal counsel to review claims flagged for potential disputes, reducing pending case count by 67%.
  • Reduced backlog of high-complexity claims by 56% in 12 months through improved team coordination and workflow prioritization.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Improved customer satisfaction by 25% through the implementation of an after-claims customer feedback program.
  • Led negotiations with 13 insurance vendors to secure better settlement terms, reducing claim resolution times by 15%.
  • Spearheaded development of AI-powered fraud detection algorithm, reducing fraud-related claims costs by 44%.
  • Documented and resolved category which led to program.
  • Resolved product issue through consumer testing.
  • Introduced automated notifications and reminders for outstanding claims, shortening average completion time by 4%.
  • Designed and implemented post-claims surveys to capture claimant feedback, driving improvements that increased trust by 83% points as measured by Net Promoter Score.

Affiliations

  • Society of Claims Law Associates (SCLA) - Completed OSHA for Claims Law Specialist
  • Risk Management Society (RIMS) - Member and contributor to risk management research projects
  • Rotary International
  • Association of Information Technology Professionals
  • Catastrophic Claims Association
  • Certified Legal Assistant - Specializing in insurance claim contract drafting and revision
  • Association for Supply Chain Management (APICS)
  • Society of Human Resource Management
  • Insurance Regulatory Examiners Society (IRES)
  • American Marketing Association

Certifications

  • First Aid/CPR Certified
  • SHRM Senior Certified Professional (SHRM-SCP)
  • CompTIA Network+
  • Chartered Property Casualty Underwriter (CPCU) - Summit Group
  • Enterprise Risk Management Practitioner Certificate – Cedar Works
  • Accredited Claims Adjuster (ACA) - Summit Group
  • Accredited Insurance Arbitrator – Ironclad Systems
  • Certified Business Analysis Professional (CBAP)
  • Project Management Professional (PMP)
  • Property Claims Law Specialist (PCLS) - Vantage

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