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Skills

  • Product ordering
  • Customer satisfaction
  • Communications
  • Quick learner
  • Positive learning process
  • Client relationship management
  • Music showcase training
  • Budgets
  • Contract auditing
  • Business operations

Work Experiences

  • Achieved improvement over 2 months.
  • Kept patient finances, records, and health statuses confidential.
  • Had an excellent attendance record and was always on time for work.
  • Authored instructional documentation on the internal claims system, leading to a drop in user errors and improving overall workflow efficiency.
  • Achieved results within the past year.
  • Kept track of all pending authorizations to ensure that they were resolved quickly and that revenue was not lost.
  • Created multi-threaded admin web applications based on framework.
  • Created a new employee evaluation process that resulted in significant performance improvements.
  • Approved claims ensuring adherence to PMP guidelines.
  • Conducted an initial client assessment and analysis to begin the research process.

Summaries

  • Claims Officer with 6 years of successful performance reporting and workflow optimization experience.
  • Accelerated approval processes by 68%.
  • Strengths in workflow optimization and data analysis backed up by Miscellaneous training.
  • Within Miscellaneous, senior Claims Officer and outstanding performer in performance reporting and workflow optimization.
  • To deliver information to policyholders, makes use of well-developed communication skills.
  • Professional with 15 years of progressive experience in the field who is highly organized and detail-oriented.
  • Customer-focused Sales Representative with 14 years of experience solving problems for clients.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Adept in cross-functional teamwork.
  • Achieved a 18% productivity boost.

Accomplishments

  • Resolved product issue through consumer testing.
  • Created
  • Business Development: Initiated two key partnerships which resulted in category revenue growth.
  • Analyzed the root cause of recurring claims issues, provided recommendations resulting in a 51% drop in repeat claims within three years.
  • Identified
  • Documented and resolved process which led to framework.
  • Increased
  • Initiated
  • Assisted in developing strategic claims handling guidelines that reduced claims cycle time from 15 days to 13 days.
  • Guided

Affiliations

  • Society of Claim Law Associates (SCLA)
  • General Insurance Association (GIA)
  • Warranty Chain Management Professionals (WCMP)
  • American Marketing Association
  • Rotary International
  • Property Casualty Insurers Association of America (PCI)
  • Lions Club
  • Toastmasters
  • Insurance Institute for Business & Home Safety (IBHS)
  • Claims and Litigation Management Alliance (CLM)

Certifications

  • Medical Fraud Prevention and Detection Certificate – Meridian
  • Catastrophic Claims Handling Certification – program
  • Certified Public Accountant
  • Certified Public Accountant (CPA)
  • CompTIA Security+
  • Technology in Insurance Claims Management Certification – Meridian
  • Life and Health Claims Consultant (LHCC) – Harbor & Co.
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Insurance Services Representative (CISR) - Cedar Works
  • Cyber Risk Insurance Claims Certification – Ironclad Systems

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