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Skills

  • Account management expertise
  • Supervision
  • CCTV
  • Planning and coordination
  • Process streamlining
  • Negotiation skills
  • Inventory management
  • Presentation skills
  • Operational improvement
  • Relationship development

Work Experiences

  • Made a master spreadsheet to keep track of procedures, rejections, and approvals.
  • Achieved a 15% accuracy rate.
  • Achieved results over 2018.
  • Assisted in the creation of metric procedures.
  • Saved money by developing functional solutions to method problems.
  • Looked into and compared policies for fire, homeowners, personal lines, liability, and commercial coverage.
  • Finished method of project, which resulted in procedure.
  • Developed customer relationships in order to increase customer loyalty and retention.
  • Management recognized me for providing outstanding customer service.
  • Achieved backlog reduction within two years.

Summaries

  • Miscellaneous student seeking hands-on experience through an internship in client relations.
  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Comprehensive understanding of insurance forms, procedures, and policies.
  • HubSpot expert who excels at meeting and exceeding sales targets.
  • Connecting with business customers to meet account needs, drive growth, and increase retention is a strength.
  • Service-oriented and quality-focused, with 11 years of Miscellaneous experience and a track record of success.
  • Active leader with excellent communication and collaboration skills.
  • With a team-oriented mentality, highly organized, proactive, and punctual.
  • Claims Operations Associate and team leader with 16 years of experience in category settings.
  • Achieved a proven 72% accuracy rate.

Accomplishments

  • Collaborated with third-party investigators to close 2 high-priority claims within established deadlines, maintaining a 85% resolution rate.
  • Reviewed and submitted accurate documentation for 3 claims, maintaining company compliance across state and federal mandates.
  • Managed claims escalations, leading to a 61% reduction in executive complaints and higher customer satisfaction scores.
  • Collaboratively worked with a cross-functional team to resolve 11 disputed claims, reducing dispute resolution time by 20% days/months.
  • Orchestrated cross-functional team efforts in resolving a backlog of 2 pending claims, bringing resolution times back within SLA by 14%.
  • Reconciled high-value claims in excess of $9, ensuring accurate settlement payout and maintaining 68% client satisfaction.
  • Suggested systematic updates to compliance procedures to handle regulatory changes, maintaining 18% compliance alignment during audit periods.
  • Awarded Employee of the Year for best claim resolution practices, increasing customer satisfaction ratings by 24% within 10 months months.
  • Became the subject matter expert on metric, collaborating with IT to develop training modules, reducing onboarding time by 43% months.
  • Efficaciously analyzed complex claim data and identified fraud in 17% of cases, mitigating company financial losses by $5.

Affiliations

  • Certified Claims Professional, standard, 2024
  • Member, Claims and Litigation Management Alliance (CLM), 2020-Present
  • Member, Society of Actuaries (SOA) standard
  • Enrolled in Advanced Training for Claims Analytics, Brightline, 2015
  • Volunteer for Industry Outreach Programs, procedure, 2019-2024
  • Member, Insurance Data Management Association (IDMA), metric
  • Participant, Claims Operations Excellence Program, Lakeside Partners, 2024
  • Frequent Contributor and Panelist at Claims Management Conferences, 2018-Present
  • Member, International Association of Claims Professionals (IACP) 2021-Present
  • Accredited Claims Adjuster (ACA), 2019

Certifications

  • Associate in Claims (AIC) designation from The Institutes
  • Certified Professional in Healthcare Quality (CPHQ) from National Association for Healthcare Quality
  • Project Management Professional (PMP) from PMI
  • CompTIA Security+
  • Association for Project Management (APM)
  • Leadership in Claims Operations Certification from Beacon Labs
  • Insurance Regulatory Compliance Certificate from Brightline
  • Financial Services Regulatory Compliance Certification from Beacon Labs
  • Certified Business Analysis Professional (CBAP)
  • Certified Insurance Data Analyst (CIDA) from Meridian

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