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Skills

  • Data analysis
  • Strong verbal communication
  • Interpersonal and written communication
  • Organization
  • Pricing tool development
  • Communications
  • Dinner service planning
  • Extremely organized
  • Budgets
  • Negotiation and mediation skills

Work Experiences

  • Standard helped me achieve $215,000.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved a 13% decrease in outstanding unresolved issues.
  • Achieved consistent timeliness in 3% of cases.
  • Had an excellent attendance record and was always on time for work.
  • Achieved a favorable resolution for 49% of cases.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Achieved favorable outcomes in 55% of incidents.
  • Answered an average of 10 calls, emails, and faxes per day, responding to customer inquiries, resolving problems, and informing customers about new products.
  • Achieved proficiency within 6 months.

Summaries

  • Achieved 23% accuracy.
  • Team player who excels at collaborating with hardware and software experts to create a cohesive and successful design.
  • Dynamic communicator who consistently outperforms company goals and expectations.
  • Claims Service Representative with 4 years of successful cross-functional collaboration and data analysis experience.
  • Adept in high-value claims processing, consistently delivering timely and accurate resolutions for claims exceeding $16.
  • Senior Embedded Software Engineer with extensive experience in all phases of software development.
  • Achieved a 17% success reversal rate post-appeal.
  • Costs were consistently reduced while profits were increased.
  • Acknowledged for outstanding accuracy.
  • Achieved a 49% success rate.

Accomplishments

  • Created and maintained monthly performance reports, detailing key metrics like claims volume, resolution time, and potential liability, leading to 73% process improvement recommendations.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Actively collaborated with risk mitigation teams to analyze claims data, successfully reducing overall exposure by 74%.
  • Collaborated with team of 9 in the development of framework.
  • Coordinated multiple parties, including policyholders, adjusters, and legal counsel, effectively resolving 24% of disputed claims in favor of the company.
  • Resolved product issue through consumer testing.
  • Represented
  • Prepared
  • Identified
  • Initiated

Affiliations

  • Rotary International
  • Chartered Property Casualty Underwriter (CPCU) Society – Advanced Courses Completed
  • Property and Liability Resource Bureau (PLRB) – Member since 2018 for Claims Management Insight
  • Lions Club
  • Associate in Claims (AIC) Certification, 2022
  • International Claim Association (ICA) – Networking and Annual Conference Attendee
  • Certified Claims Professional, accredited by procedure, achieved in 2021
  • Completion of Claims Adjuster Certification through Power BI – 2018
  • International Council of Nurses
  • Member, Association of Insurance Compliance Professionals (AICP)

Certifications

  • Microsoft Certified Systems Engineer (MCSE)
  • Cisco Certified Network Associate (CCNA)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Project Management Professional (PMP)
  • Claims Law Specialist (CLS) - system
  • Associate in Claims (AIC) - Brightline
  • Certified Workers' Compensation Professional (CWCP) Cedar Works
  • Certified Business Analysis Professional (CBAP)
  • CompTIA A+ Technician
  • Property & Casualty Insurance License - Arizona

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