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Claims Supervisor resume examples

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Skills

  • Time management skills
  • Bilingual in Japanese
  • Excellent communication
  • Negotiation and mediation skills
  • Operations management
  • Territory Sales Experience
  • Business Development
  • Communications
  • Excel in system
  • Multi-Task Management

Work Experiences

  • Looked for industry trends on social media and through online sources.
  • Achieved a 33% decrease in complaints.
  • Analyzed claims metrics.
  • Assessed training needs for the claims team and implemented targeted workshops, leading to an improvement in claim settlement accuracy by 79%.
  • Created multi-threaded admin web applications based on standard.
  • Oversaw the delivery of category project by metric team, which resulted in procedure.
  • Created boardroom and courtroom multimedia presentations that included video and text-synced depositions for better understanding.
  • Achieved President's Club recognition.
  • Achieved closure within 6 months.
  • Created a new employee evaluation process that resulted in significant performance improvements.

Summaries

  • Achieved 17% claim closure within 18 months.
  • Top-producing salesperson and industry expert in Miscellaneous.
  • Adept at guiding cross-departmental collaboration, removing bottlenecks, and cutting resolution times by 65% across claim cases.
  • To deliver information to policyholders, makes use of well-developed communication skills.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved 9 in recovery through subrogation opportunities by effectively training the team to identify potential areas for claim recovery.
  • Achieved 3 in recovery through subrogation opportunities.
  • Achieved audit performance excellence.
  • Claims Supervisor with 15 years of successful team leadership and budget management experience.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.

Accomplishments

  • Assisted in redesigning the claims intake process, resulting in a more efficient system that handled 39% more claims without increasing headcount.
  • Architected a comprehensive monthly audit process, reducing claims errors by 72% and ensuring compliance with regulatory requirements.
  • Documented
  • Protective Services: Applied safety procedures and policies as outlined in Department Safety Manual.
  • Documented and resolved category which led to method.
  • Achieved a 38% reduction in improper claims denials by enhancing claims auditing processes.
  • Recorded
  • Created and implemented a standard operating procedure for escalated claims, minimizing response time by 80%.
  • Represented
  • Collaborated with team of 2 in the development of system.

Affiliations

  • Association of Insurance Compliance Professionals (AICP)
  • Association for Supply Chain Management (APICS)
  • Insurance Regulatory Examiners Society (IRES)
  • Jaycees
  • Fraud Risk Management Certification through Institute of Internal Auditors (IIA)
  • National Association of Social Workers
  • National Association of Adjusters (NAA)
  • American Marketing Association
  • American Society of Claims Professionals (ASCP)
  • American Medical Informatics Association

Certifications

  • Cisco Certified Network Associate (CCNA)
  • Professional in Insurance Operations (CPIB)
  • Microsoft Certified Systems Engineer (MCSE)
  • Google Certified Professional Cloud Architect
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certificate in Claims Rethinking Strategy Northwind
  • Financial Risk Management (FRM) Certification
  • Certificate in General Insurance (Cert CII) Meridian
  • Conflict Resolution Specialist Certification
  • Claims Handling Process Improvement (CHIP) Certification

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