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Skills

  • Customer satisfaction
  • Territory Sales Experience
  • Communications
  • Data analysis
  • Process improvement
  • Benefits review
  • CRM Systems
  • Pet charting information
  • Computer literate
  • Negotiation and mediation skills

Work Experiences

  • Achieved $7 savings in claims operational spending.
  • Answered an average of 11 calls, emails, and faxes per day, responding to customer inquiries, resolving problems, and informing customers about new products.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Solved initiative issues, improved operations, and provided excellent customer service.
  • Achieved closure within the first 18 days of reporting.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Adhered to established guidelines.
  • Achieved a 68% success rate.
  • Had an excellent attendance record and was always on time for work.
  • Created boardroom and courtroom multimedia presentations that included video and text-synced depositions for better understanding.

Summaries

  • Achieved closure within 5 days of reporting.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • System professional with 4 years of experience evaluating coverage and supervising claims review.
  • Achieved 73% resolution on high-priority matters.
  • Achieved faster claim resolutions.
  • Adept at guiding cross-departmental collaboration.
  • Achieved a 76% improvement in operational efficiency.
  • Achieved audit performance excellence.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Multi-line Claims Supervisor responsible for the investigation, adjustment, and supervision of a wide range of cases.

Accomplishments

  • Collaborated with underwriters to identify and avoid high-risk claimants, reducing exposure to potentially fraudulent claims by 43%.
  • Protective Services: Applied safety procedures and policies as outlined in Department Safety Manual.
  • Established a dispute resolution framework that reduced escalated claims by 74% and increased customer satisfaction.
  • Advised
  • Documented and resolved category which led to method.
  • Documentation: Wrote and edited documents to keep staff informed on policies and procedures.
  • Initiated
  • Identified
  • Built strong working relationships with third-party adjusters and vendors, ensuring timely settlements and improving claims cycle times.
  • Increased

Affiliations

  • Risk and Insurance Management Society (RIMS)
  • Member of International Association of Privacy Professionals (IAPP) focusing on claims data security
  • Rotary International
  • Association of Insurance Compliance Professionals (AICP)
  • Association for Computing Machinery
  • AI in Insurance Association – Regular attendee of claims-related tech seminars
  • Society of Women Engineers
  • Freemason
  • Supporting membership in Consumer Federation of America (CFA) – Advocating best practices in claims transparency
  • Insurance Regulatory Examiners Society (IRES)

Certifications

  • Insurance Performance Metrics Certification Lakeside Partners
  • Leadership Development for Frontline Workers – Harbor & Co.
  • Certified Financial Examiner (CFE)
  • CompTIA Network+
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Public Accountant
  • Certified Claims Professional (CCP)
  • Certificate in General Insurance (Cert CII) Meridian
  • First Aid/CPR Certified
  • Adjuster Regulations & Ethics Program – Massachusetts

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