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Skills

  • Negotiation and mediation skills
  • Project organization
  • Escalation management
  • Achieving performance goals
  • Fraud prevention
  • Team building
  • Relationship development
  • Organization
  • Cross-departmental collaboration
  • Risk mitigation strategies

Work Experiences

  • Had an excellent attendance record and was always on time for work.
  • Oversaw the delivery of process project by system team, which resulted in method.
  • Achieved Top Performer for best-performing claims team, increasing department efficiency by 32% year-over-year.
  • Built and maintained a collaborative working relationship with external auditors, resulting in successful audit outcomes two years in a row.
  • Looked for industry trends on social media and through online sources.
  • Achieved 24% customer satisfaction ratings.
  • Championed a continuous improvement program.
  • Analyzed monthly claims reports.
  • Achieved improvement over three years.
  • Went to customers' homes to assess damage and provide remediation cost estimates.

Summaries

  • Collaborated with legal teams to ensure policy language aligned with regulatory requirements, protecting the company from potential litigation and defending 35% of denied claims.
  • An influential leader with strong change management skills, transitioning 12 team members to new digital workflows and achieving a 48% boost in efficiency.
  • Achieved 65% customer satisfaction ratings.
  • Customer-focused Claims Team Leader.
  • Accomplished Claims Team Leader.
  • Bringing 2 years of experience in the field, as well as superior strategic planning and data analysis abilities.
  • Adept at managing large teams.
  • Costs were consistently reduced while profits were increased.
  • Comprehensive understanding of claims management.
  • Dedicated Claims Team Leader with a strong track record of fostering collaboration between claims, underwriting, and risk teams to mitigate fraud, saving the company $9 annually.

Accomplishments

  • Created an internal knowledge-sharing platform, reducing repeated claim-related inquiries and boosting team efficiency by 73%.
  • Reduced claim backlog by 7, achieving a 45% faster claim turnaround time within the past year.
  • Managed and reviewed high-volume caseloads of program per individual agent, ensuring SLA targets were met.
  • Presented annual claim process improvements to procedure, resulting in a 7% increase in operational budget.
  • Implemented data analytics tools to forecast and prevent claim bottlenecks, reducing claim-handling delays by 2 days.
  • Instituted a monthly performance review system for team members, identifying areas for improvement and increasing team productivity by 34%.
  • Introduced a customer-centric focus in claim investigations, improving satisfaction surveys by 21% by the procedure.
  • Onboarded and trained 17 new claims adjusters, increasing team capacity by 75% during high-demand periods.
  • Collaborated with IT to launch an AI-driven claims triage tool, improving first-touch claim resolutions by 32%.
  • Resolved product issue through consumer testing.

Affiliations

  • Casualty Actuarial Society (CAS)
  • Freemason
  • National Association of Insurance Commissioners (NAIC)
  • American Insurance Association (AIA)
  • Association for Cooperative Operations Research and Development (ACORD)
  • American Risk and Insurance Association (ARIA)
  • Association for Computing Machinery
  • National Association of Subrogation Professionals (NASP)
  • American Society of Safety Professionals
  • Association for Supply Chain Management (APICS)

Certifications

  • Six Sigma Green Belt Certification
  • Certified Public Accountant
  • Leadership in Claims Management Certification
  • Risk Management Associate (RMA) Certification
  • Carrier Management Certification Brightline
  • Microsoft Certified Systems Engineer (MCSE)
  • Insurance Compliance Certification Ironclad Systems
  • First Aid/CPR Certified
  • Google Certified Professional Cloud Architect
  • Certified Public Accountant (CPA)

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