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Skills

  • Key Stakeholder Communication
  • Insurance policy knowledge
  • Problem resolution
  • Fraud Detection Systems
  • Organization
  • Supervision
  • Benefits review
  • Team Leadership
  • Customer appeals process design
  • Change management for claims teams

Work Experiences

  • Achieved results within the first 18 months.
  • Achieved a $13 annual reduction in operational costs.
  • Achieved 15% performance improvement in file review accuracy.
  • Collaborated with cross-functional teams.
  • Analyzed quarterly claims trends and presented actionable insights to the leadership team, contributing to a 29% increase in profitability.
  • Cut claim settlement cycle times by an average of 85% days.
  • Actively prevented $11 in staged incidents.
  • Coordinated with legal teams to finalize settlements.
  • Saved $4 by putting in place cost-cutting measures that addressed long-standing issues.
  • Built effective partnerships with external experts.

Summaries

  • Built cross-functional relationships.
  • Award-winning Claims Unit Manager with proven ability to develop fast-track claims processes, achieving an average cycle time reduction of 61% days.
  • Claims Unit Manager with exceptional customer service, time management, and service coordination skills.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Costs were consistently reduced while profits were increased.
  • Boosted efficiency.
  • Customer-focused leader with substantial expertise in initiating first-contact strategies, improving customer satisfaction by 39% while consistently reducing claim resolution times.
  • Achieved average cycle time reduction of 64% days.
  • Achieved favorable resolutions in 78% of cases.
  • Consistently recovered $5 above projected recoveries.

Accomplishments

  • Reviewed and approved high-value claims, reducing settlement risks and legal exposure by 77%.
  • Developed a comprehensive onboarding program for claims personnel that improved productivity by 42% in new hires.
  • Implemented a new first-report contact strategy, improving customer satisfaction scores by 77%.
  • Enhanced customer communication strategies, leading to improved claim closure rates by 75% while increasing customer satisfaction.
  • Assumed leadership on high-priority claims, resolving disputes and reducing customer escalations by 33%.
  • Increased claim approval speed by 37% through team collaboration and workload optimization strategies.
  • Improved the claims audit process, reducing discrepancies by 33% through detailed data analysis.
  • Reduced payout ratios by 22% while adhering to industry standard best practices through enhanced fraud detection models.
  • Led a claims team of 17 adjusters, successfully reducing claim handling time by 16%.
  • Collaborated with cross-functional departments in the rollout of a claims automation system, reducing manual data entry errors by 69%.

Affiliations

  • Chartered Property Casualty Underwriter (CPCU) Society
  • Project Management Institute
  • Leadership Program Participation within framework
  • National Adjuster Association
  • American Society of Safety Professionals
  • Freemason
  • National Flood Insurance Program (NFIP) Authorized Trainer
  • National Council on Compensation Insurance (NCCI)
  • Association of Information Technology Professionals
  • Insurance Supervisors’ Network program

Certifications

  • Certified Public Accountant
  • Certificate in General Insurance (Cert CII) - system
  • Salesforce
  • Six Sigma Green Belt Certification - Northwind - 2022
  • Business Process Management Certification - category
  • CERT - Certified Expert in Risk Transfer - Brightline
  • Operational Excellence in Claims Certification - Meridian
  • SHRM Senior Certified Professional (SHRM-SCP)
  • CompTIA A+ Technician
  • CompTIA Security+

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