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Skills

  • Claims-cycle time reduction
  • Coverage Dispute Resolution
  • Commercial claims negotiations
  • Commercial property damage assessment
  • Risk management
  • CCC Pathways Appraisal Quality Solution
  • Casualty claims investigations
  • Injury claims evaluation
  • Microsoft Office Suite
  • Client relationship management

Work Experiences

  • Kept track of 17-clients' caseload for each quarter.
  • Applied new techniques.
  • Addressed incidents of false reporting.
  • Investigated potentially fraudulent claims that claims representatives had initiated.
  • Was in charge of directing and coordinating the field investigation team's investigations.
  • Reconciled data in the direct collection system with the accounting system to address discrepancies.
  • Organized metric data in order to finish procedure files.
  • Developed positive working relationships with government officials and police officers.
  • Awarded in 2019.
  • Analyzed liability trends.

Summaries

  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the standard business.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Achieved 82% success rate in arbitrations.
  • Expert at creating profitable and high-quality processes.
  • Collaborated with underwriting and risk management teams.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Adapted quickly to changing industry regulations, ensuring compliant claims handling procedures that reduced legal risks by 16%.
  • For one year, I've been a member of the National Society of Professional Insurance Investigators.
  • Avoided costly penalties.

Accomplishments

  • Improved customer satisfaction rates by 22% through effective communication and timely resolution of complex commercial claims.
  • Delivered expert advice to clients during Phoenix disaster recovery, settling over 4 claims within 7 weeks while ensuring regulatory compliance.
  • Utilized industry-specific software Adobe Creative Suite to enhance the claims documentation process, reducing administrative errors by 57%.
  • Conducted quarterly training sessions on regulatory compliance updates for the claims handling team, ensuring ongoing adherence to state and federal guidelines.
  • Performed quarterly reviews on outstanding claims, identifying and resolving discrepancies resulting in $17 of previously uncollected funds.
  • Standardized claims reporting across multiple jurisdictions, reducing reporting discrepancies by 75% and ensuring compliance with state regulations.
  • Trained and mentored new claims adjusters on policy wording, claims processing, and dispute resolution, increasing team productivity by 78%.
  • Created detailed settlement reports for high-value claims, minimizing erroneous payments and lowering operational costs by $10 annually.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Documented and resolved program which led to category.

Affiliations

  • Affiliate membership with the International Risk Management Institute (IRMI)
  • Insurance Information Institute (III) Membership
  • Association of Information Technology Professionals
  • International Association of Administrative Professionals
  • Risk and Insurance Management Society, Inc. (RIMS)
  • National Association of Social Workers
  • Rotary International
  • Construction Risk and Insurance Specialist (CRIS) Certification
  • Certified Claims Professional (CCP) Program
  • Attended the Annual Conference of the Society of Insurance Trainers and Educators (SITE)

Certifications

  • Certified Business Analysis Professional (CBAP)
  • CompTIA Network+
  • Certified Risk Manager (CRM) – 2019
  • Certified Claims Professional (CPCP) - 2018
  • National Association of Insurance Commissioners (NAIC) Designation - Washington
  • Senior Claim Law Associate (SCLA) – Lakeside Partners
  • Professional Risk Manager (PRM) – standard
  • Xactimate Level 1 Certification - Tableau
  • ISO 9001: Certified Auditor - 2024 - standard
  • Microsoft Certified Systems Engineer (MCSE)

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