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Skills

  • Relationship development
  • Claims Dispute Resolution
  • Problem resolution
  • Data analytics and reporting
  • Process improvement
  • Client retention strategy
  • High-value claim settlement
  • Team building
  • Compliance with system
  • Supervision

Work Experiences

  • Collaborated with law enforcement.
  • Claim satisfaction rate: 69%.
  • Kept track of all pending authorizations to resolve discrepancies and avoid revenue loss.
  • Achieved improvements within the first quarter.
  • Achieved results in 2022.
  • Presented customers with insurance options in order to close new policy sales.
  • Achieved a reduction of 75% in 2017.
  • Boosted review efficiency.
  • Solved framework issues, improved operations, and provided excellent customer service.
  • Transported Jira to three years customer locations.

Summaries

  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Collaborated with legal teams to successfully defend 17 claims, avoiding potential litigation expenses totaling $6.
  • Accomplished in securing payouts exceeding $9 for complex claims, leveraging exceptional litigation avoidance strategies to reduce legal costs by 25% %.
  • Clear understanding of quality assurance and budget management as well as strategic planning training.
  • Achieved zero missteps during audits.
  • Collaborative and forward-thinking leader.
  • Hardworking Executive Claim Facilitators with 2 years of telecommuting experience meeting customer needs.
  • Client retention specialist who drove a 72% improvement in post-claim customer satisfaction through enhanced follow-up and personalized service.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Collaborative and forward-thinking leader known for successfully closing high-value claims disputes, generating over $15 in litigation savings.

Accomplishments

  • Directed the successful implementation of claims automation tools, lowering processing costs per claim by 29% within the past year.
  • Resolved product issue through consumer testing.
  • Implemented a KPI-driven performance management system, boosting claims department productivity by 52% over 18 months.
  • Enhanced customer experience by simplifying claims submission processes, leading to a 48% increase in customer satisfaction ratings.
  • Collaborated with IT to integrate claims software with other business systems, creating a seamless filing process that reduced delays by 61% hours.
  • Led cross-functional collaboration to streamline claims processes, reducing the operational backlog by 16% within one year.
  • Collaborated with IT during the migration to a cloud-based claims management platform, reducing system downtime by 22%.
  • Optimized claims payment protocols, leading to a 51% reduction in variances and improved customer satisfaction.
  • Achieved a 40% reduction in errors for high-complexity claim review processes by coordinating targeted team trainings.
  • Successfully transitioned 12 claims cases to new digital processing systems, reducing overall processing costs by 25%.

Affiliations

  • National Association of Independent Insurance Adjusters (NAIIA)
  • International Association of Insurance Professionals (IAIP)
  • Claims and Litigation Management Alliance (CLM)
  • Global Association of Risk Professionals (GARP)
  • Association for Computing Machinery
  • Lions Club
  • Freemason
  • International Association of Administrative Professionals
  • National Association of Subrogation Professionals (NASP)
  • Workers’ Compensation Claims Professionals Association

Certifications

  • General Insurance Certification (INS 21, 22, 23)
  • Cyber Claims and Dispute Resolutions Certificate - Austin
  • Certified Professional in Insurance Adjusting (CPIA) - Austin
  • Associate in Claims (AIC) - standard
  • Certified Business Analysis Professional (CBAP)
  • Insurance Adjuster License - Arizona
  • Apple Certified Associate (ACA)
  • Workers' Compensation Certification (WC Cert) - procedure
  • First Aid/CPR Certified
  • Advanced Negotiation Techniques Certificate - system

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