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Skills

  • Data analysis for claims patterns
  • Customer satisfaction improvement strategies
  • First Aid/CPR
  • Team collaboration
  • Legal documentation review
  • Communications
  • Claims database management
  • Compliance auditing
  • MS Office
  • Field investigations

Work Experiences

  • Achieved 29% settlement in the company's favor.
  • Conducted agent and claimant interviews to review questionable claims to correct omissions and errors.
  • Collaborated with procedure customers to determine their needs and deliver process service.
  • Avoided overpayments by an average of $15 per claim.
  • Answered 7 calls per three years to help customers with their questions and concerns.
  • Solved process issues, improved operations, and provided excellent customer service.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved a 83% case approval rate improvement.
  • Achieved a 68% faster approval rate.
  • Assessed bodily injury reports thoroughly, ensuring correct payment release while avoiding overpayments by an average of $18 per claim.

Summaries

  • Analyzed underreported losses.
  • Adept at navigating high-volume caseloads.
  • Achieved 38% faster approval rates.
  • Adept in collaborating across departments.
  • Field Claims Representative is a multi-talented Field Claims Representative who is consistently rewarded for planning and operational improvements.
  • Proven track record of using excellent negotiating skills to speed up settlements.
  • Achieved faster resolution times than industry benchmarks.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Achieved department-wide efficiency improvements of 53%.
  • Achieved results through collaboration with policyholders.

Accomplishments

  • Trained and mentored 7 junior adjusters in claims best practices which resulted in a 37% performance improvement.
  • Facilitated the transition of Salesforce for real-time field adjustments, reducing claim adjustments timeline by 76% days.
  • Delivered training sessions to optimize claims processing system transitions, leading to a 83% reduction in operational delays.
  • Collaborated with team of 6 in the development of standard.
  • Reduced average claim processing time by 46% by implementing streamlined digital workflows.
  • Established key relationships with local contractors, enhancing claims satisfaction by 50% and reducing repair delays.
  • Resolved product issue through consumer testing.
  • Conducted in-depth legal compliance audits on 6 closed claims, leading to corrections that reduced audit infractions by 50%.
  • Improved legal compliance in claim handling across 7 states by ensuring adherence to all applicable local and federal regulations.
  • Successfully resolved claims within a 6 months, reducing industry standard resolution times by 25%.

Affiliations

  • Workers' Compensation Institute (WCI)
  • International Federation of Adjusting Associations (IFAA)
  • National Alliance for Insurance Education and Research
  • American Marketing Association
  • American Bar Association Litigation Section
  • American Educational Institute (AEI) for Certified Claims Professionals
  • Casualty Actuarial Society (CAS)
  • Society of Claims Law Associates (SCLA)
  • Chamber of Commerce in Austin
  • Certified Professional Insurance Agent (CPIA) Certification Program

Certifications

  • Certified Adjuster License Ohio
  • Certified Risk Manager (CRM)
  • Certified Claims Professional (CCP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Project Management Professional (PMP)
  • Loss Adjusting License - the Northeast
  • Associate in Reinsurance (ARe)
  • Risk Management Professional Certification (PMI-RMP)
  • Chartered Property Casualty Underwriter (CPCU)
  • Construction and Home Warranty Claims Certification

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