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Skills

  • Legal partnership management
  • Contract analysis
  • Supervision
  • Medical claim knowledge
  • Cost reduction strategies
  • Multi-party liability resolution
  • Communications
  • Cross-functional collaboration
  • First Aid/CPR
  • Team building

Work Experiences

  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Achieved a 28% rate of reserving accuracy.
  • Achieved recognition among national offices.
  • Collaborated with the financial department.
  • Achieved 35% higher recoveries.
  • Achieved a 3 reduction in average claim payout.
  • Collaborated with framework customers to determine their needs and deliver program service.
  • Determined liability as outlined in the coverage and assessed documentation from police and healthcare providers to understand the damages incurred.
  • Oversaw the delivery of method project by procedure team, which resulted in standard.
  • Achieved win rates of 39%.

Summaries

  • Conducted expert interviews.
  • Achieved results within 6 months.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • By applying all policies fairly, she is adept at balancing business and customer interests.
  • Achieved 39% faster case closures within regulatory frameworks.
  • Strengths in strategic planning and data analysis backed up by Miscellaneous training.
  • Collaborated with legal teams for favorable settlements.
  • Hardworking General Liability Claims Adjuster with 3 years of telecommuting experience meeting customer needs.
  • Achieved file closure rates 77% ahead of deadlines.
  • Achieved settlements that save $9 in aggregated exposure annually.

Accomplishments

  • Strategically renegotiated settlement agreements, lowering overall claims costs by 13 while maintaining positive negotiation relationships.
  • Successfully managed a portfolio of high-profile clients, achieving consistent client satisfaction rates above 41% by prioritizing timely claim processing.
  • Analyzed and adjusted reserves to optimize accuracy across large caseloads, bringing reserve adequacy metrics within 18% of industry benchmarks.
  • Researched and compiled case laws and precedents to support liability determination, leading to favorable outcomes in 33% of contested claims.
  • Authored best practice guidelines for adjusters on handling complex liability cases, reducing claim resolution times by an average of 58% days per claim.
  • Instituted cross-functional collaboration between the claims and underwriting departments, resulting in faster decision-making and a 30% improvement in claims outcomes.
  • Mentored and provided ongoing technical training to 3 junior adjusters, resulting in a 35% reduction in reserves overestimation.
  • Exceeded departmental objectives by closing 55% of claims within the initial 90-day cycle, significantly improving overall client satisfaction.
  • Performed detailed root cause analyses of general liability events, leading to policy changes that reduced similar claims by 75% in two years.
  • Regularly conducted detailed investigations into general liability claims, producing reports that helped reduce the organization's litigation rate by 77%.

Affiliations

  • Toastmasters
  • Rotary International
  • Society of Human Resource Management
  • Active membership in the Association of Certified Fraud Examiners (ACFE), supporting investigation techniques in liability claims.
  • Board member at the American Society for Healthcare Risk Management (ASHRM), directing risk control for liability in healthcare sectors.
  • Member of the International Institute for Conflict Prevention and Resolution (CPR), fostering methods in alternative dispute resolution.
  • Member of the Public Risk Management Association (PRIMA), aligning efforts with public sector risk control standards.
  • Member of the Society of Claims Law Associates (SCLA), focusing on legal implications of liability claims.
  • Member of the Insurance Institute of America (IIA) for advancing expertise in liability claims.
  • Project Management Institute

Certifications

  • Insurance Bad Faith Claims Certification from Lakeside Partners
  • CompTIA Security+
  • Senior Claim Law Associate (SCLA)
  • Xactimate Certification from metric (for claims estimation)
  • General Liability Insurance Professional (GLIP) Certification
  • Big Data & Analytics Certification for Claims Industries from Ironclad Systems
  • Certified Insurance Fraud Investigator (CIFI)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Adjuster Preliminary Report Writing Certification
  • Cisco Certified Internetwork Expert (CCIE)

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