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Skills

  • Claims Auditing
  • Risk assessment and mitigation
  • Insurance product knowledge (SAP)
  • Supervision
  • Team building
  • Proficient in ServiceNow
  • Data analytics for risk management
  • Team management
  • Digital document management systems
  • Data-driven decision making

Work Experiences

  • Collaborated with clients to explain insurance terms, resulting in a 50% increase in renewals over the past year.
  • Audited outgoing claims for compliance.
  • Achieved this in three years.
  • Achieved improvements in 2021.
  • Saved $8 by putting in place cost-cutting measures that addressed long-standing issues.
  • Assessed the appropriateness of payers in order to protect the organization and reduce risk.
  • Collaborated with sales teams.
  • Collaborated with the legal team during policy revisions, ensuring updated contracts aligned with the latest compliance standards.
  • Addressed 8 insurance queries per day.
  • Processed 5 invoices and mailed documentation to clients each two years.

Summaries

  • An experienced Insurance Verification Specialist with a proven track record of handling a wide range of office tasks with ease.
  • Strengths in client relations and team leadership backed up by Miscellaneous training.
  • Adept in delivering exceptional client communication, improving renewals by 54% over a two years through transparent discussions about policy terms.
  • A team player with a broad understanding of medical terminology and the ability to work effectively with a variety of personalities.
  • Hardworking Insurance Associate with 13 years of telecommuting experience meeting customer needs.
  • Clear understanding of risk assessment and process improvement as well as risk assessment training.
  • Achieved savings of $2 for the organization.
  • Achieved team goals.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.

Accomplishments

  • Assisted in the implementation of standard, ensuring that all outgoing policies met regulatory standards, reducing fines by $247,000.
  • Initiated and directed quality assurance checks, improving claims process accuracy by 37%, thus reducing customer complaints.
  • Worked closely with underwriters to ensure risk management was achieved, resulting in a reduction in high-risk policies by 61% %.
  • Optimized company’s policy underwriting process, leading to an increase in premium-to-policy ratio by 52% over the past year.
  • Led a category initiative that helped retain key clients, resulting in an annual renewal increase of 57%.
  • Managed an active portfolio of 7 small and mid-sized business clients, increasing overall profitability by 84% in 18 months.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Analyzed incoming claims data to identify fraudulent claims, resulting in savings of $248,000 annually for the company.
  • Implemented a customer feedback loop that resulted in a 31% improvement in customer satisfaction scores over three years.
  • Collaborated with cross-functional departments to improve compliance management, leading to a 57% reduction in audit discrepancies.

Affiliations

  • INS 21–23 Certification
  • Society of Human Resource Management
  • Association for Computing Machinery
  • Society of Women Engineers
  • International Association of Insurance Professionals (IAIP)
  • Rotary International
  • American Institute For Chartered Property Casualty Underwriters (AICPCU)
  • National Alliance for Insurance Education & Research
  • International Council of Nurses
  • International Association of Administrative Professionals

Certifications

  • Fellow of the Life Management Institute (FLMI) – method
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Project Management Professional (PMP)
  • Cisco Certified Network Associate (CCNA)
  • Certified Life Underwriter (CLU) – Northwind
  • Google Certified Professional Cloud Architect
  • Certified Public Accountant (CPA)
  • CompTIA Network+
  • Financial Risk Manager (FRM) - system
  • CompTIA Security+

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