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Skills

  • Claims Auditing
  • Relationship development
  • Multitasking in fast-paced settings
  • Client communication and consultation
  • Regulatory compliance
  • Standard equipment
  • Supervision
  • Client Retention Strategies
  • Customer service
  • Data analytics for risk management

Work Experiences

  • Collaborated with clients to explain insurance terms, resulting in a 50% increase in renewals over the past year.
  • Solved initiative issues, improved operations, and provided excellent customer service.
  • Adjusted policy coverage levels for 2 clients.
  • Boosted revenues by 85%.
  • Analyzed current and historical data.
  • Designed and deployed customer feedback initiatives.
  • Audited outgoing claims for compliance.
  • Assessed the appropriateness of payers in order to protect the organization and reduce risk.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • 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.
  • Effective at managing phone calls, emails, letters, and in-person requests for assistance while adhering to procedure regulations and method department guidelines.
  • Accomplished in policy underwriting, achieving high customer approval rates of 39% by delivering accurate and timely solutions for clients.
  • Costs were consistently reduced while profits were increased.
  • Achieved high customer approval rates of 51%.
  • Smart, dependable, and knowledgeable about Medicaid and non-Medicaid benefits.
  • Adept in delivering exceptional client communication, improving renewals by 54% over a two years through transparent discussions about policy terms.
  • Exceptional organizational skills and meticulous attention to detail.
  • Professional who is resourceful and versatile and has a track record of consistently exceeding aggressive sales targets.
  • Empathy, dependability, and enthusiasm for customer satisfaction.

Accomplishments

  • Presented analytical reports to senior management on claims performance, contributing to strategic decisions that saved $106,000 annually.
  • Collaborated with cross-functional departments to improve compliance management, leading to a 57% reduction in audit discrepancies.
  • Introduced companywide digital document tracking system, boosting efficiency and reducing paper-based errors by 68% %.
  • Trained and mentored a team of 3 employees, improving team performance by 21% in claims turnaround time.
  • Led a category initiative that helped retain key clients, resulting in an annual renewal increase of 57%.
  • Analyzed incoming claims data to identify fraudulent claims, resulting in savings of $248,000 annually for the company.
  • Used Tableau to produce accurate, data-driven forecasts, assisting in improving policy underwriting accuracy by 72%.
  • Worked closely with underwriters to ensure risk management was achieved, resulting in a reduction in high-risk policies by 61% %.
  • Monitored and analyzed team KPIs, providing actionable insights that led to a 32% increase in team productivity over two years.
  • Developed client-focused insurance packages, generating a 33% growth in client retention rates over several months.

Affiliations

  • National Association of Insurance Commissioners (NAIC)
  • American Public Risk Management Association (PRIMA)
  • Society of Underwriting Professionals
  • Certified Insurance Counselor (CIC)
  • National Association of Health Underwriters (NAHU)
  • Council for Insurance Agents & Brokers (CIAB)
  • Society of Women Engineers
  • American Institute For Chartered Property Casualty Underwriters (AICPCU)
  • Society of Human Resource Management
  • National Association of Social Workers

Certifications

  • Public Adjuster License – category
  • Associate in General Insurance (AINS) – standard
  • CompTIA Security+
  • Salesforce
  • Certified Insurance Service Representative (CISR) – Meridian
  • Professional Risk Manager (PRM) Certification Meridian
  • Claims Adjuster License – program
  • Certified Professional Insurance Agent (CPIA) – Beacon Labs
  • Associate in Personal Insurance (API) – program
  • Fundamentals of Insurance Auditing Certificate – initiative

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