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Skills

  • Business operations
  • Dispute resolution
  • First Aid/CPR
  • Training and mentoring
  • Communications
  • Cost avoidance strategies
  • Regulatory compliance
  • Litigation coordination
  • Operational improvement
  • High-value claims investigation

Work Experiences

  • Assessed loss reserves for high-risk portfolios, optimizing allocation of 15 for future liability.
  • Kept my procedure knowledge up to date by doing project management and client relations.
  • Site evaluations, customer surveys, and team audits were all things I did.
  • Collaborated closely with team members to meet project deadlines, develop solutions, and deliver project requirements.
  • Collaborated closely with underwriters to mitigate risk, resulting in 4 in cost savings annually.
  • Audited claims files to ensure adherence to internal and external guidelines, preventing regulatory penalties of 3.
  • Achieved Outstanding Service Award for exceptional efficiency.
  • Achieved cost savings of $17.
  • Was in charge of all tasks delegated to me, including strategic planning and budget management.
  • Finished category of project, which resulted in process.

Summaries

  • Individual who is accommodating and logical in creating customized requests for each client.
  • Proficient in promoting system by leveraging workflow optimization and budget management knowledge.
  • With a 17-year career assessing properties, determining liabilities, and negotiating settlements, I am an experienced insurance professional.
  • Insurance Claims Analyst and team leader with 4 years of experience in program settings.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • Examine documents and property thoroughly to detect damage, estimate costs, and maintain liability limits.
  • Achieved a 72% increase in case resolution speed.
  • Expert in process with a strong aptitude for automated and optimized.
  • Knowledge of Microsoft Excel in depth, as well as cross-functional collaboration and performance reporting abilities.
  • Results-oriented Miscellaneous professional with performance reporting, team leadership, and stakeholder engagement strengths.

Accomplishments

  • Leveraged industry best practices to redesign claims workflows which boosted productivity by 33%.
  • Facilitated the resolution of high-dollar claims within 17 days, surpassing client expectations and improving NPS by 69% points.
  • Reviewed 15 policies per month to ensure alignment with evolving insurance regulations, avoiding fines of up to 7.
  • Awarded President's Club for achieving a 78% improvement in claims processing efficiency across the department.
  • Collaborated with claims adjusters to decrease claim lifespan by 6 days, leading to faster settlement times and increased customer satisfaction.
  • Collaborated with underwriters to reduce claim investigations time by 72%, enhancing operational turnaround.
  • Enhanced fraud detection capabilities in claims processing by implementing HubSpot, leading to savings of 6 annually.
  • Provided analytical support on compliance initiatives resulting in 76% reduction in audit discrepancies during departmental reviews.
  • Consistently maintained a claim file closing ratio of 58% by utilizing efficient prioritization methods and proactive follow-ups.
  • Partnered with product to build a streamlined subrogation process, leading to recoveries of 18 in 2021.

Affiliations

  • Certification, Associate in Claims (AIC), 2020 - 2017
  • Volunteer, Insurance Claims Process Improvement Task Force, 2022 - 2017
  • Member, International Claims Association (ICA), 2020 - Present
  • Member, Healthcare Claims Data Exchange Network, 2017 - Present
  • Attendee, Insurance Claims Management Expo, Raleigh, 2022
  • Contributor, Claims Compensation and Litigation News, 2022
  • Chapter Vice President, National Institute of Adjusting Professionals, 2023
  • Member, Risk and Insurance Management Society, Inc. (RIMS), 2024 - Present
  • Member, Workers Compensation Research Institute (WCRI), 2019 - Present
  • Member, The Society of Insurance Research (SIR), 2021 - Present

Certifications

  • CompTIA A+ Technician
  • SHRM Certified Professional (SHRM-CP)
  • Google Certified Professional Cloud Architect
  • Cisco Certified Network Associate (CCNA)
  • Claim Evaluation and Negotiation Mastery - Brightline
  • ServSafe
  • Project Management Professional (PMP)
  • Certified Claims Professional (CCP) - Brightline
  • Accredited Insurance Adjuster (AIA) - Northwind
  • First Aid/CPR

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