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Skills

  • Business operations
  • Budgets
  • Investigation of complex policy issues
  • Team building
  • Category equipment
  • Insurance carrier liaison for dispute resolution
  • Insurance policy review and auditing
  • Proficient in Workday
  • Operational improvement
  • Compliance with legal and procedural guidelines

Work Experiences

  • Solved metric issues, improved operations, and provided excellent customer service.
  • Assisted in the development of standardized claim processing procedures.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Boosted retention rates by 79% annually.
  • Was in charge of posting payments to accounts and keeping track of records.
  • Oversaw the delivery of standard project by framework team, which resulted in program.
  • Had an excellent attendance record and was always on time for work.
  • Collaborated with policyholders to explain coverage options and regulations, leading to a 83% increase in satisfaction scores for 2016.
  • Achieved results within the past year.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.

Summaries

  • Achieved recovery within several months.
  • Strengths in risk assessment and performance reporting backed up by Miscellaneous training.
  • Costs were consistently reduced while profits were increased.
  • Listening to customers, meeting productivity goals, and staying current on company offerings are all skills she possesses.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Achieved results within 18 months.
  • Insurance Processor with 14 years of successful client relations and quality assurance experience.
  • Achieved zero incidents or discrepancies.
  • Clear understanding of client relations and cross-functional collaboration as well as client relations training.
  • Achieved a 78% resolution rate.

Accomplishments

  • Collaborated with cross-functional teams to implement claims handling standards, enhancing compliance metrics by 69%.
  • Led an internal audit of claims for method insurance, finding discrepancies and implementing measures that reduced future errors by 55%.
  • Implemented a cross-training program for insurance processors, improving team flexibility and overall productivity by 59%.
  • Processed 16 claims on a daily basis, adhering to insurance company’s operational standards and reducing backlog by 29%.
  • Resolved product issue through consumer testing.
  • Spearheaded successful resolution of 8 complex claims for procedure insurance, accelerating the claims investigation process by 44%.
  • Analyzed historical claim data to identify trends, leading to policy adjustments that saved the company system.
  • Trained 4 new team members on claims processing procedures, which contributed to a 34% improvement in processing efficiency.
  • Reduced claims processing times by 3 days by recommending and implementing improved workflows in the adjudication process.
  • Reduced manual policy entry time by 75% by effectively utilizing Asana to streamline key administrative tasks.

Affiliations

  • Academy of Insurance Adjusters
  • National African-American Insurance Association (NAAIA)
  • American Institute for Chartered Property Casualty Underwriters (CPCU)
  • Association of Information Technology Professionals
  • American Marketing Association
  • Accredited Adviser in Insurance (AAI) Designation
  • Project Management Institute
  • Chartered Insurance Institute (CII)
  • Licensed Insurance Agents - State affiliations North Carolina
  • Society of Insurance Trainers and Educators (SITE)

Certifications

  • Certified Insurance Service Representative (CISR)
  • Insurance Specialist Certification
  • Medical Billing and Coding Certification – Beacon Labs
  • Insurance Operational Risk - Harbor & Co.
  • CompTIA Security+
  • Professional Risk Manager (PRM)
  • Flood Insurance Certification (FIC)
  • Ethics in Insurance Training - Colorado
  • Associate Professional in Insurance Regulation (APIR)
  • Associate in Claims (AIC) - Northwind

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