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Skills

  • Data-driven decision making
  • Litigation management
  • Problem resolution
  • Conflict resolution
  • Supervision
  • Attention to detail
  • Relationship development
  • Administrative support
  • Client relationship management
  • Collaborative problem-solving

Work Experiences

  • Analyzed root causes of claim discrepancies.
  • Investigated suspicious claims by interviewing agents and claimants in order to identify and correct errors and omissions.
  • Achieved a 75% dispute resolution rate.
  • Investigated properties, classified damages, and devised repair cost estimates.
  • Analyzed root causes of recurring claim discrepancies and implemented corrective measures, reducing error rates by 85%.
  • Used Tableau to compile data gathered from various sources.
  • Tableau was delivered to customer locations by me.
  • Collaborated closely with medical experts and adjusters to assess personal injury claims, reducing overpayments by 56% due to accurate injury evaluation.
  • Saved money by developing functional solutions to process problems.
  • Acted as first point of contact for plaintiff attorneys, ensuring timely and cost-effective settlements across litigated claims.

Summaries

  • Proven track record of motivating optimized to achieve team, individual, and management goals.
  • Individual who is accommodating and logical in creating customized requests for each client.
  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
  • Looking forward to taking on a new challenge with a successful team.
  • Strategic thinker with expertise in budget management.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • Detail-oriented, perceptive, and knowledgeable, with strong interpersonal and documentation abilities.
  • Achieved 16% improvement in 2019 months.
  • Liability Claims Examiner is a hardworking and dependable Liability Claims Examiner who excels at vendor management and risk assessment.
  • Adept at reviewing 6+ liability claims monthly.

Accomplishments

  • Introduced regular feedback loops between claims and underwriting teams, reducing underwriting-related claims disputes by 81%.
  • Partnered with corporate legal teams and participated in mediation efforts to close out complex claims worth over $15 with minimal financial loss.
  • Led cross-functional teams to investigate fraudulent claims, recovering over $3 in improperly paid-out settlements.
  • Authored revised policy language that clarified liability clauses, minimizing disputes over coverage in 32% of cases.
  • Facilitated training programs on claims fraud detection, educating over 11 employees, significantly lowering fraudulent activity within 2017.
  • Conducted detailed liability investigations, producing comprehensive reports that directly contributed to favorable case outcomes in 77% of instances.
  • Assessed and triaged incoming claims with high-level accuracy, ensuring timely responses and reducing backlog by 15%.
  • Created a streamlined claims adjudication process that resulted in a 74% reduction in claim processing time.
  • Engaged in multi-departmental strategy meetings aimed at reducing overall liability exposure by 25%, saving the company over $10.
  • Created custom litigation strategies when working with defense counsel that led to early case dismissals or settlements in 82% of court-bound cases.

Affiliations

  • Ongoing certification training with the Insurance Data Management Association (IDMA) in advanced data analytics for more effective liability trend analysis.
  • Member of the International Association of Insurance Managers (IAIM), contributing to risk assessment strategies for high-risk liability pools.
  • Member, Claims and Litigation Management Alliance (CLM), focused on professional development in liability claims handling.
  • Active participation at the Annual Professional Claims Examiner Summit on best practices in liability claims investigations and litigation avoidance.
  • Completed ITIL through the Chartered Property Casualty Underwriter (CPCU) society to enhance knowledge in liability risk.
  • Completed advanced training in liability insurance underwriting through the American Institute for Chartered Insurers (AICI).
  • Enrolled in mediation and dispute resolution programs through the International Mediation Association (IMA) to achieve higher dispute resolution rates.
  • Member, Defense Research Institute (DRI), participating in annual seminars on litigation management and claims arbitration.
  • Affiliate member, Risk and Insurance Management Society (RIMS), collaborating on best practices in claims resolution.
  • Participant in continuing legal education through the American Bar Association (ABA) focusing on mediation and insurance law.

Certifications

  • Advanced Special Investigator (ASI) - Northwind
  • Insurance Regulatory Compliance Certification Harbor & Co.
  • Certified Insurance Counselor (CIC) - Cedar Works
  • Associate in Risk Management (ARM) - Meridian
  • Senior Claim Law Associate (SCLA) – Lakeside Partners
  • CompTIA A+ Technician
  • Liability Adjuster Certification - Brightline
  • Salesforce
  • Microsoft Office Specialist (MOS)
  • Certified Public Accountant (CPA)

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