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Skills

  • Claims Auditing
  • Fraudulent claim identification
  • Claims resolution strategies
  • Communications
  • Organization
  • Case management efficiency
  • Legal claim documentation
  • Insurance contract interpretation
  • Emergency Response
  • Supervision

Work Experiences

  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Achieved results within 18 months.
  • Achieved a 49% reduction in errors.
  • Closed claims three years ahead of the industry standard.
  • Oversaw the delivery of standard project by system team, which resulted in metric.
  • Had an excellent attendance record and was always on time for work.
  • Achieved favorable outcomes for the company.
  • Collaborated with external experts such as engineers, auditors, and medical professionals to gather crucial evidence for high-complexity liability cases.
  • Acted as a key liaison between legal counsel and policyholders.
  • Achieved 37% resolution rate in pre-litigation settlements.

Summaries

  • Accomplished in managing a wide range of liability claims, from minor disputes to multi-million-dollar cases, always maintaining a focus on resolution strategies that protect company assets.
  • Contributed to company cost savings of 17 annually.
  • Assessed coverage and mitigated risks.
  • Collaborated with underwriting teams.
  • Adept at reviewing policy coverage.
  • Liability Claims Representative is a multi-talented Liability Claims Representative who is consistently rewarded for planning and operational improvements.
  • Trying to get a similar job with a growing insurance company.
  • Clear understanding of performance reporting and team leadership as well as process improvement training.
  • Program professional with 10 years of experience evaluating coverage and supervising claims review.
  • Consistently reduced processing time by 29%.

Accomplishments

  • Provided expert testimony in 2 cases, significantly reducing company exposure to lawsuits and external liability.
  • Established relationships with outside counsel, enabling faster and more efficient handling of complex liability cases.
  • Developed training programs on insurance liability for employees across multiple departments, increasing overall understanding and reducing errors.
  • Collaborated with third-party vendors and legal teams to streamline claims settlements, improving resolution time by 54% days.
  • Achieved Excellence Award for exceptional performance in mediating and resolving high-value liability disputes.
  • Led claims audits to identify potential coverage issues, reducing compliance errors by 40% within the claims department.
  • Designed and implemented a new claims tracking tool, cutting average processing time by 59%.
  • Worked closely with risk management and underwriting departments to evaluate policy exclusions and mitigate financial exposure.
  • Collaborated with multiple stakeholders to update internal processes, resulting in a 43% improvement in compliance with regulatory standards.
  • Collaborated with team of 16 in the development of standard.

Affiliations

  • Society of Insurance Research (SIR)
  • International Association of Insurance Professionals (IAIP)
  • Rotary International
  • Jaycees
  • American Institute For Chartered Property Casualty Underwriters (AICPCU)
  • Project Management Institute
  • Institute of Risk Management (IRM)
  • Claims and Litigation Management Alliance (CLM)
  • Association of Plaintiff Interstate Trucking Lawyers of America (APITLA)
  • Society of Women Engineers

Certifications

  • SHRM Senior Certified Professional (SHRM-SCP)
  • Chartered Property Casualty Underwriter (CPCU) - framework
  • Negotiation Mastery (Certified) - procedure
  • Advanced Claims Adjuster Series Certification (ACASC) - framework
  • Apple Certified Associate (ACA)
  • Certified Insurance Counselor (CIC) - standard
  • Negotiation Certificate Program - Northwind
  • Certificate in Subrogation and Recovery Principles - process
  • ServSafe
  • Certified Professional in Fraud Identification (CPFI) - framework

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