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Skills

  • Cross-functional team collaboration
  • Claims satisfaction score improvement
  • Coverage determination
  • Supervision
  • Category equipment
  • Crisis management
  • Damage itemization
  • Organization
  • Problem resolution
  • Regulatory compliance

Work Experiences

  • Transported SAP to several months customer locations.
  • Achieved a 28% improvement in loss-ratio management.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Avoided penalties.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Collaborated with underwriting and actuarial departments.
  • Analyzed large datasets using Jira.
  • Centralized the documentation process for claims submissions.
  • Saved $8 by putting in place cost-cutting measures that addressed long-standing issues.
  • Collaborated with government agencies to manage complex disaster claims, ensuring that regulatory requirements were met without any penalties.

Summaries

  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Conducted comprehensive audits.
  • Clear understanding of stakeholder engagement and project management as well as client relations training.
  • Achieved exceptional results in catastrophe events.
  • Customer-focused Master Claims Representative.
  • Distinguished in commercial claims management and fraud prevention, reducing operational costs by $12 annually through optimized triage processes.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Conducted meticulous data analysis.
  • Strengths in quality assurance and data analysis backed up by Miscellaneous training.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.

Accomplishments

  • Utilized Jira to manage and document complex claims, improving communication with stakeholders and reducing escalation rates by 47%.
  • Worked closely with actuaries to reassess risk models, leading to a reduction in claims payouts by $15, while maintaining customer satisfaction.
  • Led initiative to automate claims communication using Power BI, resulting in a reduction of claim processing delays by 59%.
  • Optimized claims review procedures and contributed to a 63% improvement in overall operational efficiency within two years.
  • Worked directly with external vendors, streamlining communication through Asana, which reduced claim settlement times by 47%.
  • Introduced a cross-departmental claims auditing process, resulting in $6 identified in previously undetected payout discrepancies.
  • Managed sensitive claims involving cross-departmental coordination, reducing turnaround time for settlements by 67%.
  • Developed and delivered training modules to ensure compliance with new government regulations, resulting in 70% fewer compliance issues in 2018.
  • Implemented a first-call resolution initiative that improved customer satisfaction by 32% and reduced claim processing times by one year per case.
  • Onboarded and trained a team of 15 claims staff, improving departmental knowledge retention and reducing error rates by 69%.

Affiliations

  • American Marketing Association
  • National Alliance for Insurance Education & Research
  • Association for Supply Chain Management (APICS)
  • Casualty Actuarial Society (CAS)
  • Jaycees
  • Association for Insurance Compliance Professionals (AICP)
  • Independent Insurance Agents & Brokers of America (IIABA)
  • Toastmasters
  • Claims Education Conference (CEC)
  • Project Management Institute

Certifications

  • Senior Claims Law Associate (SCLA), 2017
  • Certified Claims Professional in Auto Liability (CCP-A), Meridian
  • Xactimate Level 2 Certification
  • SHRM Certified Professional (SHRM-CP)
  • Certified Public Accountant (CPA)
  • Chartered Property Casualty Underwriter (CPCU)
  • Certified Subrogation Recovery Professional (CSRP)
  • Risk Management Certification Program (RMCP)
  • Cisco Certified Network Associate (CCNA)
  • Associate in General Insurance (AINS)

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