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Skills

  • Insurance law knowledge
  • Accuracy in claim settlements
  • CCC EZNet
  • Legal proceedings knowledge
  • Conflict de-escalation
  • Risk management
  • BCCORP W5 for Adjusters
  • Vendor Negotiations
  • Claims assessment
  • Subrogation expert

Work Experiences

  • Handled method calls about procedure processes from customers and other stakeholders.
  • Analyzed damage photographs and assessment notes to create fair claim estimates, contributing to a 41% reduction in unnecessary payout settlements.
  • Achieved 20% faster claims processing rates.
  • Achieved 7% improvement in customer satisfaction.
  • Was in charge of directing and coordinating the field investigation team's investigations.
  • Looked at the data to see what the underlying principles were.
  • Investigated potentially fraudulent claims that claims representatives had initiated.
  • Assisted in the development of new policy wording specifically targeted at reducing ambiguous claim disputes, lowering the annual dispute rate by 56%.
  • Was in charge of maintaining information files and processing paperwork on a daily basis.
  • Looked into legal issues surrounding standard claims.

Summaries

  • Achieved superior speed in claim processing.
  • Costs were consistently reduced while profits were increased.
  • Strong conflict resolution and negotiation skills, as well as excellent reporting and research abilities.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the initiative business.
  • Clear understanding of project management and client relations as well as project management training.
  • For several months, I've been a member of the National Society of Professional Insurance Investigators.
  • Avoided potential fines exceeding $9.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Achieved savings over three years.
  • Proven track record of using excellent negotiating skills to speed up settlements.

Accomplishments

  • Led the review and refinement of estimating criteria, resulting in a 73% increase in the accuracy of repair cost appraisals.
  • Accurately processed 8 claims per month with a primary focus on thorough damage assessment and policyholder communication.
  • Collaborated with team of 18 in the development of procedure.
  • Developed a satellite damage reporting tool enabling field teams to submit real-time data, cutting assessment time by 59%.
  • Played a key role in cross-functional team meetings to devise strategies for reducing claim variance, cutting excess pay-outs by 38%.
  • Mentored a team of 9 adjusters on data-driven claims handling approaches, boosting department accuracy and efficiency by 42%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Adjusted high-volume material damage claims in compliance with state-level regulations, maintaining an error rate below 49%.
  • Implemented a triage process for incoming claims, reducing initial review time by 17% for faster settlements.
  • Reduced average cycle time for total loss claim processing by 83% through enhanced workflow automation.

Affiliations

  • International Association of Claims Professionals (IACP)
  • International Association of Marine Investigators (IAMI)
  • American Society of Safety Professionals
  • Association of Professional Insurance Women (APIW)
  • Project Management Institute
  • US Adjusters Association (USAA)
  • American Institute for Chartered Property Casualty Underwriters (CPCU Society)
  • Association for Computing Machinery
  • International Conference on Damage Mechanics and Insurance Metrics
  • National Alliance for Insurance Education & Research (NAIER)

Certifications

  • Certified Estimating Professional (CEP) – Beacon Labs
  • SHRM Certified Professional (SHRM-CP)
  • Online Ethics Course Completion - Beacon Labs
  • Vehicle Damage Assessor Certification - Cedar Works
  • Fraud Claims Law Specialist (FCLS) Certification - Brightline
  • NASP Certification in Fraud Detection - 2022
  • Certified Business Analysis Professional (CBAP)
  • Google Certified Professional Cloud Architect
  • Associate in Claims (AIC) - Brightline
  • CompTIA A+ Technician

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