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Skills

  • Increased client retention strategies
  • Team management
  • Policy processing efficiency
  • Negotiation and Conflict Resolution
  • Complex Case Analysis
  • Relationship development
  • Regulatory compliance (HIPAA, ACA, etc.)
  • Data-driven decision making
  • Healthcare legislation compliance
  • Communications

Work Experiences

  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Collaborated with underwriting, sales, and operations.
  • Analyzed new medications.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Analyzed mortality and morbidity.
  • Conducted comprehensive financial assessments of applicants.
  • Analyzed medical claim trends.
  • Collaborated with the claims department.
  • Captured new business opportunities.
  • Had an excellent attendance record and was always on time for work.

Summaries

  • Working with method securities, assessing risks, and implementing optimal investment strategies is something I've done before.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Collaborated with claims and operations departments.
  • Captured new market opportunities worth $11 in gross premiums.
  • Captured premium volumes worth $16 annually.
  • Accomplished Medical Underwriter.
  • Achieved an approval rate of 42% in 2024.
  • Medical Underwriter with a track record of 9 years of success in Miscellaneous.
  • Achieved a success rate of 85% for high-risk cases.

Accomplishments

  • Conducted thorough medical investigations in collaboration with the claims department, successfully identifying and preventing fraudulent claims worth $11.
  • Worked closely with medical consultants to revise evaluation criteria for chronic illness coverage, leading to a clearer risk assessment and reducing claims disputes by 58%.
  • Partnered with multi-disciplinary teams including actuaries and legal advisors to update underwriting policies, resulting in compliance with new medical standards in 2024.
  • Supported new product launches by developing underwriting guidelines tailored to meet specific market needs, accelerating the product implementation phase by 12 months.
  • Reduced underwriting turnaround time for high-risk cases by 44% through streamlining medical records review process.
  • Revised and updated document templates for medical underwriting, reducing processing time by 53% and ensuring compliance with Scrum Master.
  • Reviewed complex individual and group insurance applications, uncovering fraudulent claims and reducing risk by 81% over one year.
  • Standardized file review protocols which resulted in policy turnaround time reduction by 43% for applications exceeding $16.
  • Analyzed and assessed applicants' medical histories using HubSpot, ensuring risk levels were aligned with company standards and resulting in premium growth of 33%.
  • Analyzed complex medical histories and determined appropriate coverage levels, leading to initiative for 5 clients.

Affiliations

  • Toastmasters
  • International Underwriting Association (IUA)
  • Associate, Reinsurance Group of America (RGA)
  • American Public Health Association (APHA)
  • Risk and Insurance Management Society (RIMS)
  • Member, National Underwriter Technology Forum
  • Society of Insurance Research (SIR)
  • National Association of Insurance Commissioners (NAIC)
  • Healthcare Financial Management Association (HFMA)
  • Society of Women Engineers

Certifications

  • Fellow, Life Management Institute (FLMI)
  • Certified Healthcare Financial Professional (CHFP)
  • Postgraduate Diploma in Healthcare Risk Management
  • CompTIA A+ Technician
  • SHRM Senior Certified Professional (SHRM-SCP)
  • SHRM Certified Professional (SHRM-CP)
  • Fundamentals of Health Insurance, Part A & Part B (AHIP) Certification
  • Associate in Commercial Underwriting (AU)
  • Certified Public Accountant (CPA)
  • Certified Fraud Examiner (CFE)

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