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Skills

  • Premium volume management
  • Regulatory compliance (HIPAA, ACA, etc.)
  • First Aid/CPR
  • Actuarial collaboration
  • Communications
  • Operational improvement
  • Policy processing efficiency
  • Cross-functional team collaboration
  • Analytical problem solving
  • Policy issuance turnaround improvement

Work Experiences

  • Captured new business opportunities.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Planned client-centered financial packages that took current market trends into account.
  • Analyzed medical histories and risk factors.
  • Assessed payment risks.
  • Collaborated with the claims department.
  • Championed cross-functional collaboration between underwriting, sales, and operations leading to a 78% faster turnaround in policy issuance.
  • Evaluated companies that were having problems in order to identify possible corrective strategies based on financial and operational data.
  • Aligned underwriting risk acceptance with customer affordability metrics.
  • Collaborated with a team of actuaries and analysts.

Summaries

  • Aligned guidelines with local regulations.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Accomplished in reinsurance negotiations.
  • Achieved 37% faster policy decisions for key accounts.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Accomplished Medical Underwriter.
  • Captured new market opportunities worth $11 in gross premiums.
  • Medical Underwriter with a track record of 9 years of success in Miscellaneous.
  • Accomplished in reinsurance negotiations, with a success rate of 62% for high-risk cases, driving company profitability and risk management strategies.
  • Costs were consistently reduced while profits were increased.

Accomplishments

  • Supported new product launches by developing underwriting guidelines tailored to meet specific market needs, accelerating the product implementation phase by 12 months.
  • Developed and implemented improved medical underwriting guidelines that decreased review time by 82% and increased operational efficiency.
  • Collaborated with healthcare professionals to integrate medical insights into risk profiles, increasing underwriting policy approval rates by 67%.
  • Underwrote high-value life insurance policies valued at up to $11, contributing to a 70% increase in customer retention in 2018.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Analyzed and assessed applicants' medical histories using HubSpot, ensuring risk levels were aligned with company standards and resulting in premium growth of 33%.
  • Provided detailed analysis of medical underwriting data to support pricing decisions, strengthening overall company profitability by up to 48%.
  • Played a key role in implementing technology-driven solutions for medical claims management, improving accuracy and speed of claims processing by 65% over the past year.
  • Resolved product issue through consumer testing.
  • Successfully reduced overall claim dispute rates by 75% through the implementation of accurate underwriting checks for critical illness policies.

Affiliations

  • Association of Private Client Underwriters
  • Digital Insurance Transformation Research Group
  • Member, American Society of Health Economists (ASHEcon)
  • Freemason
  • Underwriting Risk Management Association (URMA)
  • Healthcare Financial Management Association (HFMA)
  • Accredited Life Underwriter (AALU) Certification
  • American Association of Professional Underwriters (AAPU)
  • American Academy of Insurance Medicine (AAIM)
  • American Public Health Association (APHA)

Certifications

  • Certified Professional in Healthcare Quality (CPHQ)
  • Cisco Certified Internetwork Expert (CCIE)
  • Managed Healthcare Professional (MHP)
  • Professional Risk Manager (PRM)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Health Insurance Portability and Accountability Act (HIPAA) Certification
  • Certified Insurance Data Analyst (CIDA)
  • Cisco Certified Network Associate (CCNA)
  • Fundamentals of Underwriting Claims Management Program
  • CompTIA A+ Technician

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