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Skills

  • Prior authorization processing
  • Attention to detail
  • Discrepancy resolution
  • Business operations
  • KPI monitoring
  • Problem resolution
  • Team Leadership
  • Data entry precision
  • Claims rejection resolution
  • Customer service

Work Experiences

  • Achieved a 64% error-free record in policy data entry.
  • Achieved a 20% reduction in case review time.
  • Collaborated with operations to update policy templates, improving user accessibility and reducing policy submission errors.
  • Created a detailed policy tracking system.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Solved system issues, improved operations, and provided excellent customer service.
  • Achieved the highest standards of accuracy.
  • Allowed for quicker retrievals of historical data.
  • Collaborated with the IT department.
  • Achieved yearly savings of $9.

Summaries

  • Listening to customers, meeting productivity goals, and staying current on company offerings are all skills she possesses.
  • 2 years of experience managing high-volume insurance claim workflows.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Adept at compliance-focused contract reviews.
  • Collaborated with brokers, clients, and internal stakeholders to reduce claims processing errors by 79%, ensuring stronger customer relations.
  • Achieved a 15% reduction in rework.
  • Working with stressed, confused, and upset people who need benefits information and supportive guidance to navigate method systems is one of my specialties.
  • Accomplished Policy Processor adept at reducing policy errors by 27% through efficient team leadership and data auditing processes.
  • Professional with experience verifying insurance benefits and generating appropriate patient documentation.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.

Accomplishments

  • Tracked and reported 7 data anomalies across policyholder records, leading to an overall risk reduction of $187,000.
  • Automated routine data entry tasks, decreasing manual processing time by 79% and saving the company $17 annually.
  • Created automated reports for claims data trends, improving decision-making and minimizing processing delays by 44%.
  • Developed a knowledge base for common policy queries, improving first-call resolution rate by 60% for customer service teams.
  • Succeeded in processing 9 policy endorsements across multiple states, ensuring all changes met jurisdictional requirements.
  • Supported a company-wide initiative to streamline data entry processes, resulting in $11,000 in cost savings per annum.
  • Worked directly with underwriters to improve accuracy in policy documentation, contributing to a 74% boost in customer satisfaction.
  • Processed claims and policy amendments within set deadlines, ensuring service-level agreements (SLAs) were consistently met.
  • Documented and resolved framework which led to method.
  • Trained 11 new team members on policy processing tools and database management, resulting in quicker onboarding times by 65%.

Affiliations

  • Association for Cooperative Operations Research and Development (ACORD)
  • Jaycees
  • Institute of Policy Studies (IPS) - Professional Training
  • Rotary International
  • Project Management Institute
  • International Risk Management Institute (IRMI)
  • American Society of Safety Professionals
  • Society of Insurance Research (SIR)
  • Chartered Insurance Institute (CII) - Certificate in Insurance
  • Society of Human Resource Management

Certifications

  • Claims Adjuster Licensing Georgia
  • Certified Compliance Professional (CCP)
  • Associate in Risk Management (ARM)
  • Certified Fraud Examiner (CFE)
  • Certified Public Accountant (CPA)
  • Apple Certified Associate (ACA)
  • SHRM Certified Professional (SHRM-CP)
  • Certified Business Operations Professional (CBOP)
  • Certified Information Privacy Professional (CIPP)
  • Certified Insurance Data Analyst (CIDA)

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