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Skills

  • Vendor coordination
  • Digital claims processing tools
  • Relationship development
  • First Aid/CPR
  • Data-driven decision making
  • Compliance with state and federal insurance regulations
  • Emergency Response
  • Customer retention strategies
  • Settlement Negotiation
  • Risk Assessment

Work Experiences

  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Conducted internal and external audits for ongoing claims, identifying discrepancies that resulted in cost savings of $10.
  • Conducted internal and external audits for ongoing claims.
  • Collaborated with contractor teams and insureds.
  • Avoided court litigation.
  • Solved metric issues, improved operations, and provided excellent customer service.
  • Collaborated with policyholders, adjusters, and legal teams.
  • Achieved Excellence Award for ‘Outstanding Customer Retention’.
  • Completed settlements within 7 weeks.
  • Collaborated with public adjusters.

Summaries

  • Achieved recognition through effective communication and transparency.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Achieved $9 in savings.
  • Program professional with 4 years of experience evaluating coverage and supervising claims review.
  • Collaborated with third-party vendors and contractors to verify repair estimates, successfully preventing overpayment by up to 57% per claim.
  • Property Claims Examiner with 9 years of successful data analysis and workflow optimization experience.
  • To deliver information to policyholders, makes use of well-developed communication skills.
  • Applied policy knowledge.
  • 60% success in claim vetting.
  • Bringing 18 years of experience in the field, as well as superior project management and stakeholder engagement abilities.

Accomplishments

  • Investigated an average of 2 claims monthly, identifying fraudulent activity in 68% of the cases, saving the company $3 in potential exposure.
  • Improved claims cycle time by 46%, ensuring timely settlements and increasing overall policyholder satisfaction.
  • Collaborated with legal counsel to ensure all claim settlements were in full compliance with local and federal regulations.
  • Utilized data-driven insights to inform strategic decision-making, enhancing the efficiency of claims processing workflows by 15%.
  • Led a specialized task force focused on reducing errors in commercial property liability claims, resulting in a 72% reduction in disputes.
  • Managed multi-location property claims with varying degrees of complexity, consistently achieving settlement targets within budget.
  • Effectively resolved 2 customer-filed disputes, maintaining a 42% customer satisfaction rate throughout the process.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Initiated customer feedback surveys post-claim resolution to gather insights, improving overall customer experience by 84%.
  • Led cross-functional efforts for catastrophe post-event claims management process, reducing claim backlogs by 19% during critical response periods.

Affiliations

  • National Insurance Crime Bureau (NICB)
  • National Association of Social Workers
  • Property Insurance Claims Professionals (PICP)
  • Lions Club
  • International Underwriting Association (IUA)
  • Claims and Litigation Management Alliance (CLM)
  • National Alliance for Insurance Education and Research
  • American Marketing Association
  • Freemason
  • Independent Insurance Agents & Brokers of America (IIABA)

Certifications

  • Certified Public Accountant
  • CompTIA A+ Technician
  • Certified Legal Principles Claims Specialist (CLPCS) – Cedar Works
  • Associate in Risk Management (ARM) - Cedar Works
  • CompTIA Network+
  • Financial Risk Manager (FRM) - initiative
  • Environmental Loss Adjuster Certification (ELA) - Boston
  • Accredited Claims Adjuster (ACA) - Vantage
  • CompTIA Security+
  • Certified Public Accountant (CPA)

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