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Skills

  • Root cause analysis
  • Multitasking and prioritization
  • Data analysis
  • Hail and wind damage specialist
  • Claims process re-engineering
  • Claims workflow automation
  • Valuation knowledge
  • Data-driven decision making
  • Insurance policy coverage knowledge
  • Risk management

Work Experiences

  • Achieved a 22% reduction in claims data processing errors.
  • Was in charge of maintaining information files and processing paperwork on a daily basis.
  • Analyzed the data gathered during the investigation and wrote a report with my findings and recommendations.
  • Adjusted claims to improve efficiency.
  • Organized method data in order to finish initiative files.
  • Verified the accuracy of standard records to maintain the accuracy of the records database.
  • Achieved cost savings of $180,000.
  • Administered claim reviews involving complex bodily injury cases, achieving a favorable outcome in 59% of cases without legal escalation.
  • Kept track of 9-clients' caseload for each quarter.
  • Reviewed police reports, medical treatment records, and physical property damage to determine the extent of liability.

Summaries

  • Adept in data analytics.
  • Achieved notable savings of 84% in operational costs.
  • Solid skills in formulating goals and strategies for resolving metric claims.
  • Achieved 69% higher accuracy in processed claims.
  • Adept at managing complex claims.
  • Accomplished in complex claims resolution, securing favorable outcomes in 64% of cases. Known for leveraging risk mitigation to reduce fraudulent claims by $140,000 annually. Adept at influencing multi-disciplinary team collaboration to resolve claims efficiently.
  • Achieved 59% improved efficiency.
  • For three years, I've been a member of the National Society of Professional Insurance Investigators.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.

Accomplishments

  • Optimized claims resolution systems, reducing average resolution time by 44% and enhancing client retention rate by 54%.
  • Collaborated with product and underwriting teams to review and adjust policy coverage, improving overall customer satisfaction by 26%.
  • Increased first-contact claim resolution rate by 26% by coaching teams in delivering accurate, prompt responses across multiple claims platforms.
  • Transformed the regional claims workflow technology via system, reducing operational costs by 58% and improving turnaround times.
  • Spearheaded a 9-state expansion of claims handling processes, ensuring compliance with state regulations and improving regional consistency.
  • Mentored junior claims analysts, reducing errors by 58% and decreasing liability exposure over a three years while improving career progression for staff.
  • Introduced new AI-based claims assessment tools, cutting administrative workload by 30% and allowing for more strategic decision-making.
  • Successfully handled escalated claims disputes worth over $131,000, consistently achieving favorable outcomes for stakeholders.
  • Led regional operations during standard, handling 7 claims and reducing backlog by 23% within two years.
  • Collaborated cross-functionally with finance and legal teams to ensure accurate reserve adjustments, enhancing financial reporting accuracy by 73%.

Affiliations

  • Insurance Accounting and Systems Association (IASA)
  • American Society of Safety Professionals
  • Professional Liability Underwriting Society (PLUS)
  • Freemason
  • National Association of Subrogation Professionals (NASP)
  • National Association of Social Workers
  • Public Risk Management Association (PRIMA)
  • Risk and Insurance Management Society (RIMS)
  • Certified Insurance Rehabilitation Specialist (CIRS)
  • Rotary International

Certifications

  • Crisis and Emergency Risk Communication (CERC) Certification
  • Risk and Insurance Management Society (RIMS) Fellow Designation
  • CompTIA A+ Technician
  • Insurance Data Analytics Specialist (IDAS) Certification
  • National Association of Insurance Commissioners (NAIC) Compliance Certificate
  • Google Certified Professional Cloud Architect
  • Six Sigma Black Belt (SSBB)
  • Fellow, Life Management Institute (FLMI)
  • Chartered Property Casualty Underwriter (CPCU)
  • ITIL Foundation Certification

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