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Senior Claims Manager resume examples

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Skills

  • High-value claims management
  • Case prioritization strategies
  • Budgets
  • Team management
  • Negotiation and mediation skills
  • Supervision
  • Customer satisfaction management
  • Claims audit planning and execution
  • Damage itemization
  • Insurance contract review and interpretation

Work Experiences

  • Achieved early fraud detection.
  • Saved $17 by putting in place cost-cutting measures that addressed long-standing issues.
  • Chaired cross-functional meetings to resolve contentious claims, leading to amicable resolutions and streamlined workflows.
  • Solved method issues, improved operations, and provided excellent customer service.
  • Achieved Top Performer for employee retention by fostering a collaborative, performance-driven claims management environment.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Assisted with class-action claims resolution.
  • Analyzed Salesforce claims loss reserves.
  • Achieved amicable resolutions.
  • Achieved results within initiative after launch.

Summaries

  • Achieved a 26% resolution rate.
  • Achieved a 18% reduction in claims processing times.
  • Achieved a 81% reduction in claims processing delays.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Achieved a 82% improvement in claims resolution for high-value cases, contributing to significant company performance gains and a reduction in legal disputes by 34%.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Senior Claims Manager with exceptional customer service, time management, and service coordination skills.
  • Collaborative leader focused on partnering with internal departments.
  • Consistently excelled in claims handling performance.
  • Achieved 84% improvements in error reductions.

Accomplishments

  • Increased document retrieval efficiency by integrating claims management systems with electronic data filing, reducing downtime by 76%.
  • Trained staff on the use of newly implemented claims management systems, resulting in a 49% increase in productivity.
  • Partnered with compliance teams to ensure all claims procedures adhered to regulatory standards, reducing compliance reviews by 51%.
  • Led the full implementation of digital claims processing, reducing manual data handling by 66%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Contributed to strategic planning workshops that resulted in a 69% improvement in claim management practices.
  • Achieved cost reduction goals by negotiating third-party settlements that decreased overall claim payouts by 54%.
  • Integrated claims lifecycle automation processes, enhancing decision-making speed by 68%.
  • Successfully led a team of 3 claims adjusters, improving claims resolution rates by 18% over 2016 period.
  • Collaborated with team of 2 in the development of program.

Affiliations

  • American Society of Safety Professionals
  • International Council of Nurses
  • Chartered Property Casualty Underwriter (CPCU) – The Institutes
  • National Association of Public Insurance Adjusters (NAPIA)
  • Society of Certified Insurance Counselors (SCIC)
  • Commercial Claims Adjusters Association (CCAA)
  • Insurance Information Institute (III) Member
  • Insurance Regulatory Examiners Society (IRES)
  • International Association of Administrative Professionals
  • Associate in Claims (AIC) – The Institutes

Certifications

  • CompTIA Network+
  • ServSafe
  • Project Management Professional (PMP) - metric
  • Certified Business Analysis Professional (CBAP)
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Regulatory Compliance Manager (CRCM) - Meridian
  • CertIFR (Certification in Insurance Fraud Regulation) - Vantage
  • Claims and Litigation Management Professional (CLMP) - procedure
  • Leadership in Claims & Litigation Management (LCLM) - method
  • Certified in Insurance Data Management (CIDM) - process

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