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Skills

  • Insurance policy analysis
  • First Aid/CPR
  • Emergency Response
  • MS Office
  • Process improvement
  • Team leadership and supervision
  • Customer service
  • Training program development
  • Benefits review
  • Relationship development

Work Experiences

  • Contributed to 80% improvement in financial accuracy.
  • Achieved results over procedure period.
  • Achieved a 30% decrease in processing time.
  • Contributed to risk management meetings.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved 31% faster settlement times.
  • Built partnerships with legal teams.
  • Conducted proactive settlement negotiations.
  • Collaborated with key internal departments.

Summaries

  • Contributed to 70% annual payout reductions.
  • Within Miscellaneous, senior Senior Claims Manager and outstanding performer in budget management and strategic planning.
  • Achieved 43% or higher client approval ratings.
  • Capable of informed decision-making.
  • Achieved a 84% reduction in annual payout costs.
  • Achieved 30% faster resolution times.
  • Senior Claims Manager with exceptional customer service, time management, and service coordination skills.
  • Standard professional with 11 years of experience evaluating coverage and supervising claims review.
  • Accomplished leader in claims optimization.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the method business.

Accomplishments

  • Engaged in continuous data analysis on claims to identify patterns contributing to high claim volumes, reducing risk by 61%.
  • Utilized real-time analytics tools to predict liability exposure, decreasing claim cost overruns by 66%.
  • Developed risk-based claims prioritization models that reduced claim processing time by 63%.
  • Led a 11-person cross-functional team to streamline claims operations, increasing settlement times by 47%.
  • Integrated claims lifecycle automation processes, enhancing decision-making speed by 68%.
  • Documented and resolved metric which led to system.
  • Developed comprehensive insurance policy analysis frameworks, decreasing claims reporting errors by 68%.
  • Successfully led a team of 3 claims adjusters, improving claims resolution rates by 18% over 2016 period.
  • Led the full implementation of digital claims processing, reducing manual data handling by 66%.
  • Increased document retrieval efficiency by integrating claims management systems with electronic data filing, reducing downtime by 76%.

Affiliations

  • National Committee on Uniform Traffic Laws and Ordinances (NCUTLO)
  • Commercial Claims Adjusters Association (CCAA)
  • International Association of Administrative Professionals
  • Workers' Compensation Institute (WCI)
  • Society of Certified Insurance Counselors (SCIC)
  • Society of Property and Casualty Underwriters (SPCU)
  • Insurance Information Institute (III) Member
  • Claims and Litigation Management Alliance (CLM)
  • Jaycees
  • Toastmasters

Certifications

  • Certified Business Analysis Professional (CBAP)
  • Strategic Claims Management Certification (SCM) - process
  • CompTIA Security+
  • Senior Claims Law Associate (SCLA) - method
  • Salesforce
  • Certified Regulatory Compliance Manager (CRCM) - Meridian
  • ServSafe
  • Leadership in Claims & Litigation Management (LCLM) - method
  • Certified Claims Professional Credential (CCP) - method
  • Professional in Insurance Regulation (PIR) - initiative

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