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Skills

  • Claims submissions streamline methods
  • Team building
  • Data-driven decision making
  • MS Office
  • Supervision
  • Claims auditing processes
  • Damage itemization
  • Complex claims case resolution
  • Fraud detection methodologies
  • Organization

Work Experiences

  • Achieved savings of over $15.
  • Achieved a 39% improvement in processing accuracy.
  • Authored policyholder guidelines for submitting claims, reducing customer follow-up inquiries by 31% over a 9-month period.
  • Achieved results over a 4-month period.
  • Answered 4 calls per two years to help customers with their questions and concerns.
  • Collaborated with legal teams.
  • Achieved $5 in savings each year.
  • Achieved a Top Performer in 2021.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Boosted data reliability by 60%.

Summaries

  • Committed to excellence in fraud detection and prevention, allowing for the identification of over $15 in insurers' savings through fraud-aversion methods.
  • Achieved results within the last 8 months.
  • Adopted internal protocols.
  • Committed to excellence in fraud detection and prevention.
  • Consistently eliminated unforeseen claim costs.
  • Adept at managing high-value settlements.
  • Adept at resolving complex Salesforce claims.
  • Contributed to a 51% reduction in overpayment incidents annually.
  • 25% win rate in 9 litigated cases.
  • Costs were consistently reduced while profits were increased.

Accomplishments

  • Successfully negotiated settlements for 10 high-risk claims, saving the company $15 in potential legal expenses.
  • Led a post-claim follow-up process implementation that increased customer retention rates by 58%.
  • Identified 7 fraud attempts through a newly launched internal auditing process, resulting in cost savings of $3 annually.
  • Increased the efficiency of claims investigations, reducing the average handling time by 11% over 2020.
  • Spearheaded a claims awareness training program, reducing post-settlement disputes by 57%.
  • Identified trends in claims fraud, implementing preventive measures that saved over $5 in false claims payouts.
  • Utilized initiative to streamline claims management processes, improving claim resolution time by 54%.
  • Partnered with external legal teams on 9 cases, achieving a 36% favorable legal outcome rate.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Reduced claim processing times by an average of 11 days through workflow optimization and team collaboration.

Affiliations

  • Association of Claims Professionals (ACP)
  • Rotary International
  • American Marketing Association
  • International Council of Nurses
  • Society of Insurance Trainers and Educators (SITE)
  • Association for Supply Chain Management (APICS)
  • Professional Liability Underwriting Society (PLUS)
  • Society of Women Engineers
  • National Association of Insurance Commissioners (NAIC)
  • International Association of Privacy Professionals (IAPP) - Insurance Section

Certifications

  • Certified Claims Professional (CCP) by NACA
  • CompTIA A+ Technician
  • SHRM Certified Professional (SHRM-CP)
  • First Aid/CPR Certified
  • ServSafe
  • Professional Liability Underwriting Society (PLUS) Certification in Cyber Liability
  • Chartered Property Casualty Underwriter (CPCU®) by The Institutes
  • Cisco Certified Internetwork Expert (CCIE)
  • Google Certified Professional Cloud Architect
  • Apple Certified Associate (ACA)

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