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Skills

  • Insurance regulation compliance
  • Organization
  • KPI Achievement
  • Team management
  • Performance tracking using system
  • Time management
  • Confidentiality in sensitive data handling
  • Settlement Negotiation
  • Negotiation Strategies
  • Documentation abilities

Work Experiences

  • Collaborated with adjusters and underwriters to ensure adherence to compliance guidelines and state regulations during claim processing.
  • Analyzed claims data using Salesforce.
  • Coordinated with appraisers to finalize vehicle assessments, ensuring the most accurate valuation possible before settlement offers.
  • Kept patient finances, records, and health statuses confidential.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Complied with state and federal regulations.
  • Achieved a 27% decrease in errors.
  • Collaborated with management to scorecard team performance.
  • Authored training materials for new procedures.
  • Created a checklist system.

Summaries

  • Professional who is resourceful and versatile and has a track record of consistently exceeding aggressive sales targets.
  • Analytical Total Loss Processor with expertise in ServiceNow.
  • Offering 14 years of experience as well as the willingness to take on any challenge.
  • Aligned settlements with claimant expectations.
  • Applied Lean principles to cut claim processing time by 43%.
  • Adaptable Total Loss Processor.
  • Costs were consistently reduced while profits were increased.
  • Experienced initiative Insurance Specialist with a track record of managing large caseloads in high-pressure situations.
  • Collaborated with adjusters, underwriters, and legal teams.
  • Within Miscellaneous, senior Total Loss Processor and outstanding performer in client relations and team leadership.

Accomplishments

  • Enhanced efficiency by developing a standardized claims workflow system that reduced claims backlog by 70% within several months.
  • Managed a caseload of up to 3 total loss claims daily, consistently meeting or exceeding company KPI benchmarks.
  • Reviewed over 16 claims for accuracy, significantly contributing to a 66% error reduction in total loss claim re-submissions.
  • Conducted quality assurance audits that identified process inefficiencies, reducing re-opened claims by 60%.
  • Consistently delivered superior customer service by accurately processing claims and addressing inquiries, maintaining a customer satisfaction increase of 52% over 2021.
  • Adapted quickly to changes within the department, including new software Tableau, leading to a 59% improvement in error reduction.
  • Collaborated cross-functionally with the legal and compliance departments to ensure claims met regulatory standards, improving compliance rates to 28%.
  • Applied advanced discrepancy analysis to detect historical claims errors, resulting in cost recovery of $131,000 over one year.
  • Resolved product issue through consumer testing.
  • Worked closely with salvage yards and auction providers to ensure timely transitions, leading to a 35% improvement in recovery cycle times.

Affiliations

  • Salvage Auto Industry Association (SAIA)
  • American Association of Insurance Adjusters (AAIA)
  • Association of Certified Fraud Examiners (ACFE)
  • Claim Adjusters’ Educational & Network Association (CAENA)
  • Lions Club
  • International Association of Administrative Professionals
  • International Council of Nurses
  • Council of Auto Salvage Industry Professionals (CASIP)
  • American Salvage Pool Association (ASPA)
  • Risk and Insurance Management Society (RIMS)

Certifications

  • Federal & State Total Loss Compliance Certification
  • Associate in General Insurance (AINS)
  • Certified Lienholder Communications Specialist (CLCS)
  • Cisco Certified Internetwork Expert (CCIE)
  • Total Loss Valuation Specialist Certification
  • CompTIA Security+
  • Certified Public Accountant
  • Valuation Dispute Resolution Specialist (VDRS)
  • Google Certified Professional Cloud Architect
  • Certified Insurance Data Analyst (CIDA)

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