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Skills

  • Root cause analysis
  • Vendor management
  • Claims Process Optimization
  • Operational improvement
  • Customer service
  • Project organization
  • Audit and discrepancy resolution
  • Documentation abilities
  • Change management in claims operations
  • Team management

Work Experiences

  • Achieved results in 2018.
  • Achieved win-win settlements.
  • Applied across 15 cases annually.
  • Achieved 54% faster approvals.
  • Analyzed complex case files in collaboration with legal counsel, which led to the successful resolution of 8 high-stakes cases over a 6 months period.
  • Assessed case progress and bottlenecks.
  • Achieved Top Performer, recognizing efforts towards streamlining claims processes that improved overall claims lifecycle by 23% days.
  • Achieved cost-effective settlements.
  • Collaborated with Legal Counsel.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.

Summaries

  • Strengths in data analysis and project management backed up by Miscellaneous training.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Achieved a 50% reduction in dispute resolution times.
  • Empathy, dependability, and enthusiasm for customer satisfaction.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Achieved $8 in annual cost savings.
  • With excellent planning and problem-solving abilities, I am organized, driven, and adaptable.
  • Built cross-departmental collaboration with legal teams.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.

Accomplishments

  • Investigated and analyzed claims trends using Workday, leading to proactive mitigations of common claim risks in 2020.
  • Introduced e-signature technology across the claims department, accelerating claims closure timelines by 82% and reducing paperwork errors.
  • Documented and resolved category which led to process.
  • Created tailored training programs on claim-handling best practices, resulting in a 69% reduction in the number of claims escalated to litigation.
  • Reduced departmental costs by 4 through the implementation of optimized internal workflows for claims processing.
  • Developed team talent by formally mentoring 13 junior claims adjusters, 69% of whom were promoted within 2017.
  • Resolved product issue through consumer testing.
  • Earned CPA to enhance technical knowledge on procedure, which directly impacted accuracy improvements of 55% in claims processing.
  • Instituted a claims auditing check, resulting in the identification of over $13 in potential recoveries in incorrectly settled claims.
  • Initiated quarterly performance reviews of claims personnel, which led to an 57% improvement in individual claim-processing efficiency.

Affiliations

  • American Society of Safety Professionals
  • Project Management Institute
  • Society of Human Resource Management
  • Member, American Claim Association – Dedicated to promoting excellence in claims management strategies.
  • Association for Supply Chain Management (APICS)
  • Jaycees
  • Active participant, Chartered Property Casualty Underwriters (CPCU), focused on latest risk management trends.
  • Contributor, Journal of Insurance Issues – Published insights on cost reduction and claims automation technologies.
  • Participant, National Association of Professional Insurance Agents (PIA) – Staying ahead of best practices in claims handling.
  • Association of Information Technology Professionals

Certifications

  • Chartered Property Casualty Underwriter (CPCU)
  • Certified Public Accountant
  • ServSafe
  • SHRM Certified Professional (SHRM-CP)
  • Fellow, Life Management Institute (FLMI)
  • Project Management Professional (PMP)
  • National Alliance Certified Risk Manager (CRM)
  • CompTIA Security+
  • Executive Certificate in Risk Management by program
  • Associate in Personal Insurance (API)

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