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Skills

  • Data Management
  • Personal, casualty and property loss
  • Underwriting knowledge
  • Microsoft Office Suite
  • Hardware evaluation
  • Cross-functional team collaboration
  • Risk management processes and analysis
  • User interface understanding
  • Extremely organized
  • Data analysis

Work Experiences

  • Implemented marketing strategies that resulted in a 12% increase in the number of customers.
  • Created multi-threaded admin web applications based on system.
  • Created a new employee evaluation process that resulted in significant performance improvements.
  • Was in charge of maintaining information files and processing paperwork on a daily basis.
  • Achieved a 78% reduction in litigated claim costs.
  • Looked into and assessed property damage, as well as reviewing property damage estimates.
  • Analyzed the data gathered during the investigation and wrote a report with my findings and recommendations.
  • Ensured that all filed hazard and special hazard claims were properly managed.
  • Achieved a 53% improvement in customer satisfaction scores.
  • Was able to effectively respond to customer requests via phone and email, as well as answer questions and inquiries.

Summaries

  • Among his accomplishments is the creation of a framework app for use in the program industry.
  • Achieved a 21% success rate in mediated claims.
  • Costs were consistently reduced while profits were increased.
  • Workers' Compensation Claims Adjuster with 7 years of successful budget management and risk assessment experience.
  • Clear understanding of vendor management and strategic planning as well as data analysis training.
  • Achieved a 41% improvement in customer satisfaction.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Insurance adjuster who investigates and analyzes liability in the event of a personal, casualty, or property loss.
  • Expert at creating profitable and high-quality processes.
  • Detailed Adjuster with 11 years of corporate insurance claims experience.

Accomplishments

  • Played a key role in the approval of medical treatments and surgeries, ensuring adherence to medical recommendations, which resulted in a 63% reduction in unnecessary medical costs.
  • Reviewed complex medical records and utilized independent medical examiner reports to manage high-value claims, contributing to a 57% reduction in unresolved cases.
  • Introduced new injury-tracking software, increasing data accuracy and reporting efficiency by 73%, and facilitating better injury trend analysis.
  • Reviewed and closed 14 claims monthly, maintaining a 80% accuracy rate in documentation and audit compliance.
  • Coordinated cross-functional team efforts in claims processes, ensuring that medical approvals, legal evaluations, and financial reserves were aligned with company objectives.
  • Led dispute resolution for 5 complicated claims, resulting in 44% of cases being settled without the need for litigation.
  • Resolved product issue through consumer testing.
  • Successfully oversaw 16 high-profile claims, ensuring each case complied with state regulations and company policies, reducing litigation rates by 64%.
  • Facilitated arbitration in workers’ compensation disputes, achieving favorable settlements in 51% of the cases handled.
  • Fostered strong relationships with medical providers and vocational experts, reducing overall medical and rehabilitation costs by 47%.

Affiliations

  • Certified Member, National Association of Insurance Commissioners (NAIC), 2015
  • Board Member, National Institute of Adjusting Education and Professional Development 2021–2024
  • Active Member, National Association of Subrogation Professionals (NASP) 2020–Present
  • Affiliate, Property Casualty Insurers Association of America (PCIAA), 2019–Present
  • Member, Workers’ Compensation Institute (WCI) 2023–Present
  • Jaycees
  • Member, Risk & Insurance Management Society (RIMS), 2021–2020
  • Toastmasters
  • Rotary International
  • American Marketing Association

Certifications

  • Associate in Insurance Data Analytics (AIDA)
  • Association for Project Management (APM)
  • Cisco Certified Internetwork Expert (CCIE)
  • SHRM Certified Professional (SHRM-CP)
  • Associate in Claims (AIC) process
  • Cyber and Privacy Liability Risk & Insurance Certificate
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Workers' Compensation Case Management Certification
  • Chartered Wealth Manager (CWM), certified by the American Academy of Financial Management (AAFM)
  • Project Management Professional (PMP)

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