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Skills

  • Process automation
  • Relationship development
  • Customer service
  • First Aid/CPR
  • Excellent administrative abilities
  • Insurance industry experience
  • Compliance with OSHA and other regulations
  • Change Management and Process Improvement
  • Negotiation and Conflict Resolution
  • Communications

Work Experiences

  • Oversaw the delivery of program project by initiative team, which resulted in method.
  • Had an excellent attendance record and was always on time for work.
  • Achieved a 73% decrease in on-site accidents.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Collaborated with framework customers to determine their needs and deliver standard service.
  • Achieved results within the first 5 months.
  • Assisted in a 44% increase in employer enrollments.
  • Answered 14 calls per one year to help customers with their questions and concerns.
  • Saved $10 by putting in place cost-cutting measures that addressed long-standing issues.
  • Collected injury trends data.

Summaries

  • Achieved a 75% improvement in accuracy and compliance.
  • Expert in all aspects of the insurance sales cycle, including prospecting and follow-up.
  • Accelerated claims processing speeds.
  • Hardworking Workers' Compensation Claims Specialist with 8 years of telecommuting experience meeting customer needs.
  • Proficient in Tableau, as well as a dependable nature and a resourceful problem-solving approach.
  • Achieved 63% improvement in compliance.
  • 16 wpm typing speed with 8% accuracy and Power BI knowledge.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Excellent interpersonal skills with a track record of successfully interpreting and explaining method insurance policy details to customers.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.

Accomplishments

  • Analyzed complex medical and legal documents to accurately verify claims, preventing incorrect payouts and saving the company $64,000 annually.
  • Facilitated claims audits that identified discrepancies in 45% of reviewed cases, leading to process remediation and cost-savings of $62,000.
  • Drove continuous improvement initiatives that resulted in a 61% reduction in errors in claim documentation over 7 quarters.
  • Resolved product issue through consumer testing.
  • Developed and maintained weekly performance reports, enabling leadership to make well-informed decisions that reduced claim resolution timelines by 59%.
  • Documented and resolved method which led to category.
  • Reduced workers’ compensation legal expenses by $95,000 through continuous assessments of legal case management.
  • Instituted a quality control process for claims submissions, boosting overall customer satisfaction rates by 22% within 2018.
  • Monitored and analyzed claims trends, providing actionable insights that led to a 59% reduction in fraudulent claims.
  • Led cross-departmental initiatives to enhance claims reporting, providing leadership with actionable insights that drove strategic decisions.

Affiliations

  • International Association of Administrative Professionals
  • American Medical Informatics Association
  • Regular speaker at the National Council of Insurance Legislators (NCOIL) conference 2015
  • Jaycees
  • International Council of Nurses
  • Certified Compensation Professional (CCP) membership since 2024
  • Member of the Claims and Litigation Management Alliance (CLM) 2024
  • Completed Advanced Workers' Compensation Law Certification - Cedar Works, 2019
  • Society of Human Resource Management
  • Association for Computing Machinery

Certifications

  • Cisco Certified Internetwork Expert (CCIE)
  • CompTIA Security+
  • Certified Risk Manager (CRM)
  • Fraud Claim Law Specialist (FCLS)
  • Certified Workers' Compensation Professional (CWCP)
  • SHRM Certified Professional (SHRM-CP)
  • Google Certified Professional Cloud Architect
  • Apple Certified Associate (ACA)
  • Certified Professional in Workers' Compensation (CPWC)
  • SHRM Senior Certified Professional (SHRM-SCP)

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