Claims Operations Manager
Current- Team Leadership: Lead and mentor a team of 10+ claims adjusters, providing strategic guidance and support to enhance high performance and foster professional growth through continuous training and coaching.- Risk Management: Oversee the management of over 1,400 monthly claims, identifying and mitigating operational risks while ensuring compliance to regulations and procedures.- Data Analysis: Analyze claims data to drive data-informed decision-making and process improvements, resulting in a 33% reduction in claim cycle time.- Project Management: Developed and implemented quality file review process improvements that successfully resulted in a 46% increase in member satisfaction.- Financial Analysis: Executed financial and data analysis to identify and address financial leakage, achieving a 20% reduction in financial losses.- Innovation and Improvement: Champion innovative solutions and continuous improvement initiatives, enhancing processes and outcomes.- Customer Relations: Resolve escalated inquiries and complaints, enhancing customer satisfaction and service quality.
