Claims Specialist
Daytona Beach, Florida, Us
• Provided proactive claims management strategies to assist in mitigating exposure and reducing claims costs associated with historical, current, and prospective claims. Completed detailed quantitative analysis to develop customized reports and focused consultative direction for the success of Beecher Carlson’s ZOOM clients. • Analyzed data from the predictive analytics model(s) to identify key performance indicators with an opportunity for improvement. Using these indicators, established a target list where proactive claims management recommendations/directives are provided. Using a diary system, conducted a continuous review of the target list to ensure the TPA or carrier is aggressive and updated on claim resolution activities. • Created a prioritized list of claims for claims closure projects. During a continuous review, completed a 5-point review strategy to ensure claims are moved towards closure. Closure projects include Sally Beauty 2009 PY closure project ($617,728 in reductions), Americold ($504,882 in reductions), and EQR ($458,123 in reductions). • Provided the Claims Consultant with account highlights as well as areas for improvement based on participation in claim audits and claim reviews.