Dedicated insurance and compliance expert with more than two decades of specialized experience as a Claims specialist. Proficient in navigating intricate insurance policies and dissecting regulatory frameworks to secure optimal coverage for clients. Proven ability to cultivate enduring partnerships with both vendors and clientele. Demonstrated proficiency in risk assessment, eligibility evaluation, and policy implementation, aligning with organizational and regulatory compliance protocols. A compassionate team leader known for effective communication and attentive listening, fostering collaborative environments for success.Compliance Review• Excel at assessing and evaluating current procedures, policies, and regulatory affairs to uphold current industry knowledge.• Diligent in reviewing and analyzing loss-reports, incident reports, and coverage reviews and able to provide quality insight for concerns regarding adherence to company policies and regulations.Strategic Planning • Able to integrate an analytical approach to projects and networking as well as when analyzing markets and operations.• Demonstrate superior organizational skills by handling multiple diverse claims at one time and strategizing with vendors ensuring deadlines are met.• Collaborate effectively with employees and vendors on several platforms to implement technical strategies to produce quantifiable results. Team Leadership • Proven success in leading diverse groups of employees by maintaining professional and respectful relationships and creating a productive atmosphere.• Confident mentor with extensive experience training new staff on day-to day responsibilities, reporting, and coverage reviews. Technical Proficiencies• Proficient in the use of several software programs and able to instruct employees on their use, including Guidewire and Xactimate.• In-depth knowledge of Adobe and MS Office Suite applications. • Always willing to learn new systems and software, consistently update knowledge and skills in standard applications.
Listed skills include Customer Service, Insurance, Microsoft Office, Microsoft Excel, and 9 others.