yyyyyy x. yyyyyy

(xxx-xxx-xxxx • abc@xyz.com

 

 

profile of qualifications

 

solutions-focused insurance professional specializing in team leadership, account management, and customer service within high-volume groups eager to maximize a progressive employer s success.  top-performer with the ability to analyze accounts and compile statistical data for distribution to appropriate parties.  excellent communicator who can handle multiple assignments within deadline-driven environments.  key networker among industry professionals with talent for efficiently responding to diverse client issues.  ambitious self-starter who demonstrates strong attention-to-detail and sharp problem-solving proficiencies.  holds adjuster s license for ny, ct, fl, ky, tx, nc, de, and ga.  skillful in policy / regulation no. 64 and no. 68.

 

key areas of expertise

 

claims management                               claims adjustment                                 claims processing                                 staff recruitment

audit reporting                                       workflow prioritization                           committee leadership                          training / development

regulatory compliance                          settlement authorizations                      information management                      customer service

 

professional synopsis

 

 

personal injury protection claim supervisor (2007 c 2009)

         applied dynamic leadership talents toward directing personal injury protection adjuster duties and personal injury protection litigation adjuster claims to include conducting audit reports on related files to guarantee strict compliance with state regulations.

         planned and delegated new pip claims to adjusters to maximize use of resources and meet individualized task needs, as well as assigning lawsuits and arbitrations to pip litigation adjusters as required.

         demonstrated strong interpersonal relations skills toward conducting valuable monthly meetings and employee reviews which facilitated productive team building, improved communication measures, and encouraged useful staff feedback.

         authorized settlements on lawsuits, arbitrations, file closings, and subrogation requests, as well as evaluating files for indemnity reserves.

 

personal injury protection claim adjuster (2006 c 2007)

         strategically steered the management of personal injury protection no-fault and loss wage claims by conducting independent medical exams, peer reviews, and pro reviews, as well as contacting providers for treatment status on injured parties.

         contributed solid organizational abilities instrumental in processing medical bills, reviewing detailed reports / files (i.e. subrogation), and formulating / distributing out-of-state forms to essential parties to ensure seamless business processes.

 

 

personal injury protection claim processor (2002 c 2006)

         resourcefully handled personal injury protection non-fault and loss wage claims to include conducting key exams / reviews, contacting providers for treatment status, processing billing, and reviewing / distributing forms and files as necessary.

         utilized broad scope of industry and professional services knowledge to support pip workflow committee endeavors in training incoming employees on current protocols (i.e. up-to-date new york state fee scheduling, corrected insurance forms, medical management).

         led the formulation of targeted business decisions concerning committee meetings / agendas, along with organizing employee outings and overseeing cost-effective budgetary concerns.

 

customer service representative (2001 c 2002)

         promptly responded to various customer concerns regarding claims and effectively resolved key challenges to include organizing and distributing paperwork / payments to necessary parties, filing property damage arbitrations, and sending claims to vendors.

 

 

administrative assistant / head of staffing (2000 c 2001)

         drove business success by recruiting and training top-performing ny state-licensed teachers to attain results-driven instructor-to-child ratios for classrooms within a high-volume childcare center.

         coordinated the management of appointments / interviews for wide-ranging purposes, along with employing sharp analytical proficiencies toward handling accurate tuition billing and vacation / absence recordkeeping.

 

additional professional roles held prior to 2000

 

education

 

extensive business coursework                                                                                                                         nassau community college