yyyyyy x. yyyyyy
dynamic, high-energy and experienced insurance industry professional with broad based customer service, claims processing and management expertise, eager to contribute advanced communication, problem solving and organizational talents toward optimizing the goals of a progressive employer. dedicated professional with the ability to gain the trust and cooperation of clients, management and co-workers. core competencies include:
mentor & train staff
identify process improvement needs
build and maintain relationships
dedication to customer service and satisfaction
ability to work in a fast paced environment
review contracts/procedures & policies
maintain thorough industry knowledge
gain cooperation of staff and peers
collect, evaluate and interpret data
produce reports/conduct audits
2000 to present: mercury insurance company, rancho cordova
2006 to present: claims supervisor
direct the daily activities for a staff of 4 claims processors to ensure performance and compliance for the claims activities; train, mentor and develop claims processors to achieve optimum accuracy, efficiency, and productivity targets in claims administration and adjudication.
manage and monitor the performance of claims processors to ensure compliance with company policies, procedures, and standards, and maintain all statistics for management reports.
manage day-to-day workflow, mentor staff and answer questions regarding correct processing, plan benefits, and company policies and procedures associated with auto, property and bodily injury claims.
contribute expertise in providing arbitration services as needed.
2000 to 2004: claims examiner/negotiator
led claims negotiation and arbitration processes to come to agreeable resolutions; expertly navigated complex loss assignments, and identified potential fraud and criminal activity.
researched and evaluated data, interviewed claimants and witnesses and gathered photographic, scene investigation and witness testimony to make determinations; reviewed medical records to determine severity of claim.
received recognition for work excellence and determination in protecting and minimizing monetary losses.
1995 to 2000: legends & heroes, roseville, ca - restaurant manager
managed staff, delegated responsibilities, handled all purchasing, inventory and business office functions.
provided supervision and direction for all facilities management responsibilities; ensured that the establishment was clean and ready for business at all times, inspected kitchen and food preparation areas regularly for compliance with safety and sanitation standards.
analyzed sales levels and profitability, prepared revenue and operations reports for food control and sales.
1993 to 1994: enterprise rent-a-car, sacramento, ca - management trainee
selected to participate in management training program; promoted and sold products and services, and contributed toward managing day to day operations in a busy environment.
instrumental in creating a positive, customer focused environment; assisted in resolving payment delinquencies and accounting issues.
1998: associates of science in occupational therapy, sacramento city college
1995: associates of arts in liberal arts, american river college
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