results-focused professional eager to contribute strong business / data analysis, administrative / operations support, regulatory compliance, and client relations expertise toward maximizing an employer s success.

 

profile of qualifications

 

ø  offers solid communication, interpersonal relations, problem-solving, and analytical abilities, along with delivering diplomatic client services and remaining focused within fast-paced, high-pressure situations.

ø  excels in building critical client relationships and professional networks to increase bottom-line profits.

ø  contributes comprehensive client- and vendor-based needs analysis, along with performing objective negotiation practices in compliance with key corporate policies, procedures, and guidelines.

ø  performs successfully as an individual or within a team to exceed organizational goals and objectives.

ø  holds an associate s degree in business administration from the borough of manhattan community college; completed extensive computer science coursework at dekalb technical college.

 

professional experience

 

 

ø  utilized broad scope of industry knowledge and dynamic business acumen toward objectively examining complex issues for eligibility and entitlement of veterans and their dependents for various education benefits.

ø  instruct veterans, dependents, school officials, and other parties on rights and benefits of education programs.

ø  expertly adjudicated all awards, including handling complex issues within such areas as accrued benefits, concurrent enrollments, program change determinations, delimiting date adjustments, flight training, independent study, incarcerated claimants, employee claimants, and removal of unsatisfactory progress, among other issues.

ø  examined payment evidence for chapters 30 / 32 death refunds, special restorative training, and education loans.

ø  participated as a member of the committee on waivers and compromises, as necessary.

 

ø  efficiently compiled mortgage loan-based applications and associated paperwork, including reviewing application files to verify that data is complete and meets established standards (i.e. mortgage amount / type desired, borrower assets / liabilities, length of employment, credit histories).

ø  liaised between brokers, customers, and underwriting teams to provide cohesive financial operations.

ø  demonstrated a comprehensive knowledge of corporate-based financial products and services to optimally serve customer needs and ensure continued marketplace dominance.

 

ø  drove investigative success by directing examination efforts pertaining to new insurance-based events, claims, and legal actions, including overseeing the proper documentation of claim files and ensuring claims coding accuracy.

ø  actively communicated with clients regarding claims activity and processing procedures, including providing optimal customer service at all times instrumental in maintaining productive and profitable professional relationships.

ø  expertly reviewed medical records and billing to validate the accuracy of overall services provided.

 

 

ø  maximized operational efficiency by completing comprehensive bi evaluation summaries to include liability, damages, causation, diagnosis, treatment, and reserves for a diversified financial services company.

ø  successfully handled claims-based administrative liaison activities regarding department of insurance regulatory compliance, along with drafting confidential correspondences, reports, and related documentation.

 

 

ø  accurately reviewed, evaluated, and negotiated cost-effective settlements to bodily injury claims within a leading national provider of automotive insurance, including administering necessary attorney-represented claims.

ø  effectively monitored automotive repairs and coordinated customer rental activities to ensure prompt repair processes and seamless organizational procedures.

ø  identified and initiated fraudulent claims investigations, along with determining possible subrogation, contribution, recovery, and case management opportunities to reduce total claims costs.