Dedicated insurance claims professional with history of meeting company goals by utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Manager of Medical Litigation
Government Employees Insurance Company
Chevy Chase, MD
01.2009 - Current
Manage over (40) calls, instant messages and e-mails daily with questions or requests for authority.
Completed highest number of Atlas activities last (2) MAP reviews on my team; MAP1 2022-4553 increase of 288 from MAP2 2021. 2,944 more than my teammate with the least and 288 more than the next closest teammate.
(95) first calls handled in Map1-2022, saving interest payments for late handling of billing in regions.
Interpret laws, rulings and regulations for PIP suits, arbitrations and TCM Development
Participate in contract rewrites, settlement agreements and proposals
Communicate with regional associates, collect information to research cases and prepare settlement offers, denials, or disclaimers
Analyze probable outcomes of cases using knowledge of legal precedents
Explain available courses of action and possible repercussions of cases to regional personnel
Minimize risk exposure through careful advice on future handling of catastrophic claims.
Accomplish multiple tasks within established timeframes
Cross-train existing employees to maximize team agility and performance
Evaluate MIP report data to proactively adjust and enhance operations
Compile data highlighting key metrics to report information to Director on items needed to accomplish our teams goals
Participate annually in development of our CHO Medical Management planning cycle
Work with business partners including Legislative Counsel, Actuary, and our Bill Review vendor
Only Medical Manager with access to and knowledge of Azure Dev Ops.
Manager Training and Education
Government Employees Insurance Company
05.2007 - 01.2009
Managed Multimedia team, several claims trainers and other T&E personnel
Responsible for development and publication each week of the Price and Service Newsletter in collaboration with the Claims Vice President and CHO Directors
Organized production of multimedia visual aids and other educational materials; assisted with the subject matter for prepared videos for long-term use
Reviewed and edited training materials for accuracy and company policy compliance
Collaborated with Claims (CHO) Legal to review new or updated training materials
Communicated all learning and performance objectives, schedules and training assessments to upper management and shared on Gnie
Analyzed effectiveness of liability, supervisor and manager training programs and recommended updates
Administered training programs for managers and supervisors
Conducted phone surveys, to identify training needs each planning cycle to regional Managers and Directors
Trainer for Central Liability School
Government Employees Insurance Company
09.2004 - 05.2007
Relocated from Region 2 to Plaza following completion of various claims examiner and supervisory positions
Team member tasked with developing of original content, role plays, and testing for both TCR2 and Continuing Central Liability Schools
Conducted training for sections of both modules
Participated in trainer evaluations for pre-school curriculum
Veterans Leadership Development Program at Government Employees Insurance CompanyVeterans Leadership Development Program at Government Employees Insurance Company
Insurance Claims Specialist at Government Employees Insurance Company, GEICOInsurance Claims Specialist at Government Employees Insurance Company, GEICO