ALEXANDRA VALLES
Mableton,GA
Summary
Claim Administrator with over ten years of experience in claims management and compliance with insurance regulations. Expertise in account management and financial analysis, leveraging Microsoft Office Suite and Snapclose to enhance operational efficiency. Proven ability to optimize claim cost management through collaboration with Third-Party Administrators, adjusters, and attorneys, resulting in successful outcomes. Strong problem-solving skills and a history of building effective relationships with clients and team members to drive team success.
Overview
11
11
years of professional experience
Work History
CLAIM ADMINISTRATOR ( Remote)
Tower LTC Leasing & Rental
Pomona, NY
10.2022 - Current
- Analyze insurance claims for compliance, enhancing accuracy and efficiency in processing while collaborating with TPAs and legal teams to optimize cost management.
- Develop streamlined processes for TPA and legal team coordination, driving substantial improvements in claim cost management and operational efficiency.
- Foster strong partnerships with TPAs and attorneys, facilitating effective communication and enhancing cost control strategies in claim management.
- Streamlined claim review processes, ensuring strict adherence to court plans and enhancing settlement outcomes for complex insurance cases.
- Refine claim review processes, ensuring meticulous adherence to court plans and elevating settlement outcomes for complex insurance cases.
- Implement streamlined processes for TPA and legal team coordination, driving notable improvements in claim cost management and operational efficiency.
ACCOUNT MANAGER
Cambey & West Inc.
Congers, NY
08.2019 - 10.2022
- Facilitated effective communication between teams, enhancing overall collaboration and strengthening client relationships across the organization.
- Drove client retention through strategic insights, optimizing account management workflows for enhanced service delivery and measurable satisfaction gains.
- Pioneered streamlined order processing system, significantly reducing errors and accelerating execution across departments.
- Conducted trend analysis to refine strategies, resulting in substantial improvements in client satisfaction metrics.
- Managed client orders with precision, contributing to a notable decrease in processing errors and improved operational efficiency.
- Fostered effective inter-team communication, enhancing overall collaboration and strengthening client relationships organization-wide.
APPLICATION COORDINATOR
Better Homes & Gardens Rand Realty
Nanuet, NY
07.2017 - 10.2018
- Spearheaded process enhancements in application program management, driving timely completions and operational improvements.
- Provided crucial sales support, collaborating with processors and management to identify and implement strategic improvements in team operations.
- Optimized data accuracy protocols, enhancing quote precision and title distribution efficiency for Better Homes & Gardens Rand Realty.
- Redesigned purchase application process, fostering improved team collaboration and operational efficiency in real estate transactions.
- Partnered with processors and management to implement strategic improvements in sales support systems and workflows.
- Led application program management initiatives, driving timely completions and substantial operational enhancements.
JUNIOR MORTGAGE PROCESSOR
Better Homes & Gardens Rand Realty
Nanuet, NY
09.2016 - 07.2017
- Streamlined mortgage application review process, ensuring regulatory compliance and reducing documentation errors for enhanced decision-making accuracy.
- Partnered with senior processors to optimize daily routines, significantly improving application processing speed and elevating client satisfaction levels.
- Implemented efficiency measures in collaboration with Mortgage Processors, accelerating paperwork completion and boosting overall processing productivity.
- Cultivated strong client and colleague relationships, fostering a positive environment that markedly enhanced service quality and team effectiveness.
- Meticulously processed mortgage applications, ensuring strict adherence to regulatory standards and minimizing documentation discrepancies.
- Conducted thorough mortgage application reviews, ensuring regulatory compliance and reducing documentation errors for enhanced decision accuracy.
BANK TELLER / ASSOCIATE BANKER
Chase Bank
New City, NY
10.2014 - 01.2016
- Spearheaded process optimization initiatives, substantially reducing customer wait times and elevating satisfaction levels while ensuring strict regulatory compliance.
- Cultivated partnerships to craft bespoke financial solutions, addressing diverse client needs from basic accounts to intricate investment portfolios.
- Upheld rigorous security protocols and compliance standards, safeguarding bank operations and reinforcing transaction integrity in a high-stakes environment.
- Pioneered service enhancements that markedly improved customer experience, balancing efficiency with personalized attention in a dynamic banking landscape.
- Cultivated enduring client relationships by anticipating evolving financial needs and delivering tailored solutions, from foundational accounts to sophisticated investments.
- Streamlined banking processes, reducing customer wait times and enhancing overall satisfaction while maintaining strict regulatory compliance.
Education
MASTER OF BUSINESS ADMINISTRATION - Sparkill, NY
St. Thomas Aquinas College
Sparkill, NY08.2018
BACHELOR OF SCIENCE (B.SC.) - FINANCE
St. Thomas Aquinas College
Sparkill, NY05.2016
ASSOCIATE - MATHEMATICS AND SCIENCE
Rockland Community College
Suffern, NY05.2012
Skills
- Data management and analysis
- Account management
- Customer service excellence
- Financial compliance
- Microsoft Office proficiency
- Attention to detail
- Problem solving
- Team leadership
- Project management
- Critical thinking
Languages
- English, Highly proficient
- French, Native
- Haitian Creole, Native
Additional Information - Professional Affiliations
Alpha Chi National College Society / Delta Mu Delta, Spring 2015
Timeline
CLAIM ADMINISTRATOR ( Remote)
Tower LTC Leasing & Rental
10.2022 - Current
ACCOUNT MANAGER
Cambey & West Inc.
08.2019 - 10.2022
APPLICATION COORDINATOR
Better Homes & Gardens Rand Realty
07.2017 - 10.2018
JUNIOR MORTGAGE PROCESSOR
Better Homes & Gardens Rand Realty
09.2016 - 07.2017
BANK TELLER / ASSOCIATE BANKER
Chase Bank
10.2014 - 01.2016
MASTER OF BUSINESS ADMINISTRATION - Sparkill, NY
St. Thomas Aquinas College
BACHELOR OF SCIENCE (B.SC.) - FINANCE
St. Thomas Aquinas College
ASSOCIATE - MATHEMATICS AND SCIENCE
Rockland Community College
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