Alicia Warfield
Claims Analyst
Summary
Results-oriented professional with over 5 years of experience in claims management, particularly in workers' compensation. Skilled in conducting research, analytics, and providing recommendations for risk mitigation. Strong communicator with a track record of collaborating with internal stakeholders, advisors, and insurance brokers.
Overview
9
9
years of professional experience
5
5
Certifications
Work History
Claims Analyst
Sedgwick
6 2023 - Current
- Managed a portfolio of 100+ escalated workers' compensation claims, achieving a 95% resolution rate within established timelines.
- Successfully represented the company in 20+ small claims cases, resulting in favorable outcomes and minimized financial impact.
- Maintained a high level of customer satisfaction, with 87% of complaints addressed and resolved within 48 hours.
- Ensure accuracy and completeness of medical documentation, addressing discrepancies through meticulous proofreading.
Risk Manager (Property)
DOMA
10.2020 - 08.2022
- Conducted document verification for 50+ property transactions weekly, ensuring compliance with underwriter requirements.
- Resolved defects, satisfied liens and encumbrances against the property
- Aligned requisitions with correct points of contact, reducing miscommunication errors by 15%.
- Provided customer service support to clients and stakeholders, addressing inquiries and resolving issues promptly.
Quality Operations Analyst
Imprimis
07.2019 - 01.2020
- Review a subset of support agents' conversations via calls, emails, and chat
- Conducted quality assurance and compliance reviews to ensure all communication was within company and standards
- Facilitate evaluation with meaningful and constructive feedback to help agents improve performance expectations.
- Leveraged strong analytical and communicable skills to evaluate conversations across various communication channels.
Lead Tax Professional
Corelogic
07.2015 - 06.2019
- Managed communication channels, resolving 90% of escalated issues with clients and other departments.
- Executed clerical tasks and data entry processes, processing 200+ documents monthly with 99% accuracy.
- Intercepted escalated and unresolved issues with the client, tax office and/or other departments and parties.
Education
Technical -
Per Scholas Technical Bootcamp
2023
Associate of Applied Business -
Tarrant County College
2017
Skills
Internal/External Auditing
Risk Research and Analytics
TLTA and ALA CommitmentsTRID, TILA, RESPA, CPBData/Entry/10 KeyCompliance and Quality Assurance
Legal Compliance and Statutory Requirements
Certification
Certified AWS Cloud Practitioner
Timeline
Risk Manager (Property)
DOMA
10.2020 - 08.2022
Quality Operations Analyst
Imprimis
07.2019 - 01.2020
Lead Tax Professional
Corelogic
07.2015 - 06.2019
Claims Analyst
Sedgwick
6 2023 - Current
Technical -
Per Scholas Technical Bootcamp
Associate of Applied Business -
Tarrant County College