Benjamin Miller
Brooklyn
Summary
Energetic and enthusiastic insurance professional, motivated to succeed in a fast-paced and deadline-driven professional environment. Skilled in navigating complex insurance claims and providing thorough investigations to ensure fair settlements. Have experience coordinating with legal teams, policyholders, and insurance companies to manage claims efficiently. Known for strong analytical skills, ability to interpret policy details accurately, and effective communication that results in resolved disputes. Made significant impacts by streamlining claims processing procedures and enhancing customer satisfaction through timely resolutions. In addition, a multi-talented content writer well-versed in research, writing, and editing a wide range of content. Comfortable working with little oversight to write interesting, clean, and clear copy. Skilled in content management systems, online content publishing software, and SEO.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Adjuster II
Sedgwick CMS
Melville
03.2023 - Current
- Established strong relationships with external partners, including adjusters, contractors, and medical providers, to streamline claims resolution.
- Led team in investigating, evaluating, and settling insurance claims, ensuring compliance with policy obligations and legal requirements.
- Coordinated with legal counsel on litigated claims, providing expertise and support to achieve optimal outcomes.
- Oversaw onboarding processes for new team members, delivering training on claims handling.
- Monitored objectives to determine effectiveness of workflows, facilitating training, and mentoring for improvement.
- Facilitated team meetings to discuss complex cases, share best practices, and coordinate multi-disciplinary response strategies.
- Oversaw the development and implementation of claims processing systems to improve efficiency and accuracy.
Resolution Expert
Gallagher Bassett Services Inc.
Syracuse
07.2022 - 12.2023
- Created and improved HR processes, integrated practices and strengthened program operations.
- Managed multiple writing and editing assignments in dynamic environment within stated timelines.
- Curated and managed content submissions, selecting pieces that align with brand values.
- Monitored compliance with established policies governing dispute resolution procedures.
- Drafted communications outlining details of settlement agreements between parties.
- Collaborated with legal team to develop litigation strategies when necessary.
Claims Adjuster
Sedgwick CMS
Buffalo
05.2021 - 06.2022
- Evaluated insurance claims for accuracy and compliance with company standards.
- Reviewed medical records and documentation to support claim decisions.
- Communicated claim status updates to clients and stakeholders effectively.
- Investigated claims by interviewing witnesses and collecting evidence diligently.
- Managed case files using Sedgwick's proprietary claims management system efficiently.
- Negotiated settlements with claimants or their representatives to resolve disputes quickly and economically.
- Reviewed medical records, police reports, and other documents related to claim investigations.
Claims Adjuster
Chubb
Buffalo
11.2019 - 06.2021
- Evaluated insurance claims for accuracy and compliance with company standards.
- Collaborated with clients to gather information and clarify claim details.
- Reviewed medical records and documentation to support claim decisions.
- Communicated claim status updates to clients and stakeholders effectively.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Maintained accurate documentation of all claim activity within designated system.
Education
Master of Arts - English Composition
Southern New Hampshire University
Hooksett, NH11-2024
Bachelor of Science - Political Science
SUNY, Brockport
Brockport, NY05-2018
Bachelor of Arts - English
SUNY, Brockport
Brockport, NY05-2018
Skills
- Quality Assurance
- Claims Auditing
- Team Management
- Disability claims process
- Claims analysis
- Claims Processing
- Online content editing
- Document Editing
- Creative Collaboration
- Scriptwriting
- Creative Writing
- Copywriting
- Data interpretation
- Client communication
- Research analysis
- Technical writing
- Risk assessment
- Settlement management
- Report writing
- Work copywriting
- Copywriting and editing
Affiliations
- Competitive Volleyball
- Managing Online Journals and writing communities
Accomplishments
- Published Poet in the Canisus Art Magazine
- Submission for publishing completed manuscript of poetry book
Certification
- Independent Adjuster License
- Licensed English Tutor
References
References available upon request.
Education and Training
other,other,other
Timeline
Claims Adjuster II
Sedgwick CMS
03.2023 - Current
Resolution Expert
Gallagher Bassett Services Inc.
07.2022 - 12.2023
Claims Adjuster
Sedgwick CMS
05.2021 - 06.2022
Claims Adjuster
Chubb
11.2019 - 06.2021
Master of Arts - English Composition
Southern New Hampshire University
Bachelor of Science - Political Science
SUNY, Brockport
Bachelor of Arts - English
SUNY, Brockport
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