BETSY A. MONEY
Maineville,OH
Summary
A claims auditing professional with extensive experience in evaluating and verifying claims for compliance. Known for collaborative efforts and delivering consistent results in dynamic work environments. Reliable team player with strong commitment to adaptability and accuracy.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Principal Claims Auditor
IAT Insurance Company
10.2023 - Current
- Conducted monthly calibration file reviews working closely with claim managers to drive technical claim performance
- Assisted Vice President with researching the necessity of including the underwriting company on all claim’s communications utilizing AI, APCIA, Claim Tooklit and DOI websites
- Completed monthly reviews of claim handler performance for the purpose of calibrating with claim managers
- Mapped and constructed charts and graphs from existing Athenium data not included in our present contract
Auditor to Lead Claims Auditor
Cincinnati Insurance Company
01.2014 - Current
- Developed focused audits highlighting workflow opportunities and participated in large scale reviews directly impacting claim file handlers’ performance reviews
- Recognized potential risk in first party Medical Payment benefits and third-party bodily injury claims handling generating the development of a targeted baseline audit
- Created baseline audits mitigating risk associated with Child Support Liens and Medicare regulations
- Participated as the only auditor in Request for Proposal of a new claims system
- Reviewed and evaluated Market Conduct Exam results across all states comparing exam findings against current state self-audit criteria requirements for changes, additions, and modifications
- Conducted daily secondary reviews of auditors for required accuracy goals impacting performance reviews
- Compiled, analyzed, and presented property, casualty, and worker’s compensation field claim manager scores of 700+ reviews enabling easier tabulation of goal measurements for our Field claims partners
Casualty Claims Manager
Nationwide Insurance Company
01.2005 - 01.2014
- Midwest Claims Zone leader among 25+ manager recognized for consistent, quality performance in many important strategic objectives
- Oversaw the hiring, training, supervision, and development of eight bodily injury claims associates, averaging district pending of 300+ claimants while also improving multiple customer-centric objectives
- Administered midyear and annual performance evaluations in conjunction with salary administration; executed performance coaching plans, behavioral warnings, and disciplinary actions when necessary, including termination
- Analyzed district territories against historical receipts and employee counts enabling more balanced distribution models
- Exceeded corporate customer service requirements for four consecutive years
Casualty Quality Specialist
Nationwide Insurance Company
01.2002 - 01.2005
- Organized and facilitated critical operational reviews for state and regional leadership directly contributing to increased claim handling technical success
- Designed and prepared targeted reviews to meet state-specific needs at the request of Claims Director
- Arranged confidential performance and operational reviews where necessary
- Promoted and measured proper application of Best Claims Practices adherence
- Constructed Claims Quality Specialist training manual for national team
Casualty Claims Associate
Nationwide Insurance Company
01.1994 - 01.2002
- Gatekeeper to the ‘On Your Side’ experience
- Executed timely contacts to Nationwide’s customers ensuring appropriate explanation of the claims process and fulfillment of customer expectations
- Managed complex commercial claims as well as bodily injury claims in both face-to-face settings and by phone
- Coordinated suit file litigation including attending depositions, mediations, and trials
Education
B.A. - English Literature
University of Cincinnati
Cincinnati, OhioSkills
- Microsoft Word
- Microsoft Excel
- TeamMate Analytics Add-On
- Microsoft PowerPoint
- Microsoft Teams
- Microsoft Outlook
Certification
- AINS
- AIC
- AIM
- AIC-M and CPCU 6/8 parts
Timeline
Principal Claims Auditor
IAT Insurance Company
10.2023 - Current
Auditor to Lead Claims Auditor
Cincinnati Insurance Company
01.2014 - Current
Casualty Claims Manager
Nationwide Insurance Company
01.2005 - 01.2014
Casualty Quality Specialist
Nationwide Insurance Company
01.2002 - 01.2005
Casualty Claims Associate
Nationwide Insurance Company
01.1994 - 01.2002
B.A. - English Literature
University of Cincinnati
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