Highly skilled, client focused leader within the insurance industry with a solid history of Long Term and Individual claim administration and management. Exceptional organizational skills, time management skills and multi-tasking ability with a strong motivation to succeed.
Manage a team of 6-8 Individuals with an overall responsibility of the administration of Long Term and Individual Disability claims.
Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
Work directly with staff to ensure quality compliance in accordance with Federal, State and company expectations to include identifying and manage risk.
Function as a subject matter expert within the organization for Income Replacement products.
Participated in the development of a new Individual Disability Income product to include collaborating with underwriting, sales, and compliance,
Subject matter expert in relation to the development of a customer online portal and texting capabilities.
Served as subject matter expert with Quality and Compliance during State Exams for Individual Disability claims.
Manage individuals with an overall responsibility for the administration of Individual Disability claims.
Training and development of staff by providing guidance and direction.
Identify trends and implement change focused on improvement.
Development of internal and external partnerships through increased focus on customer service.
Focus on the execution of company expectations through quality claim management.
Responsible for management of Disability Benefits Specialists through quality claim adjudication.
Partnered with Director to ensure company expectations are achieved.
Provide technical assistance to team members and peers on contract knowledge and claim adjudication.
Evaluate trends and worked with leadership on identifying areas of improvement.
Assistance with the development and training of staff.
Obtained and reviewed necessary information to administer Long Term Disability and Individual Disability claims.
Overall focus on quality claim decisions with an added focus on customer service.
Reviewed and negotiated bodily injury settlements with insurance companies.
Communication with counsel, clients and insurance personal.
Preparation of bodily injury claim documents.
Adjudication of personal injury claims to include collection and disbursement of client funds.
Preparation of small claim actions.
Self-motivated
Strong Interpersonal and communication skills
Critical thinking
Time management
Team leadership
Complex problem solving
Energetic work attitude