Clifford Bailey
Team Leader - Operations I Claims
Euless,Texas
Summary
Authorized to work for any US employer
Family Based Green Card Holder
A Dynamic and Pragmatic professional with 8+ years of experience in Insurance Domain (Auto, Medical End to End Auto Claims Management) across the United States with proven expertise in Operations Management, Team Management, Resource Management (Demand & Supply), Access & Asset Management, Reporting Management, Process Improvement, Client Servicing, Transitions, Strong analytical skills with proven ability to coordinate and manage different teams and stakeholders across Global locations - Deftness in handling overall functioning of processes & implementing processes in line with the pre-set guidelines - Proficient in managing & leading teams to execute successful process operations- Experienced in developing procedures, service standards for business excellence - Possess excellent interpersonal, communication & organizational skills with proven abilities in team management, customer relationship management, finance and budgeting & effective crisis management.
Overview
11
11
years of professional experience
3
3
years of post-secondary education
4
4
Certifications
Work History
Claims Supervisor
Allstate India
Pune
2023.Jun - 2023.Dec
- Managed my team of 20 Claims Representatives to ensure accuracy and timely completion of all claims processing activities.
- Provided guidance, assistance and training to new staff on their proper procedures for handling customer inquiries and complaints.
- Researched complex claim issues in order to resolve disputes between parties involved on claims.
- Monitored and tracked performance metrics such as turnaround times, resolution rates, denial rates. for our Claims Department.
- Created reports on overall department performance and communicated findings at monthly meetings with management team.
- Collaborated with other departments such as Recoveries, FNOL teams, Customer Service, Stakeholders. to identify areas of improvement in claims process.
- Assisted in developing strategies for improving customer satisfaction levels through more efficient processes or better communication practices regarding policy changes, updates or procedural updates, changes.
- Evaluated and motivated employees to continuously develop and grow in both performance and knowledge.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Interviewing / Hiring potential candidates
- Managing multiple teams within Subrogation/ Recoveries department
- Mentor new / inexperienced Process Leads, Specialists
Process Lead - Claims / Subrogation
Allstate India
Pune
2022.Jan - 2023.Jun
- Identified process improvement opportunities by analyzing existing processes and developing new solutions.
- Developed and implemented process related projects, initiatives and programs to improve operational efficiency.
- Negotiated directly with insured, claimants or counsel in settling losses
- Collaborated with stakeholders across our organization to identify potential process improvements.
- Monitored performance of processes to ensure they are meeting established standards and goals.
- Provided guidance on identifying process issues and implementing corrective actions.
- Gave detailed day-by-day directions on production targets.
- Managed multiple projects simultaneously while adhering to tight deadlines.
Subrogation Specialist
Allstate India
Pune
2015.Aug - 2021.Dec
- Joined in 2015 as Claims Associate and moved up till Claims Specialist until 2021
- Filed First Notice of Loss Claims with Various Third Party carriers and sent their subrogation Demands.
- Reviewed claim files to identify, evaluate, analyze and interpret subrogation potential; coordinated appropriate steps to secure evidence and ensure pursuit, development and recovery of claims; evaluated completeness and accuracy of documentary evidence; records and processes all recovery payments; prepares and issues payments for subrogation expenses; if recovery is completed, ensures policyholders are reimbursed their deductible amounts.
- Provided management with regular updates and status reports on subrogation files.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals
- Negotiated Dispute settlement agreements to resolve disputes
Sr. Recovery Associate
BANTEC TPS Private Limited
Pune
2013.Jun - 2015.Jul
- Recovery Specialist for American Medical Response and
American Telecom and Telecommunications (AT&T, AMR) - Reconciled delinquent accounts
Education
High School Diploma - Commerce
St. Vincent's College of Commerce
Pune, India 2011.Mar - 2013.Feb
Senior Secondary College -
St. Joseph's Boys High School
Pune, India 2009.Jul - 2010.Jun
Skills
Communication
Claims analysis
Claims investigation and research
Customer expectations management
Auto Insurance
Medical Insurance
Certification
Insurance Essentials Course from 'THE INSTITUTES - 2015
Affiliations
- Travelling / Hiking
- Cooking
- Photography
Accomplishments
- Promoted to Team Leader in June 2023 Operations - Subrogation
- TT1 & TT2 Certified ( Train the Trainer )
- Golden Compass Winner - December 2021
- Allstate Shining Star - October 2023 - Given by Shontae Williams (Claims Director)
- Mountain Mover Award - April 2023 - For Generating Maximum Revenue Boosting Ideas
- Multiple RNR 'Rewards & Recognition' Winner
- Successful RCPS - Raising the Threshold of Arbitration from $175 to $500 for Arbitration damage teams
- Successful idea on Improving Collections within Allstate by Eliminating the Transfer of Claims to CCS - Credit Collection Services thereby saving the cost of transfer to CCS and in-house collections of approx $10,000 with a span of 4 months in 2021.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Claims Supervisor
Allstate India
2023.Jun - 2023.Dec
Process Lead - Claims / Subrogation
Allstate India
2022.Jan - 2023.Jun
Subrogation Specialist
Allstate India
2015.Aug - 2021.Dec
Sr. Recovery Associate
BANTEC TPS Private Limited
2013.Jun - 2015.Jul
High School Diploma - Commerce
St. Vincent's College of Commerce
2011.Mar - 2013.Feb
Senior Secondary College -
St. Joseph's Boys High School
2009.Jul - 2010.Jun