Katina Harris
Columbia,SC
Summary
Analytical Claims Manager managing internal functions of teams, promoting high levels of quality production and overseeing specialized operational functions. Constructed concurrent objectives to promote efficiency and influence positive outcomes. Dedicated to team success while solving problems with minimal oversight.
Overview
11
11
years of professional experience
Work History
Life Claims Manager
Combined Insurance
Columbia, SC
08.2023 - Current
- Monitored the performance of adjusters to ensure accuracy, timeliness and compliance with departmental standards.
- Provided training and guidance on best practices for handling new and existing claims.
- Developed procedures to streamline the claims process, improving overall efficiency.
- Resolved escalated customer issues by providing effective solutions in a timely manner.
- Ensured compliance with all applicable laws, regulations, policies and procedures related to claims processing.
- Managed team members effectively to meet high production standards with accurate results.
Life Claims Supervisor
Colonial Life Insurance
Columbia, SC
10.2021 - 08.2023
- Managed team members effectively to meet high production standards with accurate results.
- Motivated team members to maintain targeted turnaround time to obtain processing goals.
- Collaborated with quality team regarding quality assurance reviews.
- Monitored objectives to determine effectiveness of workflows, facilitating training and mentoring for improvement.
- Oversaw onboarding processes for new team members, delivering training on claims handling.
- Reviewed settlements, litigation and team best practices to maintain high standards of quality.
Voluntary Life Benefits Specialist IV
Colonial Life Insurance
Columbia, SC
02.2020 - 10.2021
- Advanced knowledge of Life & Critical Illness applications and policies.
- Audits and approves claims submitted by examiners that are over their approved payment limit.
- First point of contact for team questions; serves as the SME (Subject Matter Expert).
- Responsible for reviewing and resolving complex claims issues which may include escalations and complaints.
- Responsible for training new hires on our products and claims adjudication.
- Facilitates claim roundtable discussion meetings.
- Adjudication of Life & Critical Illness claims to include contestable, non-contestable, and pre-existing condition review based on capacity.
Voluntary Life Benefits Specialist III
Colonial Life Insurance
Columbia, SC
10.2013 - 01.2020
- Performed timely and accurate adjudication of Life & Critical Illness claims to include contestable, non-contestable, and pre-existing condition review.
- Researched potential premium and coverage issues as well as coordinated with other areas such as Underwriting or Life Administration Services.
- Communicated with clients verbally or through written correspondence to ensure satisfaction and resolution of problems.
- Responded to complaint files with the Department of Insurance in various states.
Education
Master of Business Administration -
Webster University
08.2019
Bachelor of Arts - English
University of South Carolina
05.1995
LOMA – -
09.2020
FLMI Level 1 Certification -
Skills
- Policy Interpretation
- Procedure Implementation
- Team Management
- Regulatory Compliance
- Coaching and Mentoring
Accomplishments
Recognized as a top employee for outstanding performance and team contributions.
2019 Aspire Attendee
Aspire is Unum's signature employee recognition conference. The event recognizes employees who have helped the company reach new heights, achieve new levels of excellence and overcome new challenges. Attendees are selected from several areas of employees by their peers and/or management based on their passion for achieving results, a willingness to own it and an unwavering customer focus just to name a few. I had the distinct pleasure to be one of the 2019 Aspire attendees.
Timeline
Life Claims Manager
Combined Insurance
08.2023 - Current
Life Claims Supervisor
Colonial Life Insurance
10.2021 - 08.2023
Voluntary Life Benefits Specialist IV
Colonial Life Insurance
02.2020 - 10.2021
Voluntary Life Benefits Specialist III
Colonial Life Insurance
10.2013 - 01.2020
Master of Business Administration -
Webster University
Bachelor of Arts - English
University of South Carolina
LOMA – -
FLMI Level 1 Certification -
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