Demetra Bristow
Woodbridge
Summary
Results-driven claims manager specializing in regulatory compliance and process optimization. Demonstrated expertise in efficiently resolving customer issues and enhancing claims processing across various insurance products. Proven track record of implementing innovative solutions that improve operational efficiency.
Overview
1997
1997
years of professional experience
1
1
Certification
Work History
Lucent Technologies
Lucent Technology (AT&T)
Morristown
02.1996 - 06.1996
- Executed day-to-day duties with precision and efficiency.
- Contributed innovative solutions to enhance team performance.
- Collaborated with diverse coworkers to meet project goals and resolve issues.
- Worked closely with team members to achieve project objectives within deadlines.
- Provided support and guidance to foster a collaborative work environment.
- Utilized various software tools to streamline processes and optimize performance.
- Developed functional solutions that resulted in significant cost savings.
Manager
AT&T
Morristown
07.1994 - 02.1996
- Streamlined daily operations to ensure efficient service delivery.
- Trained new employees on company policies and customer service standards, ensuring consistent service quality.
- Oversaw inventory management, maintaining optimal stock levels.
- Resolved customer inquiries and complaints promptly.
- Facilitated interdepartmental communication, enhancing workflow efficiency.
- Coached and mentored team members, fostering skill development and enhancing overall team capabilities.
- Provided leadership during organizational changes and crises.
- Maintained accurate records of employee attendance, payroll, and vacation requests, supporting effective workforce management.
Claims Manager
Global Indemnity Insurance
Edison
- Managed claims processing across various insurance products to ensure efficiency.
- Negotiated settlement agreements between claimants and insurance companies.
- Resolved escalated customer issues by providing timely, effective solutions that improved customer satisfaction.
- Prepared comprehensive reports on claim statuses and activities to inform management decision-making.
- Submitted accurate claims to minimize denial rates per payer reimbursement guidelines.
- Ensured compliance with applicable laws, regulations, policies, and procedures in claims processing.
- Established relationships with external partners, including adjusters and medical providers, to facilitate efficient claims resolution.
- Conducted regular audits of departmental performance metrics to maintain accuracy.
Skills
- Project management
- Data analysis
- Regulatory compliance
- Claims processing
- Performance auditing
- Process optimization
- Customer service
- Team building
- Collaboration
- Relationship management
- Conflict resolution
- Innovative problem solving
- Leadership development
Certification
Property & Casualty
Timeline
Lucent Technologies
Lucent Technology (AT&T)
02.1996 - 06.1996
Manager
AT&T
07.1994 - 02.1996
Claims Manager
Global Indemnity Insurance