
Dynamic professional with a proven track record, excelling in customer service and problem-solving. Achieved high satisfaction ratings by effectively managing complex claims and fostering teamwork. Skilled in negotiating settlements and analyzing insurance policies, consistently driving positive outcomes and enhancing client relationships.
Conducted insurance fraud investigations on behalf of all insurance companies conducting business in the state in accordance with all New Jersey state regulation statutes. Acted as team lead while Auditing fraud plans submitted by companies doing business in New Jersey. Also traveled to conduct onsite audits. Conducted on-site market conduct examinations, including policies, claim file reviews to confirm adherence to state regulations. Made recommendations for corrections when necessary. Completed market conduct reports and submitted to the Department for approval. Analyzed and submitted reports on insurance companies business practices related to adjudicating and denying claims, identified and conducted analysis of market trends, submitted reports to the Department for approval.