Results-driven Claims Quality Auditor with extensive experience at Liberty Mutual, excelling in claims analysis and documentation review. Proven track record in enhancing claims processing efficiency and leading successful negotiations. Strong analytical skills combined with effective communication fostered team growth and improved service delivery. Committed to upholding best practices in auditing and claims management.
Internal Audits: Conducted branch office claim file audits of national account customers to substantiate or refute service issues. Evaluated internal branch office files for adherence to company Best Practice criteria
External Audits: Reviewed self-administered claims files managed by corporate Risk Management Departments or those conducted by Third Party Administrators to assess efficiencies, litigation effectiveness and loss reserve adequacy.