Knowledgeable Life Insurance Claims Analyst with experience in analyzing and processing claims accurately and efficiently. Proven track record in resolving complex claims and ensuring compliance with industry standards. Adept at balancing empathy with precise, policy-aligned decision making to ensure fair and timely outcomes.
Skills
Claims analysis
Regulatory Compliance
Attention to Detail
Decision Making
Problem Solving
Customer Focus
Collaboration
Written communication
Compliance analysis
Work History
Claims Analyst
5 Years 9 Months
Lincoln Benefit Life | 01.2021 - Current
Oversaw complex life insurance claims exceeding $500,000, ensuring thorough evaluation and resolution.
Audited policy and claim files for compliance and accuracy, enhancing claim integrity.
Verify benefit calculations and ensure alignment with policy terms.
Presented escalated cases to legal, fraud, and compliance teams, facilitating informed decision-making.
Communicate with agents, attorneys, trustees, and beneficiaries.
Claims Analyst
6 Years
DXC Technology | 01.2015 - 01.2021
Administered Disability Income, Accelerated Death, and Waiver of Premium claims, ensuring compliance with policy guidelines.
Review policies and riders to determine eligibility and benefit levels.
Process benefits within authority limits and recommend decisions.
Processed benefits within authority limits, recommending decisions that aligned with company standards.
Supported new business transitions through comprehensive testing and thorough administrative review.
President/Owner
22 Years
Signs By Tomorrow Inc. | 01.1993 - 01.2015
Oversaw business operations, integrating customer service, sales, staffing, production, and accounting.
Directed company operations, aligning sales, production, and customer service with business objectives.
Established long-term growth strategies for signage services, pricing, and market positioning.
Oversaw budgeting, forecasting, and resource allocation to maintain financial stability.
New Business Analyst
6 Years
Paul Revere Insurance Co. | 01.1987 - 01.1993
Evaluated and processed disability insurance applications to ensure compliance.
Coordinated with underwriting and sales teams to resolve submission discrepancies.
Director, Marketing Services
8 Years
United Corporation of America | 01.1979 - 01.1987
Oversaw group health operations, ensuring seamless coordination between life and health departments.