Elizabeth Hickle

Claims Manager

UAIC

Miami, FL

12.1995 - Current

Managed a team of 30 claims adjusters and 4 supervisors, ensuring that all customer inquiries were responded to in a timely manner.
Reviewed and approved complex claim settlements, making sure they were within policy guidelines.
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.
Analyzed data from previous claims to identify trends and areas for improvement.
Resolved escalated customer issues by providing effective solutions in a timely manner.
Identified potential fraud cases by conducting investigations into suspicious activity.
Prepared detailed reports on claim status and activities for management review.
Ensured compliance with all applicable laws, regulations, policies and procedures related to claims processing.
Collaborated with other departments to investigate potential coverage disputes or discrepancies.
Negotiated settlement agreements between claimants and insurance companies when necessary.
Created processes for tracking open cases, monitoring progress towards resolution goals.
Maintained accurate records of all claim activities including payments, denials and appeals.
Participated in industry events such as conferences or seminars related to claims management.
Conducted regular audits of the department's performance metrics to ensure accuracy.
Provided technical support to staff members regarding system upgrades or changes in procedure.
Trained new team members on policies and procedures for claims handling.
Managed team members effectively to meet high production standards with accurate results.
Motivated team members to maintain targeted turnaround time to obtain processing goals.
Oversaw onboarding processes for new team members, delivering training on claims handling.
Monitored objectives to determine effectiveness of workflows, facilitating training, and mentoring for improvement.
Conducted meetings to discuss issues and find pertinent solutions to problems.
Collaborated with quality team regarding quality assurance reviews.
Engaged in continuous professional development, staying abreast of industry trends, legal developments, and best practices in claims management.
Facilitated team meetings to discuss complex cases, share best practices, and coordinate multi-disciplinary response strategies.
Oversaw the handling of catastrophic claims, mobilizing resources and coordinating with emergency services for rapid response.