Floyd P. Lane Jr.
Sicklerville,N.J.
Summary
An accomplished professional with more than a decade of success as a business analyst, as well as providing resources in various fields of customer service including: banking, medical billing, and liability insurance claims. Duties included account maintenance, providing solutions to complex scenarios, as well as troubleshooting, and meeting sales objectives. A focused individual with meticulous preparation to details along with the ability to analyze intricate information in order to produce results.
Results-driven insurance professional with proven track record in managing claims operations and optimizing processes. Skilled in team leadership, conflict resolution, and strategic planning. Strong focus on collaboration and adaptability, ensuring reliable performance in dynamic environments. Known for analytical thinking and effective communication, driving consistent outcomes and operational excellence.
Overview
12
12
years of professional experience
Work History
Claims Operations Manager
Keystone Trust Assurance
04.2022 - Current
- Mentored junior staff members, fostering professional growth and knowledge sharing within the team.
- Conducted thorough investigations into suspicious or potentially fraudulent claims, reducing financial risk to the company.
- Streamlined claims operations by implementing efficient processes and technology solutions.
- Facilitated resolution of escalated customer complaints regarding claim decisions, restoring trust and preserving business opportunities where possible.
- Spearheaded cross-functional team collaboration to address complex claims issues and implement best practices.
- Reduced claim turnaround time with the introduction of automation in key operational areas.
- Implemented quality assurance measures to monitor accuracy and consistency in claim processing procedures.
Licensed Residential Real Estate Agent
Keller Williams
07.2023 - 10.2024
- Residential real estate sales
- Customer relations & service
- Sales and Marketing
- Client Networking
- Lead generation
- Property Appraisal
- Contract negotiations
Program Analyst
NVE, Inc
09.2021 - 04.2022
- Reviewed leases of government occupied buildings to ensure accuracy of terms
- Reported inaccuracies/inconsistencies with tax assessments
- Reviewed reports to track government payments to private landlords
- Escalated reports to leadership of rectify inaccuracies of lease terms
Medical Claims Biller
Professional Receivables Network
02.2016 - 08.2021
- Maintaining patient confidentiality and information security
- Using ICD 9-10 codes to bill insurance providers
- Reading and analyzing patient records
- Analyze Explanation of Benefits (EOB) to verify insurance company compensations are reimbursed per Pennsylvania motor vehicle Act 6/Act 44 workers comp insurance statutes/ New Jersey state fee schedules/Insurance company’s contracts with various providers
- Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
- Timely follow up on insurance claim denials, exceptions or exclusions
- Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles
Liability Claims Adjuster
Liberty Mutual Insurance Company/Safeco Insurance
01.2014 - 04.2015
- Investigate and process insurance claims filed by policyholders.
- Interview claimant and witnesses to gather pertinent information.
- Evaluate all information to determine how claim should be handled.
- Negotiate with claimant to settle claim.
- Issue payout amounts.
- Examine photographs and statements.
- Verify that coverage applies through an insurance policy.
Education
Green Jobs Training Program through the Hispanic Family Center/Center for Energy and Environment Training
Camden, N.J.undefined
Licensed New Jersey Real Estate Agent, Keller Williams
09.2025
undefined
Don Haven Real Estate School
Cherry Hill, NJ06.2023
Business Management
North Carolina Central University
Durham, N.C.01.2000
High School Diploma - undefined
Camden High School
06.1997
Skills
- Skilled in managing multiple projects
- Proficient in managing sensitive data
- Effective team manager
- Proactive approach has lead to acquiring numerous accounts and expanding the client base
- Thorough knowledge of state medical workers comp/motor vehicle Act 6/Act 44 statutes, as well as New Jersey medical fee schedules and contracts with providers
- Strategic thinker with self-motivation to adapt to a variety of working environments
Timeline
Licensed Residential Real Estate Agent
Keller Williams
07.2023 - 10.2024
Claims Operations Manager
Keystone Trust Assurance
04.2022 - Current
Program Analyst
NVE, Inc
09.2021 - 04.2022
Medical Claims Biller
Professional Receivables Network
02.2016 - 08.2021
Liability Claims Adjuster
Liberty Mutual Insurance Company/Safeco Insurance
01.2014 - 04.2015
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Licensed New Jersey Real Estate Agent, Keller Williams
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Don Haven Real Estate School
Business Management
North Carolina Central University
High School Diploma - undefined
Camden High School
Green Jobs Training Program through the Hispanic Family Center/Center for Energy and Environment Training
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