Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Gloria Fly

Lenexa,KS

Summary

To work in an underwriting support position while utilizing the insurance knowledge and experience I have to give the insured optimal service.

Overview

22
22
years of professional experience

Work History

Specialist, USET

AIG
05.2023 - Current
  • In depth understanding of coverages and program structures.
  • Excellent attention to detail to ensure accuracy on policy issuance.
  • Create Loss Run reports with appropriate valuation date.
  • Generate reports with compliance results.
  • Presentations to three different underwriting groups each week to discuss policies and create an action plan to keep issuance within Service Legal Agreements.
  • Provide underwriting support for three groups of underwriters.
  • Contact brokers for needed documents to create policies.
  • Process all post-bind transactions.

Sr. Underwriter Associate International Business

Swiss Re
08.2022 - 05.2023
  • Created International Business deals in system with Producing Office and Local Office financials, premiums, and taxes.
  • Collaborate with international counterparts to bring deal process to Final status.
  • Bi-weekly presentations for the International Program Manager on the status of business deals.
  • Created excel report that was referred to for the bi-weekly meetings.

Underwriter Associate

Swiss Re
01.2018 - 08.2022
  • Maintain policy files per standard operating procedure.
  • Working within time guidelines for policy issuance and endorsement issuance.
  • Supported six underwriters and for three months supported nine underwriters until a new hire was found.
  • Trained new hires to all systems and procedures.
  • Subject Matter Expert for all systems.

Claims Analyst

Unified Life Ins.
11.2016 - 01.2018
  • Review medical billings and process per policy guidelines.
  • Determine if surgical procedures are considered pre-existing and process payments.
  • Review policy certificates for coverage of insurance to adjudicate claims.

Bodily Injury Auto Adjuster

ACCC Ins.
04.2016 - 10.2016
  • Experience with processing Med Pay and PIP claims.
  • Investigate claims to determine liability for processing per state guidelines.
  • Communicate with policyholders and attorneys in regard to coverage questions.


Global Accident & Health Claims Examiner II

AIG
01.2008 - 03.2016
  • Manage the eligibility, coverage investigation and payment for Bodily Injury and Sickness claims. Area of expertise included Weekly Accident Indemnity Claims, Temporary Total Disability Clams, Indemnity Benefit Claims and Medical Payments.
  • Communicate orally and in writing with policyholders, providers, broker and attorneys.
  • Department expert for ERISA policies and procedures for pro-rata 50/50 split with insurance companies dependent on circuit decisions.
  • Determine Subrogation and Fraud Potential.

Service Coordinator

AIG
01.2006 - 01.2008
  • Responsible for servicing Workers' Compensation and Casualty policies.
  • Coordinating and conducting File Reviews for Core accounts.
  • Review Loss Run info reports and refer insureds to Risk Management as needed. Referral to Nurse Case Manager for Workers' Compensation claims as needed.
  • Account liaison between insured, underwriters and adjusters.
  • Worked with underwriters to create Special Account Instructions.
  • Determine Self Insured Retention level to limit the risk for Workers' Compensation insureds.

Claims Set Up Technician

AIG
01.2003 - 01.2006
  • Loss notice & assignment; verify and determine applicable policy coverage
  • Determining commercial property/casualty, general liability coverage, and Workers' Compensation
  • Working within time sensitive deadlines for Performance Guaranteed accounts
  • Training new hires on system and business procedures of position.

Education

Washington High School
Kansas City, KS

Skills

  • Excellent interpersonal and verbal communication skills
  • Ability to ensure that Best Claim Practices are followed
  • Excellent organizational skills in a diary driven environment
  • Strong problem skills
  • Solid computer skills, proficient in Word and Excel

Accomplishments

    AIC 34 Managing Bodily Injury

Timeline

Specialist, USET

AIG
05.2023 - Current

Sr. Underwriter Associate International Business

Swiss Re
08.2022 - 05.2023

Underwriter Associate

Swiss Re
01.2018 - 08.2022

Claims Analyst

Unified Life Ins.
11.2016 - 01.2018

Bodily Injury Auto Adjuster

ACCC Ins.
04.2016 - 10.2016

Global Accident & Health Claims Examiner II

AIG
01.2008 - 03.2016

Service Coordinator

AIG
01.2006 - 01.2008

Claims Set Up Technician

AIG
01.2003 - 01.2006

Washington High School

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Gloria Fly