GRETCHEN RIESS
Pittsburgh,PA
Summary
Results-driven Senior Claims Auditor with extensive expertise in state regulatory and compliance standards. A visionary team leader recognized for exceptional organizational, prioritization, and project management abilities that drive team success and operational efficiency. Strong commitment to excellence, professionalism, and a robust work ethic fosters an environment of continuous personal and professional growth. Passionate about promoting core values centered on belonging and inclusion, ensuring a collaborative workplace culture.
Overview
27
27
years of professional experience
Work History
Sr. Claims Auditor
Erie Insurance
04.1999 - Current
- Provides leadership, training, and mentoring to new hires and peers
- Delivers high-quality presentations to internal customers
- Conducts thorough audits of claims to ensure compliance with company policies and industry regulations.
- Collaborates and maintains effective working relationships with all levels of management
- Supports and promotes organizational change with a focus on continuous improvement
- Participates in ongoing professional development opportunities to stay current on industry trends, enhancing personal skill set and benefitting the organization.
- Contributes to departmental goals by consistently meeting or exceeding personal audit targets and deadlines.
- Champions and promotes the company's Belonging and Inclusion initiatives
Education
Bachelor of Arts - Speech Communication
Clarion University of Pennsylvania
Clarion, Pennsylvania1986
Accomplishments
- Awarded the COE Heart of Service award in 2022
- Recipient of the Robert Marion Award in 1999
- Copper Award for co-creating and spearheading the Mastering TEAMThink Strategies project, providing our internal customers in claims leadership with the knowledge and skill to conduct quality claim file reviews with confidence
- Silver Award for developing a team calibration document for state reviews that applies to all lines of business auditors resulting in significant time-saving process improvement for the Claims Quality Control department
- Bronze Award for co-developing, organizing, and leading Diversity & Inclusion Champion Level I and II study groups for the COE team members.
- Bronze Award for my contribution as a Change Champion for ECC Claims Refresh (R2)
Core Competencies
Collaboration
Self-development
Customer Focus
Values Diversity
Innovation
Nimble Learning
Professional Designations and Education
Associate in Claims (AIC) – 1997
Elevate Leadership Program - 2023
FOCUS Leadership Program - 2021
ASPIRE! Leadership Program - 2018
SPARK Program - 2020, 2021, 2022
Lean Six Sigma Green Belt certified - 2018
Community/Volunteer
- Boy Scouts of America – Chartered Organization Representative/committee member
- CureSearch for Children's Cancer - Ultimate Hike volunteer and Pittsburgh area training coach
Professional Affiliations
Women's Affinity Network – Coffee & Chat CommitteeLead
Diversity & Inclusion Champion
Timeline
Sr. Claims Auditor
Erie Insurance
04.1999 - Current
Bachelor of Arts - Speech Communication
Clarion University of Pennsylvania