Jennifer Platt
Austin,TX
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help the team achieve company goals. Detail-oriented Claims Manager with 7 years experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of the claims process and RMIS system.
Overview
10
10
years of professional experience
Work History
Insurance Claims Manager
Corvias
08.2022 - Current
- Manage the insurance claims documentation and submittal process associated with all types of coverage including worker's compensation, general liability, auto, property, cyber, and environmental/pollution claims.
- Facilitate timely reporting of all insurance incidents and claims entered into the RIMS system and to the appropriate insurance carrier when required.
- Verify completion of all phases of the claim submittal process including information gathering and detailed documentation.
- Review and confirm details of incident reports received and provided support to employees and business leads through continued communication and follow-up to questions and documentation.
- Monitor and communicate claim progress while working with internal and external stakeholders.
- Follow processes and track progress through all phases of the claims process in the RMIS system. Proactively track time horizon and claim deadlines.
- Support insurance policy premium payment process including invoice submittal and tracking, project allocations, and budgeting.
- Evaluate and modify administrative processes and operational procedures as needed.
- Create forms, tools, and guidelines to capture the required documentation and streamline exchange.
- Recognize claims trends and alert Environmental Health and Safety regarding those trends.
Claims Manager, Shared Services Human Resources Team
Jollibee Foods North America
05.2021 - 08.2022
- Managed all claims for 5 different company brands.
- Improved claims processing efficiency by implementing streamlined workflow procedures.
- Reduced claim disputes by enforcing strict adherence to policy terms and conditions.
- Enhanced customer satisfaction with timely and accurate claims resolutions.
- Managed adjusters, and provided coaching and performance feedback for improved productivity.
- Developed training materials to ensure consistent handling of claims across departments.
- Analyzed claims data, identifying trends and areas for improvement in processes and policies.
- Conducted thorough investigations of complex claims, gathering evidence to support decision-making processes.
- Streamlined communication between adjusters and clients, expediting claim resolution times.
Global Claims Analyst Worker’s Compensation, Legal Team
Whole Foods Market
11.2018 - 04.2021
- Reduced claims processing time by implementing efficient analytical techniques and strategies.
- Supported internal audit initiatives by providing detailed documentation of claims handling procedures as required for compliance purposes.
- Assisted clients throughout the entire lifecycle of their claim, from initial filing to final settlement or denial determination.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Global Claims Analyst General Liability, Legal Team
Whole Foods Market
07.2016 - 11.2018
- Reduced claims processing time by implementing efficient analytical techniques and strategies.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner.
- Streamlined workflow processes for improved efficiency and reduced claim resolution times.
- Collaborated with cross-functional teams to develop best practices for claim handling procedures.
- Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
- Provided exceptional customer service by promptly addressing inquiries from policyholders, agents, and other stakeholders regarding the status of their claims.
- Developed comprehensive reports for management review, highlighting key metrics related to claim volume, processing times, and settlement amounts.
- Participated in ongoing training programs to stay current on industry developments and maintain a strong understanding of relevant laws and regulations affecting the claims process.
Sales and Service Specialist
State Farm Agent Lynn Osler
10.2013 - 06.2016
- Increased sales revenue by consistently meeting and exceeding sales targets through effective product presentation and client relationship management.
- Delivered exceptional customer service, resulting in increased repeat business and client referrals.
- Developed strong rapport with customers, fostering loyalty and trust for sustained business growth.
- Implemented successful sales strategies to identify new leads and expand market presence.
- Provided expert product knowledge, demonstrating the value proposition of offered services or products to prospective clients.
- Managed a diverse portfolio of accounts by maintaining strong relationships with key decision-makers and stakeholders, leading to increased revenue generation.
Education
Some College (No Degree) - Psychology
St. Edwards
Austin, TXSkills
- MS Office
- Good Telephone Etiquette
- Multitasking Abilities
- Google Drive
- Decision-Making
- Fluent in Spanish
- Analytical Thinking
Languages
Spanish
Native or Bilingual
Timeline
Insurance Claims Manager
Corvias
08.2022 - Current
Claims Manager, Shared Services Human Resources Team
Jollibee Foods North America
05.2021 - 08.2022
Global Claims Analyst Worker’s Compensation, Legal Team
Whole Foods Market
11.2018 - 04.2021
Global Claims Analyst General Liability, Legal Team
Whole Foods Market
07.2016 - 11.2018
Sales and Service Specialist
State Farm Agent Lynn Osler
10.2013 - 06.2016
Some College (No Degree) - Psychology
St. Edwards