Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

JOHN OMARA

LONGWOOD,FL

Summary

Dynamic Senior Claims Initiatives Specialist with extensive experience at LTCG/Illumifin Corp, excelling in complex underwriting, claims and fraud investigations and client consulting. Proven track record in enhancing operational efficiency and mentoring teams. Expert in analytical thinking and quality assurance, driving significant improvements in service delivery and compliance standards.

Overview

30
30
years of professional experience
1
1
Certification

Work History

Senior Claims Initiatives Specialist

LTCG/Illumifin Corp
Hudson, WI
04.2023 - Current
  • Lead investigation of complex claims and underwriting cases
  • Subject Matter expert to complex claim, underwriting and fraud teams
  • Provide consulting services to existing and potential clients
  • Partner with VP claims on claim and underwriting audits

Senior Auditor

LTCG/Illumifin Corp
Hudson, WI
03.2020 - 04.2023
  • Led comprehensive audits to assess financial accuracy and compliance with company practice standards.
  • Developed audit plans to identify risks and improve internal controls across departments.
  • Mentored auditors, underwriters and case managers, fostering skills in audit methodologies and best practices.
  • Created client monthly summary reports

Manager, Claims

LTCG/Illumifin Corp
Hudson, WI
01.2005 - 03.2020
  • Led claims and care management teams to enhance operational efficiency and streamline processes.
  • Developed training programs to elevate team performance and ensure compliance with company standards.
  • Implemented strategic initiatives that improved service delivery and customer satisfaction rates.
  • Analyzed operational data to identify trends and drive continuous improvement efforts.
  • SME for department for new client implementation.

Manager, Underwriting

LTCG/Illumifin
Hudson, WI
04.2000 - 01.2005
  • Streamlined underwriting process in collaboration with IT
  • Significantly decreased underwriting cyle through the use of automation decreasing labor costs for front end application processing.
  • Developed and executed training programs for staff to improve performance and productivity.
  • Analyzed performance metrics to identify areas of improvement and drive operational excellence.

Underwriter

CNA Insurance Companies
Maitland, FL
12.1995 - 04.2000
  • Evaluated Long Term Care insurance applications, analyzing risk factors and financial data for accurate underwriting decisions.
  • Collaborated with agents to gather necessary documentation and clarify underwriting requirements.
  • Led underwriting appeals panel to ensure underwriting guideline were followed and if additional requirement are needed.
  • Mentored junior underwriters, providing training on best practices and industry regulations.

Education

Bachelor of Science - Nursing

Molloy College
Rockville Centre, NY
06-1988

Skills

  • Customer relations
  • Expert problem solving
  • Analytical thinking
  • Documentation management
  • Quality Assurance
  • Management collaboration
  • Coaching and mentoring

Certification

Certified Case Manager

Fellow, Life Management Institute

Long Term Care Professional

Timeline

Senior Claims Initiatives Specialist

LTCG/Illumifin Corp
04.2023 - Current

Senior Auditor

LTCG/Illumifin Corp
03.2020 - 04.2023

Manager, Claims

LTCG/Illumifin Corp
01.2005 - 03.2020

Manager, Underwriting

LTCG/Illumifin
04.2000 - 01.2005

Underwriter

CNA Insurance Companies
12.1995 - 04.2000

Bachelor of Science - Nursing

Molloy College
JOHN OMARA