KEMID D. KOVATS
Phoenix,NC
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
26
26
years of professional experience
Work History
Senior Investigator - Critical Response Team
Uber Technologies, Inc
02.2021 - 05.2025
- Led complex investigations into operational incidents, ensuring compliance with regulatory standards.
- Developed and implemented investigative protocols to enhance data accuracy and reporting efficiency.
- Mentored junior investigators, fostering skill development and knowledge sharing within the team.
- Analyzed incident trends to identify root causes, resulting in improved safety measures across operations.
- Collaborated with cross-functional teams to address emerging risks and implement preventive strategies.
- Conducted thorough reviews of case files, ensuring meticulous documentation and adherence to legal requirements.
- Streamlined investigative processes through technology integration, reducing turnaround times for case resolutions.
- Presented findings to executive leadership, informing strategic decisions on risk management initiatives.
Group Claim Associate Analyst
Cigna Group Insurance
04.2017 - 08.2020
- Processed insurance claims efficiently, ensuring adherence to company guidelines and industry regulations.
- Evaluated claims for accuracy, identifying discrepancies and facilitating timely resolutions.
- Collaborated with cross-functional teams to enhance claim processing workflows and improve customer satisfaction.
- Mentored junior associates, providing guidance on best practices for claim assessment and documentation.
- Analyzed trends in claim submissions to identify areas for operational improvement and efficiency gains.
- Developed training materials for new hires, streamlining onboarding processes and enhancing team performance.
- Consistently met or exceeded performance metrics in key areas such as accuracy, timeliness, and customer satisfaction ratings.
- Managed a high volume of claims efficiently by prioritizing tasks in a fast-paced environment.
- Demonstrated advanced technical skills in navigating internal systems for efficient record-keeping and data management related to claim files.
Senior Claims Examiner
Matrix Absence Management
10.2012 - 03.2017
- Led claims adjudication process, ensuring compliance with regulatory guidelines and company policies.
- Mentored new hires during their onboarding process, sharing insights from years of experience as a Senior Claims Examiner.
- Coordinated with medical professionals to obtain necessary documentation for evaluating injury claims accurately.
- Negotiated settlements with claimants, balancing fairness with fiscal responsibility to the company.
- Mitigated company risk by identifying fraudulent activities and implementing preventative measures.
- Handled high-profile cases professionally, maintaining confidentiality while achieving satisfactory resolutions.
- Collaborated with legal counsel on complex claims, ensuring compliance with regulatory guidelines.
- Interviewed claimants and witnesses to gather factual information.
Remote Access Technician
Shared Technologies
01.1999 - 10.2012
- Diagnosed and resolved technical issues with telecommunications equipment.
- Implemented preventive maintenance protocols to enhance system reliability.
- Collaborated with cross-functional teams to address customer needs effectively.
- Conducted quality control checks to ensure compliance with industry standards.
- Performed troubleshooting and diagnosis on malfunctioning equipment.
- Increased customer satisfaction with prompt and knowledgeable support for various technical issues.
- Maintained meticulous records of maintenance activities, ensuring compliance with industry standards.
Education
High School Diploma -
Paradise Valley High School
Phoenix, AZ06.1995
Some college - Nursing and Health/Wellness
Maricopa Community Colleges, Paradise Valley Community College
Phoenix, AZSkills
- Skilled in Microsoft Office applications
- Adaptable in office and remote settings
- Advanced customer support skills
- Foundational SQL understanding
- Meticulous attention to detail
- Relationship management with stakeholders
- Critical thinking in investigations
- Integrity and transparency
- Resilient in challenging situations
- Collaborative teamwork
Accomplishments
- Consistent customer satisfaction
- Promotion to high positions
- Assistance to training departments with ideas for improvement
- Ability to go above and beyond by way of a 'can do' mindset
- Positive and helpful attitude
Timeline
Senior Investigator - Critical Response Team
Uber Technologies, Inc
02.2021 - 05.2025
Group Claim Associate Analyst
Cigna Group Insurance
04.2017 - 08.2020
Senior Claims Examiner
Matrix Absence Management
10.2012 - 03.2017
Remote Access Technician
Shared Technologies
01.1999 - 10.2012
High School Diploma -
Paradise Valley High School
Some college - Nursing and Health/Wellness
Maricopa Community Colleges, Paradise Valley Community College
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