Seasoned Risk Analyst with comprehensive experience identifying and analyzing areas of potential risk. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
9
9
years of professional experience
Work History
Claims Resolution Specialist
LIBERTY MUTUAL INSURANCE COMPANY
11.2021 - Current
Explained policy coverage, liability and denials to policyholders, and other involved parties.
Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
Conducted full claim investigations and reported updates and legal actions.
Negotiated with other involved parties to arrange settlements for maximum results.
Conducted risk evaluations on claims settlement proposals to encourage sound decision-making regarding settlement offers.
Drafted and reviewed legal documents utilizing knowledge of relevant clauses to minimize incurred liability.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Conducted day-to-day administrative tasks to maintain claim files.
Investigated and assessed damage to property and reviewed property damage estimates.
Coordinated services such as estimates, repairs, itemizing damages and finding alternative living arrangements.
Identified suspicious losses and contacted the appropriate department for investigative assistance.
Sent active referrals to the appropriate departments for additional claim handling, ie subrogation, large loss, field and water mitigation.
Quality Assurance Analyst III
Wells Fargo
12.2014 - 11.2021
Supported company in maintaining work environment focused on quality, communication, collaboration, integration, and teamwork.
Reviewed public-facing information for accuracy, relevancy and timeliness as desired by leadership.
Participated in requirements and used case reviews.
Adhered to standardized software quality assurance best practices, root cause analysis, policies and processes.
Fixed identified issues to improve workflows.
Reported progress, test metrics and results to project stakeholders.
Documented testing procedures for developers and future testing use.
Gathered data on integration issues and vulnerabilities, reported findings and recommended improvements.
Developed short-term goals and long-term strategic plans to improve risk control and mitigation.
Investigated allegations to check validity and recommend actions to minimize risk.
Implemented financial risk management policies, limits and strategies that complied with standards and strategic imperatives of organization.
Completed statistical reviews to uncover trends, patterns and variations.
Assisted investigation and risk management teams with fraud investigations and risk identification.
Identified gaps in existing compliance processes and recommended updates.
Education
No Degree - Education
Richard M Daley College
Chicago, IL
No Degree - Education
Chicago State University
Chicago, IL
Skills
Fraud Analysis
Microsoft Office
Financial Analysis
Analytical Mindset
Regulatory Compliance
Risk Assessment
Data Analysis
Internal Controls
Operational Efficiency, Data Communications, Work Organizing and Prioritizing
Bilingual Customer Service Representative at LIBERTY MUTUAL INSURANCE COMPANYBilingual Customer Service Representative at LIBERTY MUTUAL INSURANCE COMPANY