Michael Hooyman
Appleton
Summary
Claims examiner with robust analytical skills and a successful history in dispute resolution. Proficient in compliance assessment and team training, driving operational efficiency. Detail-oriented in claims documentation and risk assessment, enhancing accuracy in claims processing. Strong analytical and problem-solving capabilities support organizational objectives.
Overview
19
19
years of professional experience
Work History
Claims Examiner
USIC Locating Services
Kaukauna
09.2023 - Current
- Reviewed claims for accuracy and compliance with company policies, resulting in multiple claim reductions.
- Analyzed documentation to assess claim validity and eligibility.
- Conducted investigations on disputed claims, ensuring thorough evaluations and resolutions.
- Communicated with clients to collect additional information for efficient claims processing.
- Maintained accurate records of claim decisions within the system.
- Collaborated with team members to resolve complex claims issues effectively.
- Managed workloads by prioritizing tasks based on urgency and importance.
- Performed data entry to update claim status in the computer system.
Supervisor
USIC Locating Services
Kaukauna
03.2019 - 09.2023
- Supervised daily operations of locating services team to maximize efficiency.
- Coordinated schedules and assignments for field technicians to streamline workflow.
- Trained new employees on safety protocols and equipment usage to ensure compliance.
- Reviewed team output for accuracy and quality, upholding high standards.
- Facilitated communication between field staff and management to enhance collaboration.
- Resolved conflicts and performance issues among team members to foster harmony.
- Implemented process improvements that boosted operational efficiency across teams.
- Monitored employee productivity, delivering constructive feedback and coaching.
Training Specialist
USIC Locating Services
Kaukauna
05.2016 - 03.2019
- Developed and delivered training programs for new employees at USIC Locating Services.
- Facilitated workshops to enhance team skills and knowledge retention.
- Created comprehensive training materials and manuals for operational procedures.
- Collaborated with management to identify training needs across departments.
- Assessed employee performance to enhance training effectiveness and engagement.
- Organized training sessions to ensure staff availability and participation.
- Provided ongoing support and resources to trainees during onboarding.
- Evaluated training outcomes and implemented improvements as needed.
Supervisor
USIC Locating Services
Kaukauna
05.2014 - 04.2016
- Supervised daily operations of locating services team to ensure optimal performance.
- Coordinated schedules and assignments for field technicians, enhancing workflow efficiency.
- Trained new employees on safety protocols and equipment use to uphold compliance.
- Reviewed completed work for accuracy and quality, ensuring adherence to standards.
- Facilitated communication between field staff and management to promote alignment.
- Resolved conflicts and addressed performance issues among team members proactively.
- Implemented process improvements that enhanced operational efficiency significantly.
- Maintained accurate records of employee performance, attendance, and disciplinary actions.
Utility Locator
USIC Locating Services
Kaukauna
07.2007 - 05.2014
- Conducted utility location surveys utilizing advanced detection equipment.
- Marked underground utility lines for construction projects with precision.
- Collaborated with contractors to promote safe excavation practices.
- Interpreted utility maps and schematics, identifying potential hazards.
- Provided training to new staff on locating techniques and safety protocols.
- Maintained equipment through regular checks for accuracy and reliability.
- Documented findings promptly, ensuring clear communication with project managers and clients.
- Responded swiftly to emergency situations following illegal excavations, implementing effective remediation measures.
Skills
- Claims analysis
- Compliance assessment
- Dispute resolution
- Claims documentation
- Data management
- Risk assessment
- Employee training
- Team Training
- Analytical skills
- Critical thinking
- Conflict management
- Problem-solving
- Investigation reporting
- Investigation techniques
Timeline
Claims Examiner
USIC Locating Services
09.2023 - Current
Supervisor
USIC Locating Services
03.2019 - 09.2023
Training Specialist
USIC Locating Services
05.2016 - 03.2019
Supervisor
USIC Locating Services
05.2014 - 04.2016
Utility Locator
USIC Locating Services
07.2007 - 05.2014