Summary
Overview
Work History
Skills
Certification
Timeline
Generic
Rosalie Stout

Rosalie Stout

Eustace,TX

Summary

Organized and dependable QA Team Lead successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

8
8
years of professional experience
1
1
Certification

Work History

QA Team Lead

Alacrity Solutions
07.2024 - Current
  • Managed and motivated employees to be productive and engaged in work.
  • Accomplished multiple tasks within established timeframes.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Cross-trained existing employees to maximize team agility and performance.
  • Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
  • Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
  • Pull Weekly Statistic Reports on reviewer performance.
  • Perform weekly audits on reviewers to insure proper procedures are being followed and they are adhering to carrier guidelines.
  • Make sure guidelines and cheat sheets are up to date.
  • Answer questions from reviewers via Teams Chat, email and phone.
  • Reach out to reviewers for one-on-one's and coaching opportunities.
  • Update reviewer rankings weekly.
  • Assign claims throughout the day to keep claim volume flowing.
  • Organize weekly meetings to go over trends as well as listen to any feedback from reviewers in regard to adjuster trends.
  • Attend weekly meetings with Field Operations to relate trends being seen by adjusters.

Claims Examiner

Alacrity Solutions
03.2023 - 07.2024
    • Job duties include but are not limited to reviewing claims for Wind/Hail, Water Loss, Freezing Conditions, Large Loss, Commercial Lines, PA, and Contractor Supplements.
    • Carriers I have examined claims for: AMIG, Swyfft, SageSure/IAT, CHUBB, Erie.
    • Collaboration of estimates processed as warranted.
    • Ensured compliance with regulatory requirements for the claims examination process, maintaining a strong professional reputation within the industry.
    • Acted as a mentor for new examiners, sharing knowledge and providing guidance to help them excel in their roles.
    • Read over insurance policies to ascertain levels of coverage and limitations.
    • Adaptable and proficient in learning new concepts quickly and efficiently.
    • Paid attention to detail while completing assignments.

Eligibility Specialist

MAXIMUS Inc
08.2017 - 08.2021
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economy
  • Reviewed criteria for different aid programs to determine eligibility for various applicants
  • Cultivated effective fact-checking and research talents from daily reviews of program eligibility requirements
  • Explained eligibility details and options to clients with kindness and respect
  • Built customer confidence by actively listening to concerns and giving appropriate feedback,
  • Offered direction and gave constructive feedback to motivate team members,
  • Confirmed that appropriate changes were made to resolve customers' problems,
  • Answered customers' questions and addressed problems and complaints via phone

Skills

  • Symbility
  • Mobile Claims
  • Xactamate
  • Xactanalysis
  • Microsoft Office Suite
  • Insurance policy coverage knowledge
  • Claims Evaluation
  • Power BI
  • SharePoint
  • Policy analysis
  • Organizational Skills
  • Team mentoring
  • Quality process audits
  • Quality management
  • Corrective actions
  • Team Training
  • Performance evaluations
  • Statistical process control

Certification

Texas All Lines Adjuster, 02/01/23-11/01/25, Texas License# 2965214

Timeline

QA Team Lead

Alacrity Solutions
07.2024 - Current

Claims Examiner

Alacrity Solutions
03.2023 - 07.2024

Eligibility Specialist

MAXIMUS Inc
08.2017 - 08.2021

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Rosalie Stout