Experienced in processing Directors & Officers, Employment Practice Liability, Fiduciary, Crime, Automobile, Property, Errors & Omissions, Professional Legal Liability claims in high-volume environments. Successful at managing complete claims process with minimal direction as well creating a comprehensive analysis of the loss data and developing detailed training plans. Bringing 10 years of related experience.
Overview
12
12
years of professional experience
Work History
Senior Claims Advocate
Healthcare Risk Advisors
New York, NY
01.2016 - Current
Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim
Maintained detailed records of all claim activities including notes about conversations with claimants or representatives
Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment
Determined covered insurance losses by studying provisions of policies or certificates
Collaborated with other departments within the organization to resolve issues related to claims processing
Assisted claimants, providers and clients with problems or questions regarding claims
Organized information by using spreadsheets, databases or word processing applications
Participated in continuing education seminars related to industry standards for insurance claims processing.
Loss Control and Training Specialist
Healthcare Risk Advisors
New York, NY
01.2013 - Current
Analyzed data from incident reports to identify trends in order to develop targeted strategies for reducing losses
Created detailed recommendations for improving processes or procedures related to risk management
Implemented both individual and group training for executive and loss prevention personnel
Participated in meetings with senior leadership teams to discuss loss control initiatives
Collaborated with other departments to ensure that loss prevention goals are met
Coordinated with subject matter experts to develop content that aligned with client organizational goals
Collaborated with subject matter experts, vendors and third-party training providers to support learning and development strategy
Ensured accuracy of all training documents such as manuals, presentations, handouts
Evaluated effectiveness of training by using feedback surveys, focus groups and other relative means.
Executive Assistant
Healthcare Risk Advisors
New York, NY
10.2011 - 01.2013
Prepared reports, presentations, agendas, minutes, and other documents as needed by the executive staff and clients
Performed data entry tasks into various software programs including MS Excel spreadsheets as well as data analysis for presentations given by executives
Organized and managed complex calendar of appointments, meetings, and travel arrangements for executive team
Maintained confidential records and files related to executive operations
Coordinated with internal departments on a regular basis to ensure efficient functioning of day-to-day operations.
Education
Bachelor of Arts - Communications
North Carolina State University
12.2023
Skills
Incident and Accident Reports
Time Management
Data Analysis
Insurance Claims Review
Policy Knowledge and Understanding
Risk Management
Critical Thinking
Training Program Design
Schedule Coordination
Project Management
Interests
Activities and Honors
Commissioner of McCarren Saturday Softball League
Organizer of Charity Softball Tournaments for New York based Non-Profits