Skylar Felder
Boynton Beach,FL
Summary
Claims Manager dedicated to quality investigation, adjustment and supervision of diverse cases. Blends strategic planning and leadership strengths to establish a top-performing claims department. Trains and mentors staff, while optimizing compliance with policies, procedures and applicable laws. Specializing in special projects such as collaborating on product development and business focused IT initiatives.
Overview
10
10
years of professional experience
1
1
Certification
Work History
National Claims Manager
Universal Property & Casualty Insurance
06.2023 - Current
- Improved claims processing efficiency by implementing streamlined workflow procedures.
- Reduced claim disputes by enforcing strict adherence to policy terms and conditions.
- Enhanced customer satisfaction with timely and accurate claims resolutions.
- Managed a team of supervisors and adjusters, providing coaching and performance feedback for improved productivity.
- Analyzed claims data, identifying trends and areas for improvement in processes and policies.
- Utilized advanced software tools to efficiently manage large caseloads and track progress on individual cases.
- Oversaw regular audits of claim files ensuring accuracy in reserve amounts and adherence to established guidelines.
National Claims Supervisor
Universal Property & Casualty Insurance
09.2017 - 06.2023
- Monitored team performance, enforcing compliance with corporate claims processes and procedures across 19 states.
- Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on claim activities.
- Optimized case management with establishment of best practices.
- Negotiated disputed represented and non-represented claims up to $500,000+, achieving successful resolution.
- Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to provide support during various catastrophe events.
- Worked as supervisor during Hurricane Irma closing 90% of claims filed in the first 90 days
- Reviewed and analyzed historical records, current operational data and forecasting information to identify and suggest policy corrections with executive management within claims and underwriting departments.
- Recruited, interviewed, hired and trained 20+ employees.
- Cultivated productive relationships with stakeholders, facilitating claims lifecycle.
- Cultivated and maintained relationships with independent adjusting firms.
- Worked on IT Claims Committee developing, testing, and implementing various business and policyholder technology solutions for a more efficient claims process
- Reported directly to executive management for special projects
Desk Examiner/National Desk Examiner
Universal Property & Casualty Insurance
02.2015 - 09.2017
- Verified insurance claims and determined fair amount for settlement.
- Researched claims and incident information to deliver solutions and resolve problems.
- Prepared summaries of damage, payments and policy coverage.
- Investigated and processed first party property insurance claims for policyholders.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Desk Examiner
Aplin Peer & Associates
08.2014 - 02.2015
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Investigated and processed subrogation claims for various property insurance carriers.
- Trained with field adjusters to learn daily claims tasks and processes
Education
Bachelor of Science - Marketing
University of Central Florida
Orlando, FL12.2013
High School Diploma -
Dillard High School - Emergent Technology Magnet
Fort Lauderdale2009
Skills
- Problem Anticipation and Resolution
- Conflict Resolution Tactics
- Claims Evaluations
- Employee Training Oversight
- Operational Reporting
- Business Relationship Management
- Customer Experience Evaluation
- Adaptable to Changing Conditions
- Inside Catastrophe Management
- Settlement Negotiation
- Pre-Litigation Claim Review
- Production Goals
- Trial Witness Testimony
- Corporate Representative
Certification
- Florida (Resident License)
- Alabama
- Delaware
- Georgia
- Indiana
- Michigan
- Minnesota
- New Hampshire
- New York
- North Carolina
- South Carolina
- West Virginia
Timeline
National Claims Manager
Universal Property & Casualty Insurance
06.2023 - Current
National Claims Supervisor
Universal Property & Casualty Insurance
09.2017 - 06.2023
Desk Examiner/National Desk Examiner
Universal Property & Casualty Insurance
02.2015 - 09.2017
Desk Examiner
Aplin Peer & Associates
08.2014 - 02.2015
Bachelor of Science - Marketing
University of Central Florida
High School Diploma -
Dillard High School - Emergent Technology Magnet
- Florida (Resident License)
- Alabama
- Delaware
- Georgia
- Indiana
- Michigan
- Minnesota
- New Hampshire
- New York
- North Carolina
- South Carolina
- West Virginia
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