Tanya James
Dover,DE
Summary
Detail-oriented claims specialist recognized for strong problem-solving and teamwork skills. Experienced in managing complex claims investigations and fostering collaboration across departments to achieve successful resolutions.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Sr. Claims Specialist
Zurich American Insurance
Parsippany, NJ
03.2021 - 02.2026
- Analyzed and processed complex claims to ensure compliance with policy guidelines.
- Collaborated with cross-functional teams to resolve claim disputes effectively.
- Mentored junior claims specialists on best practices and procedural efficiency.
- Developed training materials for new hires, enhancing onboarding processes.
Claims Team Manager
Gallagher Bassett Services Inc.
New York, NY
02.2014 - 03.2021
- Led claims processing team, ensuring accuracy and compliance with regulatory standards.
- Developed training programs to enhance staff skills and improve claims resolution efficiency.
- Implemented process improvements that reduced claim turnaround time significantly.
- Analyzed claims data to identify trends, driving strategic decision-making initiatives.
- Managed complex claims investigations, coordinating efforts between stakeholders for successful outcomes.
Claims Team Manager
Liberty Mutual
Elmsford, NY
11.1995 - 10.2014
- Collaborated with cross-functional teams to streamline workflows and enhance communication channels.
- Mentored junior team members, fostering professional growth and increasing team productivity.
- Oversaw performance metrics, providing regular feedback to elevate service quality standards.
- Conducted thorough investigations of disputed claims, leading to successful resolutions and settlements for clients.
- Led a highly effective claims team, consistently achieving or exceeding company benchmarks for accuracy and efficiency.
- Assisted in the hiring process by conducting interviews and selecting top candidates who contributed positively to the overall success of the Claims Team Manager role.
- Evaluated team member performance through ongoing monitoring and assessment tools, identifying areas for growth and development opportunities.
Education
Associate of Science -
Blake Technical Institute
New York, New York06-1992
Skills
- Claims management expertise
- Insurance policy sales
- Legal compliance
- Policy interpretation
- Investigative tools
- Claims investigation
- Teamwork
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Critical thinking
- Decision-making
- Self motivation
Certification
- Independent insurance adjuster License - 2013-present
Timeline
Sr. Claims Specialist
Zurich American Insurance
03.2021 - 02.2026
Claims Team Manager
Gallagher Bassett Services Inc.
02.2014 - 03.2021
Claims Team Manager
Liberty Mutual
11.1995 - 10.2014
Associate of Science -
Blake Technical Institute