Industrious senior underwriter skilled at meeting benchmarks for risk control and business profitability. Successful background working alongside agents to assist with marketing and sales objectives. Desiring to bring several years of related experience to a dynamic new role with room for advancement.
Overview
22
22
years of professional experience
Work History
Senior Underwriter
UnitedHealth Group
01.2018 - Current
Responsible for appraisal of insurability while exercising sound decision making skills by accurately classifying risks for term life insurance and supplemental insurance products
Review applications for medical histories, apply additional premium and/or exclusions if necessary, decline unacceptable risk and assign effective date to issue, request and review medical records, exams, supplements, telephone calls, and other applicable application information
Stay abreast of current contractual provisions, products, state compliance regulations, company policies and procedures
Responsible incoming and outgoing calls from applicants, customers, and agents
Claims Representative
AAA, LLC
01.2015 - 01.2018
Communicate and interact with all parties of the claim including insureds and claimants
Explain benefits, coverage, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability
Obtain statements from insureds, claimants, and witnesses to resolve liability investigations for first and third party claims
Evaluate and determine claim values upon receipt and assessment of property, medical and liability data
Negotiate to resolve first and third party claims
Coordinate with internal and external departments as required
Claims Adjustment Specialist
United Healthcare Group
01.2013 - 01.2014
Responsible for efficiently navigating claim processing systems to complete all closed and denied, simple adjustments, and the majority of complex high dollar and inpatient adjustments
Service Representative
RenRe Insurance Underwriters, Inc
01.2009 - 01.2010
Providing first line support to registered agents, taking, and receiving agent calls, using e-mail, phone and live chat
Preparation and issuance of policy binders and documents
Resolving or escalating technical calls relating to the online policy administration system such as reset password, new account set-up etc
Making Service follow-up calls to agents to ensure that we are meeting their needs
Assisting in the development of the Ren Re platform including: Performing and managing the user acceptance testing and development of the user acceptance test cases for the testers
Involved in the development of the Service Groups Standard Operating Procedures
Manage the State Licensing filings for the Managing Director
Associate Underwriter, Safeco
Liberty Mutual
01.2008 - 01.2009
Reviews individual applications for insurance on personal automobiles, antique automobiles, and homes to evaluate the degree of risk involved and accepts applications, following company's underwriting policies
Examines such documents as application forms, inspection reports, and insurance maps to determine degree of risk from such factors as applicant's financial standing, age, occupation, accident experience, and value and condition of real property
Accepts or declines risk based on property's use, value, location, and safety features
Corresponds with field representatives and other insurance or inspection companies to obtain further information, quote rates, or explain company's underwriting policies
When risk is substandard, limits Company's obligation by decreasing value of policy, specifying applicable endorsements, or applying rating to ensure safe and profitable distribution of risks, using rate books, tables, code books, and other reference material
Communicate and provide training to agents and customer service department on new developments and products
Review the incoming updates from the Claims Department for current automobile and property policies
Underwriter II
AAA Texas, LLC
01.2003 - 01.2008
Reviews individual applications for insurance on personal automobiles, homes, personal umbrella, and watercraft to evaluate the degree of risk involved and accepts applications, following company's underwriting policies
Examines such documents as application forms, inspection reports, and insurance maps to determine degree of risk from such factors as applicant's financial standing, age, occupation, accident experience, and value and condition of real property
Accepts or declines risk based on property's use, value, location, and safety features
Corresponds with field representatives and other inspection companies to obtain further information, quote rates, or explain company's underwriting policies
When risk is substandard, limits Company's obligation by decreasing value of policy, specifying applicable endorsements, or applying rating to ensure safe and profitable distribution of risks, using rate books, tables, code books, and other reference material
Audit select new business applications to determine rating and information accuracy
Communicate and provide training to agents and customer service department on new developments and products; assist them in their sales efforts by providing them specific information that they may need
Shared product and guideline knowledge with team members, mentoring new and existing employees on their daily duties
Handling escalated problems with customers and agents
Education
General Insurance -
American Institute for CPCU and Insurance institute of America
Irving, TX
10.2004
Bachelor of Science degree - Interdisciplinary Studies
University Of Houston Downtown
Houston, TX
Skills
CCC
Test cases
Mentoring
User acceptance testing
EXCEL
Customer service
ISO
Underwriting
Microsoft Office
Analysis skills
Medical records
Communication skills
Negotiation
Organizational skills
Risk management
SHAREPOINT
Access
Power Point
Word
Outlook
Internet
Prime
Macs
Huon
LiveChat
Zephyr
I-Ravs
ODEN
ORS
AS-400
CPW
CSP
Portal
Timeline
Senior Underwriter
UnitedHealth Group
01.2018 - Current
Claims Representative
AAA, LLC
01.2015 - 01.2018
Claims Adjustment Specialist
United Healthcare Group
01.2013 - 01.2014
Service Representative
RenRe Insurance Underwriters, Inc
01.2009 - 01.2010
Associate Underwriter, Safeco
Liberty Mutual
01.2008 - 01.2009
Underwriter II
AAA Texas, LLC
01.2003 - 01.2008
General Insurance -
American Institute for CPCU and Insurance institute of America
Bachelor of Science degree - Interdisciplinary Studies