Trevor Smith
Quality Assurance Specialist
Voorheesville,NY
Summary
Experienced Quality Assurance Specialist with a strong ability to prioritize and multitask effectively. Demonstrates efficient and effective task completion, while maintaining exceptional communication and organizational skills for seamless coordination with teams and stakeholders. Impeccable attention to detail in reviews and auditing procedures ensures the highest level of quality and accuracy. Proven track record of success in contributing to organizations' quality assurance efforts. Background in claims handling across multiple lines of business provides a solid foundation, enabling high-level proficiency in current role.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Global Quality Assurance Specialist
AIG Insurance
06.2012 - Current
- The primary responsibility of the job is to perform thorough, accurate review of multiple product lines to identify best practice and lost economic opportunities of third party administrator (TPA) files while ensuring calibration with other team members.
- Ensured product compliance with industry regulations by staying up-to-date on relevant standards and guidelines, implementing necessary changes to maintain conformance.
- Utilized root cause analysis techniques to identify underlying issues contributing to product defects or customer complaints.
- Collaborated with cross-functional teams to develop robust quality assurance strategies.
Senior Technical Specialist
AIG Insurance
02.2007 - 06.2012
- Responsible for a Workers Compensation pending of highly complex claims due to the medical, legal and financial factors involved
- Claims with a minimum exposure of $250,000 to several million dollars.
- Mentored junior team members, providing guidance on best practices and industry standards.
- Boosted customer satisfaction by addressing complex technical issues in a timely manner.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Liability Claim Representative
OneBeacon Insurance
12.2002 - 02.2007
- Responsible for multi-state territory; investigate coverage, liability for commercial and personal auto liability claims
- Litigation management, settlement and negotiation of liability claims; responsible for proper financial reserve analysis based upon liability and legal exposure on a case-by-case basis.
- Increased efficiency in claims process by maintaining organized records and clear communication with all parties involved.
Inside Claim Representative II
GMAC Insurance
08.1998 - 11.2002
- Responsible for the management of a No Fault claim territory in New York, New Jersey and Maryland
- Investigate claims for applicable coverage, disability management, and detection of fraudulent activities through the use of recorded statements, database searches and referral to SIU
- Negotiate the settlement of disputed claims, prepare and defend disputed claims before the American Arbitration Association (AAA)
- Prepare disputed claims and assist defense counsel in Civil Court (NY & NJ)
Education
Associate of Arts - Business Administration
Mohawk Valley CC
Utica, NYHigh School Diploma -
Norwich High School
Norwich, NY06.1990
Masters Business Administration -
SUNY Empire State College
Saratoga Springs, NY03.2009
B.A. Economics -
State University of New York At Buffalo
Buffalo, NY05.1994
Skills
- Detail Oriented
- Quality Assurance
- Problem-solving skills
- Analytical Thinking
- Team Collaboration
- Team Leadership
- Documentation And Reporting
- Project Management
- Public Speaking
Hobbies and Interests
Skiing, Fishing, Coaching, Aviation (private pilot)
Certification
Associate in Claims
Licensed Independent Adjuster (NY)
Timeline
Global Quality Assurance Specialist
AIG Insurance
06.2012 - Current
Senior Technical Specialist
AIG Insurance
02.2007 - 06.2012
Liability Claim Representative
OneBeacon Insurance
12.2002 - 02.2007
Inside Claim Representative II
GMAC Insurance
08.1998 - 11.2002
Associate of Arts - Business Administration
Mohawk Valley CC
High School Diploma -
Norwich High School
Masters Business Administration -
SUNY Empire State College
B.A. Economics -
State University of New York At Buffalo
Associate in Claims
Licensed Independent Adjuster (NY)
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