Kyle Gruhn
Omaha,NE
Summary
Professional claims analyst with proven track record in evaluating, processing, and resolving insurance claims. Strong focus on team collaboration and adaptability, ensuring seamless operations and optimal outcomes. Highly skilled in data analysis, risk assessment, and customer service, consistently delivering reliable and efficient results. Known for excellent problem-solving abilities and maintaining high standards in all tasks.
Overview
8
8
years of professional experience
Work History
Claims Analyst
Physicians Mutual Insurance
09.2024 - Current
- Analyzed claims data to identify trends and discrepancies, enhancing accuracy in processing.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Developed and maintained comprehensive documentation for claims processes, ensuring compliance with regulations.
- Spearheaded initiatives to improve claims processing efficiency, reducing turnaround times significantly.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Claims Support Specialist
WoodmenLife
04.2024 - 09.2024
- Followed up with customers on unresolved issues.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Conducted thorough investigations on claims submissions, maintaining accuracy and integrity in documentation.
Customer Support Specialist
WoodmenLife
07.2021 - 04.2024
- Evaluated and settled complex insurance claims in strict timeframes.
- Resolved customer inquiries efficiently, ensuring high satisfaction and retention rates.
- Collaborated with cross-functional teams to enhance service delivery and support initiatives.
- Improved first-call resolution rates by actively listening to customer concerns and offering appropriate solutions.
- Maintained up-to-date knowledge of company policies, procedures, and promotions to provide accurate information to customers.
Assistant Manager
Coldstone Creamery
02.2018 - 06.2021
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Generated repeat business through exceptional customer service.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Education
High School Diploma -
Millard North High School
Omaha, NESkills
- Teamwork and Collaboration
- Continuous Improvement
- Documentation Skills
- Data Entry
- Paperwork Processing
- Investigation and Analysis
- Data privacy initiatives
- Dispute Resolution
Awards
Fraud Prevention Award, WoodmenLife, For preventing multiple fraud cases by using critical thinking in real time and reporting red flags to supervisors and security specialists.
Timeline
Claims Analyst
Physicians Mutual Insurance
09.2024 - Current
Claims Support Specialist
WoodmenLife
04.2024 - 09.2024
Customer Support Specialist
WoodmenLife
07.2021 - 04.2024
Assistant Manager
Coldstone Creamery
02.2018 - 06.2021
High School Diploma -
Millard North High School