Multi-talented Individual Consistently rewarded for success in planning and operational improvement. Experience in policy development and staff management procedures positively impacting overall morale and productivity.
Overview
9
9
years of professional experience
Work History
Quality Control Analyst
SLG Carriers
07.2022 - Current
Conducted regular audits to ensure adherence to established protocols, maintaining consistency across the organization.
Trained team members on quality assurance principles, fostering a culture of accountability and high performance.
Facilitated communication between departments regarding quality concerns, fostering collaboration towards shared goals.
Championed continuous improvement initiatives, consistently seeking ways to optimize operations for better results.
Evaluate and provide feedback on how Customer Operations Teams interact with customers by monitoring, reviewing and auditing calls, emails and chats.
Reduced call time by 50% percent by implementing a communication procedure that allows for proactive status updates.
Conducted root cause analysis for recurring issues, developing long-term solutions to prevent recurrence.
Senior Quality Assurance Specialist
Liberty Mutual
10.2018 - 07.2022
Under limited direction, conduct virtual and on-site quality and/or performance audits of claims files including review of high complexity files.
Determined compliance with claims handling standards, policies and procedures as determined by calibration.
Under limited direction, analyze results and develops necessary detail from audits conducted to assist QI team in identifying trends from audits which, if corrected, would drive improvement.
Accurately tracks and inputs audit findings into database and Participate in calibration with field partners to analyze overall results.
Under limited direction, assists in preparation and lead presentation of results, conclusions and recommendations to field leadership.
Assist with driving continuous improvements by providing feedback on audit process and tool changes that will result in better product being delivered to line of business.
Lead overpayment review project and helped recover 2.5 million dollars for the company.
Senior Claims Specialist
Liberty Mutual
11.2015 - 10.2018
Conducted investigations into complicated mid- and high-exposure claims.
Reviewed Estimates and went over Total loss settlement with insured.
Recommended and set reserves based on expected payout's.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Delivered exceptional customer service to policyholder's by communicating important information and patiently listening to all issues.
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Managed over 140 active claims and averaged 90% for calls answered live availability
Education
Bachelor’s Degree - Business Administration
University of North Texas
Denton, TX
05.2019
Skills
50 WPM
Strong negotiation and analytical skills
Auto Damage Technical knowledge
Post resolution reviews
Quality reviews
Thorough claim reviews
Identify trends and analyze techinical soulution where necessary
Excellent communication in both written and verbal form
Excel spreadsheet
MS Office
On site employee training
Timeline
Quality Control Analyst
SLG Carriers
07.2022 - Current
Senior Quality Assurance Specialist
Liberty Mutual
10.2018 - 07.2022
Senior Claims Specialist
Liberty Mutual
11.2015 - 10.2018
Bachelor’s Degree - Business Administration
University of North Texas
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