Yvonne Saronitman
Insurance Professional
Kaufman,TX
Summary
Dynamic Technical Specialist with a proven track record at HCL Tech, Inc., excelling in claims analysis and problem-solving. Expert in enhancing system functionality and fostering client relationships, I effectively resolved complex issues while training junior staff. My strong communication skills and critical thinking abilities drive successful project outcomes and improved operational efficiency.
Overview
36
36
years of professional experience
1
1
Certification
Work History
Technical Specialist
HCL Tech, Inc.
Dallas, TX
02.2023 - Current
- Analyzed technical issues relating to Property and Casualty (P&C) claim applications and third-party vendor/medical provider EFT and Business to Business Portal, providing solutions to enhance system functionality and performance.
- Collaborated with cross-functional teams to align technical strategies with business objectives.
- Developed and maintained documentation for troubleshooting processes and P&C claims application specifications, Digital Payment, Electronic Funds Transfer and other Business to Business Portal functionality.
- Assisted in the integration of new tools, fostering improved workflows across departments.
- Developed and presented client L1 and L2 Help Desk training
- Subject Matter Expert for all client P&C claim applications, digital payment application, third-party vendor/medical provider enrollments utilizing client Business to Business Portal
- Resolved customer inquiries by delivering timely support and expert guidance on products and services.
- Trained junior technicians on industry best practices and company-specific procedures, fostering a culture of continuous learning and professional growth.
- Provided exceptional customer support, resolving complex technical issues with effective communication skills.
- Managed multiple high-priority projects simultaneously, consistently meeting deadlines while maintaining attention to detail.
- Maintained comprehensive documentation of technical processes, facilitating knowledge sharing among team members.
- Provided basic end-user troubleshooting and desktop support.
- Followed up with clients to verify optimal customer satisfaction following support engagement and problem resolution.
- Managed customers' expectations of support and technology functionality in order to provide positive user experience.
- Developed and maintained strong client relationships to deliver exceptional customer service and problem resolution.
- Monitored project progress, identifying risks and implementing mitigation strategies proactively.
- Collaborated with external vendors to optimize resource allocation and support project deliverables effectively.
- Mentored junior team members on best practices in project execution and collaboration techniques.
- Established strong relationships with clients, fostering trust and open communication throughout the entire project lifecycle.
- Inspired and coached team members.
- Improved process efficiency through regular evaluation and revision of existing workflows and methodologies.
- Served as an escalation point for internal teams when addressing complex issues or conflicts during projects'' implementation phases.
- Developed and implemented standardized project management processes to enhance workflow consistency.
Claims Automation and Procedures Analyst
State Farm Insurance Inc
Dallas, TX
10.2014 - 02.2023
- Provided Technical/Automation support for the State Farm Claims Department
- Developed and presented P&C related training
- Served on the Forms and Correspondence team to support the creation and editing of claims related automated correspondence
- Served on the EFT Support Team
- Identified and Implemented process improvements
Insurance Claims Specialist
State Farm Insurance Inc
Honolulu, HI And Northridge, CA
02.1990 - 10.2014
- Reviewed and processed insurance claims to ensure compliance with policies and regulations.
- Collaborated with clients to gather necessary documentation and information for claims assessment.
- Analyzed claim data to identify trends and discrepancies, improving overall accuracy of processing.
- Trained and mentored junior staff on best practices for claims handling and customer service protocols.
- Facilitated communication between stakeholders to expedite claims processing and resolution timelines.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
- Evaluated and settled complex insurance claims in strict timeframes.
- Expedited claim resolutions through effective negotiation with clients, adjusters, and other stakeholders involved in the process.
- Upheld a high level of accuracy by consistently double-checking figures, data entries, calculations, before finalizing any settlement documents or payments.
- Developed a strong knowledge of various insurance products to provide comprehensive guidance during the claims process for diverse clientele.
- Negotiated settlements effectively, ensuring fair outcomes for both insurance company and claimants.
- Conducted detailed investigations into complex insurance claims to establish liability, contributing to more informed decision-making.
- Fostered positive relationships with policyholders through consistent follow-up and updates on claim progress.
- Expedited claim resolutions by adopting proactive approach to gathering necessary documentation and evidence.
- Generated, posted and attached information to claim files.
- Verified client information by analyzing existing evidence on file.
Education
Master of Arts - German With Minor in International Business
Illinois State University
Normal, Illinois, IL12-1989
Skills
- Claims analysis
- Policy interpretation
- Claim investigation
- Claims processing
- Critical thinking
- Decision-making
- Settlement negotiations
- Coverage determination
- Relationship building
- Liability determination
- Problem-solving abilities
- Multitasking Abilities
- communication
- Organizational skills
- Root Cause analysis
Certification
Chartered Property and Casualty Underwriters (CPCU)
Timeline
Technical Specialist
HCL Tech, Inc.
02.2023 - Current
Claims Automation and Procedures Analyst
State Farm Insurance Inc
10.2014 - 02.2023
Insurance Claims Specialist
State Farm Insurance Inc
02.1990 - 10.2014
Master of Arts - German With Minor in International Business
Illinois State University