North Highlands CA 95660
Dedicated Claims Manager looking for an opportunity to work for reputable company where my skills and experience will be of value.
Highlights of Qualifications:
- Exceptional experience in managing claims for all automobile and associate products
- Outstanding knowledge of ACE coverage and products
- Sound knowledge of claims management
- Ability to analyze data and establish all requirements
- Ability to monitor tools as per quality assurance processes
- Remarkable communication and negotiation skills
- Good computer skills
- Ability to deal with various types of customers in professional environment
- Ability to identify and resolve all issues
Harleysville Insurance, Bloomfield, IA
October 2008 – Present
- Administered everyday operations and processed all claims.
- Monitored working of staff and ensured compliance to quality.
- Managed work of all subcontractors according to required quality standards.
- Provided required training to all data entry personnel according to management policies and procedures.
- Participated in all employee performance reviews and assisted hiring appropriate candidates.
- Assisted all staff members to resolve all issues for internal and external customers.
Gaston & Associates, Inc., Bloomfield, IA
August 2003 – September 2008
- Supervised all claim examiners to process claims for one product lines.
- Prepared various reports for claim adjudication for various examiners.
- Provided required actions for various processes.
- Monitored all disability claims and ensured compliance to all audit requirements.
- Reviewed claim files and ensure appropriate coding for all claims.
- Determined all performance development plans.
- Conducted interview with various prospective clients and assisted to hire appropriate personnel.
Radian Group Inc., Bloomfield, IA
May 1998 – July 2003
- Ensured confirmation to all claim coverage and provided support to all claims.
- Performed regular investigation on all third party damages and various loss facts.
- Coordinated with experts and monitored all assignments and assisted defense counsel with various claim cases.
- Prepared reports for all reinsurers.
- Provided facilitation in various reinsurance issues and maintained accountability.
- Managed all travel arrangements for various conferences and trails.
Bachelor’s Degree in Business Administration
Amherst College, Amherst, MA