Case Manager for Deepwater Horizon Claims Resume Example
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CASE MANAGER FOR DEEPWATER HORIZON CLAIMS
Summary
Experienced, detail oriented Claims Manager who efficiently handled high case volumes with accuracy and care. Managing internal functions of teams, promoting high levels of quality production, while solving problems with minimal oversight. Proficient in information gathering, report preparation and data compilation capabilities. Keen to balance company and customer interest with fair and equitable policies.
Skills
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Experience
Case Manager for Deepwater Horizon Claims|Merck Kgaa - Urbana , IL|01/2014 - 01/2016
- Investigated various file types of claims with focus on thoroughness and quality within established time frames.
- Approved work product, timesheets and expenses for field investigators.
- Supervised an assistant and field investigators as well as taking corrective and disciplinary action for violations of corporate policies, when necessary.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Contributed to development, planning and completion of project initiatives.
- Managed the field investigators to ensure comprehensive face-to-face interviews with the subject, neighbors, employers, and known associates were obtained for information verification and corroboration.
- Managed caseload of up to 100 files each quarter. Each file could consist of 3-15 statements, sometimes in different states, per file.
- Ensured any documentation needed to validate or disprove the claim was obtained.
- Compiled comprehensive and extensively detailed reports regarding findings for each claim.
- Constructed multiple types of statement guides for the field representatives to utilize when obtaining statements, including initial questions and follow up questions based on responses given.
Client Relations Representative/Assistant|Drivetime - Pittsburgh , PA|01/2013 - 01/2014
- Responded to telephone calls and emails, answering questions and collecting information about specific client concerns and made suggestions to improve same.
- Provided quality customer service to all clients throughout claims process to deliver timely service.
- Reviewed documentation and prior reports on claimants for past activity.
- Requested background checks and conducted social media research of individuals to obtain data on character and personal history.
- Reported results of investigations to the client weekly via email, as well as final written reports with any photographs or documentation obtained.
Case Manager|HUB Enterprises - City , STATE|01/2011 - 01/2013
- Worked closely with team members to produce timely and accurate reports about findings, deliver quality work product and meet deadlines.
- Maintained operating schedules for field representatives to provide effective coverage for key areas and achieve objectives.
- Worked successfully with diverse group of coworkers to accomplish goals.
- Investigated background of claimants and witnesses to uncover past activity.
- Identified and corrected performance and personnel issues to reduce impact to business operations.
- Managed the surveillance investigators, while also supervising the management of 50+ claims in my region which consisted of four states.
Claims Manager|HUB Enterprises - City , STATE|01/2009 - 01/2011
- Oversaw training for new claims investigators to ensure knowledge and adherence on policies and procedures for claims handling.
- Motivated team members to maintain targeted turnaround time to obtain processing goals.
- Mentored field investigators and worked to identify skills, problem areas and opportunities for staff development and improvement.
- Managed the completion of comprehensive face-to-face interviews with subject, neighbors, employers, family and friends for information verification and corroboration.
- Managed an average of 80+ claims per month as well as remotely managing the field investigators in several states.
- Reviewed all photographs, documents, and statements for quality assurance.
Education and Training
University Of Louisiana At Lafayette|CitySome College (No Degree)
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School Attended
- University Of Louisiana At Lafayette
Job Titles Held:
- Case Manager for Deepwater Horizon Claims
- Client Relations Representative/Assistant
- Case Manager
- Claims Manager
Degrees
- Some College (No Degree)
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