Case Manager For Deepwater Horizon Claims Resume Example Company Name

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

Leadership
Conflict resolution
Active listening
Project planning
Customer service
Computer skills
Critical thinking
Time management
Relationship building

Reliable and trustworthy
Flexible
Problem resolution
Training & Development
Team management
Communication
Working collaboratively
Analytical

Experience

Case Manager for Deepwater Horizon Claims|Company Name - City, State|2014 - 2016

Investigated various file types to determine fraud with focus on thoroughness, quality and cost control within established time frames.
Approve work product, timesheets and expenses for field investigators.
Supervising an assistant and field investigators as well as taking corrective and disciplinary action for violations of corporate policies when necessary.
Researched and reviewed information to determine validity of claims.
Demonstrated self-reliance by meeting and exceeding workflow needs.
Contributed to development, planning and completion of project initiatives.
Completed comprehensive face-to-face interviews with subject, neighbors, employers, family and friends for information verification and corroboration and generated detailed reports documenting investigative findings.
Managed caseload of up to 100 files each quarter. Each file could consist of 3-15 statements, sometimes in different states, per file as well as any documentation needed to obtain to validate the claim.
Obtained relevant evidence and information regarding claims.

Client Relations Representative|Company Name - City, State|2013 - 2014

Kept confidential client information properly protected and only used for official purposes.
Responded to telephone calls and emails each day, answering questions and collecting information about specific client concerns.
Answered client questions about factors affecting claims or surveillance investigations and recommended 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 to gain full picture.
Verified details with the client and requested additional information.
Ran background checks and conducted social media research of individuals to obtain data on character and personal history.
Reported results of investigations with written observations and photographs, and produced final reports.

Case Manager|Company Name - City, State|2011 - 2013

Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Motivated and encouraged team members to communicate more openly and constructively with each other.
Kept team on track by assigning and supervising their activities and giving constructive feedback.
Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Produced timely and accurate reports about findings.
Secured proof of activities, including video, and uploaded into case management system.
Investigated background of claimants and witnesses to uncover past activity.
Provided log of surveillance observations to track suspicious activity.
Managed the surveillance investigators, while also supervising the management of 50+ claims in my region which consisted of four states.

Claims Manager|Company Name - City, State|2009 - 2011

Oversaw onboarding processes for new team members, delivering training on claims handling.
Managed team members effectively to meet high production standards with accurate results.
Trained new team members on policies and procedures for claims handling.
Motivated team members to maintain targeted turnaround time to obtain processing goals.
Gathered and documented evidence.
Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
Reported findings and recommendations using information gathered by investigations.
Improved profit margins by streamlining operations and workflow.
Trained and mentored field investigators and worked with team lead to identify skills, problem areas and opportunities for staff development and improvement.
Completed comprehensive face-to-face interviews with subject, neighbors, employers, family and friends for information verification and corroboration and generated detailed reports documenting investigative findings.

Education and Training

University Of Louisiana At Lafayette|CitySome College (No Degree)

Resume Overview

School Attended

University Of Louisiana At Lafayette

Job Titles Held:

Case Manager for Deepwater Horizon Claims
Client Relations Representative
Case Manager
Claims Manager

Degrees

Some College (No Degree)

Case Manager for Deepwater Horizon Claims Resume Example

Resume Score: 80%

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