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claim specialist resume example with 12+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Results Oriented and Highly Qualified Legal Professional efficient at handling multiple projects and excel in the collaborative environments. Extensive research and project management experience with strong organizational skills. Highly focused on anticipating and assessing industry trends as a means to mitigate risk and enhance value to the organizations I serve. Proficient in Lexis Diligence, Westlaw, Corporate Affiliations, Adobe Acrobat Pro DC, SharePoint, Microsoft Office Suite 365, and MS Project.

Skills
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Work History
04/2019 to Current Claim Specialist Great American Insurance Group | Peoria, AZ,
  • Passionate about continuously exemplifying customer focused remarkable behaviors
  • Multi-state licensed Claims Handler with the ability to analyze and manage complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim
  • Interact with policyholders, claimants, attorneys, medical insurers, repair facilities and other interested parties associated with the claim
  • Receive numerous awards for maintaining over 90% of service expectations.
11/2014 to 11/2015 Compliance and Research Analyst Dick's Sporting Goods Inc | Greendale, WI,
  • Designed and implemented a new revenue stream for existing high-value clients by customizing a legal research and complex due diligence service
  • Reviewed and managed Legal Investigative Analysts’ workloads including conducting quality control reviews of due diligence reports ensuring accuracy and completeness
  • Created training manuals and compliance standard operating procedures (SOP’s)
  • Selected and implemented analytical tools, research databases, workflows and business processes used to compile reports
  • Ensured the organization's practices were in compliance with all applicable local, state, federal, and industry-specific laws and regulations
  • Conducted periodic relationship investigations of designated high-risk clients
  • Key Achievements:
  • Designed and implemented a new legal research and due diligence service, which improved the firm’s efficiencies by 20%
  • Laid the groundwork for growth and enhanced profitability by developing methodologies and strategic road-map for a new legal research and due diligence service.
08/2011 to 03/2014 Senior Legal Analyst Dick's Sporting Goods Inc | Hanover, PA,
  • Served as a subject matter expert conducting high-priority research projects used to determine compliance and resolution with governing ethical rules and the firm’s business risk policies
  • Analyzed complex ethical issues, and drafted detailed reports of findings for Partners, Business Directors, and the General Counsel Office
  • Assessed lateral and new hire conflict checks to ensure compliance with malpractice insurance requirements, ethical regulations, and the firm’s business risk policies
  • Collaborated with several practice groups and departments to understand how they evaluate potential conflict of interest issues in order to assess whether certain screens or methods should be implemented
  • Conducted legal research with regard to with ethics, risk and compliance issues
  • Key Achievements:
  • Improved efficiency, accuracy, and access to information by creating procedures and policies which increased the effectiveness of the firm’s business and risk management policies
  • Reduced deliverable turnaround time needed by streamlining and reorganizing internal processes governing the client intake process.
05/2006 to 08/2011 Senior Legal Analyst Georgia Department Of Community Affairs | City, STATE,
  • Served as a Legal Advisor responsible for overseeing the day-to-day legal affairs for a multifamily tax credit program
  • Managed multiple critical programs and provided subject matter expertise in the administration of a $54 million federal grant used to fund tax credit and federal housing projects
  • Provided legal guidance and technical assistance to a multidisciplinary team of senior-level professionals comprising of Architects, Asset Management Managers, Underwriters, and Compliance Officers
  • Developed policies and procedures that were 100% compliant with federal regulatory guidelines per findings from the Department of Housing and Urban Development audits
  • Identified, researched, and analyzed legislative issues that assessed the impact of current or proposed legislation on the Agency’s operations
  • Conducted presentations, trainings, and workshops for industry groups ranging from 30-200+
  • Key Achievements:
  • Recognized for delivering exceptional customer service as a recipient of the Governor’s Commendation Excellence in Service Award and Georgia Department of Community Affairs “Exceeding Excellence” Awards
  • Created processes, procedures, and program requirement documents for a federal grant “Stimulus Funds” during a period of rapid and unprecedented economic changes.
Education
Expected in to to Master Degree | Candidate Data Privacy and Cybersecurity Drexel University, Philadelphia, PA GPA:
Expected in to to Bachelor of Arts Degree | University of Michigan, Flint, GPA:

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Resume Overview

School Attended

  • Drexel University
  • University of Michigan

Job Titles Held:

  • Claim Specialist
  • Compliance and Research Analyst
  • Senior Legal Analyst
  • Senior Legal Analyst

Degrees

  • Master Degree
  • Bachelor of Arts Degree

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