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claims generalist intermediate resume example with 7+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Summary

Self motivated, goal-driven and transformational Leader that fosters team engagement and ensures outcomes. Highly effective at turning associates into leaders and leaders into impactful leaders. Able to utilize different leadership styles and training techniques to facilitate growth and exceed expectations. Possesses first-rate problem-solving skills as well as team first mentality. Bringing 11 years of experience in Management, training, process leadership, critical thinking and cross-functional team building.

Skills
  • Team building
  • Staff training and development
  • Coaching and counseling
  • Teaching advanced management techniques
  • Root cause analysis
  • Creative problem solving
  • Process improvement strategies
  • Leveraging resources
  • Impactful team player
  • Superior organization skills
  • Excellent performance evaluator
  • Creating an engaging environment
Experience
03/2020 to Current
Claims Supervisor Amita Health Birmingham, AL,
  • Maintains accountability for day to day management processes such as, performance management, coaching and development, and training of claims representatives.
  • Accurately assess individual and team performance and proactively address performance issues.
  • Provides specific and relevant feedback in the moment.
  • Implements Claims initiatives via appropriate change management channels and processes and is responsible for organizational initiatives that improve the overall work environment.
  • Reviews claims handling to ensure standards are being met and claims are on track for timely and accurate resolution. Determines the need for additional resources when complexity escalates.
  • Reviews and authorizes claims settlements, coverage, and liability as required.
  • Responds to elevated inquiries and complaints; resolves and/or further elevates issues as they arise.
  • Identifies performance trends and directs the remediation of team member performance deficiencies.
  • Supports career development of any individual who may potentially desire a different role in the future.
  • Serve as an ally, mentor, or sponsor for a diverse group of individuals.
  • Actively support Progressive's D&I initiatives.
  • Collaborates cross-functionally with other groups to ensure outcomes.
03/2018 to 03/2020
Claims Generalist Intermediate Coen Markets, Inc. Sharpsburg, PA,
  • Determines the most effective and efficient sequence of activities to make timely contact with all relevant parties and ensures that conditions are set for a timely and accurate assessment of damages, including the movement of vehicle to the appropriate location for inspection and repair.
  • Interviews, collects and documents information from customers, agents, witnesses, police reports, etc.
  • Interprets policies and analyzes information gathered to determine course of action.
  • Negotiates with customers and claimant carriers when claims cannot be settled in full.
  • Manage claims inventory which include paperwork, diaries, mail, phones, and issues payments as needed.
  • Formal and informal Mentor for peers and new hires
  • Presents new processes to team
  • Provides ongoing feedback for multiple reps
  • Supervises team in absence of Leader
  • Helps create streamlined processes
10/2016 to 04/2018
Training Store Manager Michaels Stores Annapolis, MD,
  • Maintained dual responsibility as a manager and trainer.
  • Ensured 550 district employees completed new hire, compliance, foundational and core training.
  • Ensured all district Assistant Store Mangers receive proper training before promotion.
  • Lectured prospective managers in key business areas using provided training content such as managing diversity, impactful coaching, etc.
  • Recognized and remedied employee opportunity awareness.
  • Provided ongoing feedback between coaches and trainees.
  • Interviewed and made hiring recommendations to District Manager and Human Resource Business Partner.
  • Developed processes to ensure a continuous pool of talent.
  • Trained new Training Managers.
  • Promoted to District Trainer after 1 year of being a Store Manager.
  • Led district of 25 stores from bottom of training performance to top in region.
  • Successfully re-implemented Company process for training Store Managers
  • Increased overall store metric ratings within 6 months of each store managed.
  • Received multiple customer service awards.
  • Received multiple exceeds expectations ratings on performance evaluations.
  • Received outstanding rating on performance evaluations.
  • Completed Emerging Leaders Program with CVS.
01/2015 to 12/2016
Store Manager Fourteen Foods Floyds Knobs, IN,
  • Managed day-to-day operations of a small box retail store
  • Promoted customer service through creating a positive shopping experience for customers
  • Controlled shrinkage through the utilization of processes and coaching of employees
  • Maintained a high operational standard.
  • Hired and developed staff
  • Ensured that all employees were trained through CVS learning on all store regulations
  • Executed Human Resource functions such as performance appraisals and counseling among others
  • Partnered with Pharmacy to ensure staffing needs were met
12/2012 to 04/2014
Assistant Manager JoAnn Fabrics City, STATE,
  • Provided leadership and direction for employees, supervising activities to drive productivity and efficiency.
  • Planned and prepared workflow schedules, delegating tasks for 35-member team.
  • Implemented training processes for newly hired employees and supervised department managers, shift leads and production personnel.
  • Coached and mentored employees by delivering training, guidance and performance monitoring.
  • Conducted job interviews, led employee performance evaluations with constructive feedback and rewarded top sales performers to attract and retain top-quality personnel.
  • Managed personnel scheduling, facilitating adequate coverage to meet demand.
  • Collaborated with store manager to develop strategies for achieving sales and profit goals.
Education and Training
Expected in 12/2020 to to
MBA: Business Administration And Management
Brenau University - Gainesville, GA,
GPA:
Expected in 02/2014 to to
Bachelor of Science: Supervision and Management
Florida Southwestern State College - Fort Myers, FL,
GPA:
Accomplishments
  • Promoted to District Trainer after 1 year of being a Store Manager.
  • Restored Company process for training Store Managers
  • Hired and trained several Store Manager candidates.
  • Led district of 25 stores from bottom of training performance to top in region.
  • Increased overall store metric ratings within 6 months of each store managed.
  • Received multiple exceeds expectations ratings on performance evaluations.
  • Received multiple outstanding ratings on performance evaluations.
  • Consistently rated within top 5 percentile for all metrics against peers.
  • Received multiple customer service awards.
  • Completed Emerging Leaders Program with CVS.
  • Created new methods for tracking processes and completion.
  • Finished Top-10 in Glo-Bus simulated business strategies competition while earning degree.

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Resume Overview

School Attended

  • Brenau University
  • Florida Southwestern State College

Job Titles Held:

  • Claims Supervisor
  • Claims Generalist Intermediate
  • Training Store Manager
  • Store Manager
  • Assistant Manager

Degrees

  • MBA
  • Bachelor of Science

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