commercial lines associate underwriter resume example with 14+ years of experience
- 609 Johnson Ave.49204TulsaOK 100 Montgomery St. 10th Floor
- (555) 432-1000
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Analytical, detail-oriented and experienced professional proficient in medical information gathering, report preparation and healthcare data compilation capabilities. In-depth knowledge of medical insurance coverage forms, procedures and policies. Accommodating and logical individual skillful in creating customized requests for each client within the insurance industry. Prefer to utilize my extensive education and experience to obtain a position as a Healthcare Data Analyst.
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Encova – West Virginia, MN
- Maintained current understanding of industry and underwriting procedures.
- Applied accurate pricing standards to meet business needs and customer requirements.
- Made recommendations to field producers on potential applications.
- Assessed new and renewal applications for financial liabilities and risk levels.
- Identified portfolio risks resulting from client's underlying business practices.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Demonstrated respect, friendliness and willingness to help wherever needed.
Metlife, Inc. – Kansas City, MO
- Followed up with customers on unresolved issues.
- Reviewed new disability files to determine current status of injury claim and to develop plan of action.
- Conducted full claim investigations and reported updates and legal actions.
- Reported policy changes and company conditions affecting customer satisfaction.
- Checked medical documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Generated, posted and attached information to claim files.
- Maintained strong knowledge of medical terminology to better understand and research clinical services and procedures documented within the electronic disability claim files.
- Maintained confidentiality of patient finances, records and health statuses.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
Wausau Insurance Companies – City, STATE
- Followed up with customers on unresolved issues.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Conducted full claim investigations on Workers' Compensation claims, evaluated information to determine the merits of a medical claim, and reported any significant updates requiring further investigation from Clinical Department or Special Investigations Department.
- Reported policy changes and company conditions affecting customer satisfaction.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Utica College - Utica, NY
Relevant Coursework: Advanced Fraud Analysis/Statistics Research, Research & Analytical Methods in Fraud Management, Fraud Management & Technology and Information & Communication Security
Professional Project: Conducted a national study of Special Investigation Units (SIU) and State Fraud Bureaus with concentration on staged accident rings to fulfill academic requirements for Master of Science degree. Publication of study is accessible in Utica College library.
SUNY Institute of Technology At Utica/Rome - Utica, NY
- Relevant Coursework: Accounting I & II, Not-for-Profit Accounting, Business Statistics, Clinical Concepts I & II, Research in Health Information Management, and Human Anatomy & Physiology I & II
- Professional Development: Completed a one month Management Residency at Harding Nursing Home in Waterville, NY. Performed studies focusing on utilization review, risk management, and quality assurance. Collected and analyzed statistical data. Demonstrated the ability to follow policies and procedures.
- Professional Development: Completed a one month Technical Residency at Community Memorial Hospital in Hamilton, NY. Performed duties including the assembly, analysis and coding of hospital medical records. Conducted studies focusing on utilization review, risk management and quality assurance relating to electronic medical records.
Mohawk Valley Community College - Utica, NY
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Resume Overview
School Attended
- Utica College
- SUNY Institute of Technology At Utica/Rome
- Mohawk Valley Community College
Job Titles Held:
- Commercial Lines Associate Underwriter
- Long Term Disability Claims Specialist
- Claims Technician II
Degrees
- Master of Science
- Bachelor of Science
- Associate of Science
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