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corporate vice president of claims resume example with 10+ years of experience

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

Results-focused leader bringing 10 years of experience and demonstrated successful history of strategic accomplishments. Experience managing and driving change to promote continuous operational improvement. Professional and outgoing with aptitude for building relationships and leading high-performance teams.

Skills
  • Process Optimization/Improvements
  • Employee development
  • Performance monitoring and evaluation
  • MS Office
  • Issue and conflict resolution
Education and Training
Rutgers, The State University of New Jersey New Brunswick, NJ Expected in 05/2011 Bachelor of Arts : Economics And Communications Double Major - GPA :

LOMA Society- Insurance Industry Continuing Education

Experience
Dart Container Of Michigan - Corporate Vice President of Claims
Owensboro, KY, 01/2020 - Current
  • Lead team of two managers and fifty customer service professionals.
  • Review and adjudicate claim payments up to $10 million.
  • Cultivate and maintain positive working relationships with employees, executives and stakeholders.
  • Operationally respond to to COVID-19 by coordinating 140 employees to remote workstations. Develop temporary claim procedures due to increase in life insurance claims and sensitive nature of COVID-19 death claims. Implement weekly 'Coffee with KJ' zoom meetings with team to ensure continued rapport.
  • Oversee state mandated bi-annual Escheat processing.
  • Respond to regulatory inquiries submitted by the Department of Financial Services, MAR/SOX Risks and Controls and the NY State Comptroller.
  • Collaborate with digital services team to publish the Claim Form on Company website for the first time. Drive departments strive towards digitizing.
  • Encourage team to foster a growth mindset by challenging the norm and adjudicate each claim based on its’ own merit. Demonstrate sound judgment when decision making; keeping the beneficiary and company interests in mind.
  • Generate concise, detailed correspondence to beneficiaries and agents in response to complaints. Frequent collaboration with internal counsel to assess risk.
  • Delegate tasks to support time management and provide growth opportunities for service professionals.
Cleveland-Cliffs Inc. - Claims Manager
Warren, OH, 10/2017 - 01/2020
  • Reviewed payments up to $2 million; 2018 productivity of 1,455 claims reviewed; 47% higher than equivalent manager in Cleveland.
  • Focused on employee recognition by utilizing 'Applause' program and promoting within. Implemented monthly challenge for team to achieve 175 examples of extraordinary Service to share on the intranet (in honor of NYL's 175th anniversary).
  • Implemented work at home strategy for department, based on research and data to support the benefits of a flexible work environment.
  • Participated and won the 2017 Hackathon. Created a tool to streamline correspondence on Company website. Demonstrated winning concept at town hall and collaborated with Digital team which resulted in revamp of form accessibility.
  • Attend Service Superstar recognition event for outstanding contributions; nominated by Senior Management.
  • Managed multiple projects by working with Senior Management to identify deficiencies to improve workflow and productivity.
  • Oversaw onboarding processes for new team members, delivering training on claims handling.
  • Provided ongoing coaching through one-to-one meetings, ad hoc claim discussions and quality reviews.
  • Mentored and trained new hires to develop essential skills required to maintain departmental quality and productivity goals.
  • Managed department committee to plan outings and events to encourage rapport.
C&S Wholesale Grocers - Senior Claims Representative
Miami, FL, 03/2016 - 10/2017
  • Investigated foreign death claims and death claims occurring within two-year contestable period to determine fraud risk and company’s contractual liability.
  • Analyzed insureds’ medical and social history for material misrepresentation on the application pursuant to a rescission.
  • Identified potential fraud patterns and collaborate with SIU and OGC. Created concise claim summaries and develop strategies for next steps.
  • Processed payment of high dollar claims ($2.5 million and above) and niche products. Served as Subject Matter Expert for team of 140 individuals.
  • Maintained superior quality and productivity while balancing workload and special projects.

Project Management

AARP - Tampa, FL

  • Trained NY claims team to support AARP contestable claims. Oversaw team and provided progress reports to Senior Management.
  • Assessed claim representative’s skill level and assist in managing teams to work more efficiently.

Long Term Care - Austin, TX

  • Prepared department for upcoming audit over a three-month time frame.
  • Supported Senior Management to ensure tight deadline of audit was met.
  • Created new procedures for tracking claims in accordance with best practice and regulatory requirements. Oversaw team to ensure new guidelines were understood and followed.
New York Life Insurance Co - Claims Representative
City, STATE, 08/2011 - 03/2016
  • Processed high volumes of life insurance claims while providing quality customer service to claimants throughout claims process.
  • Provided support to clients on the Customer Service Center line.
  • Researched policy inquiries submitted through New York Life website to determine validity of insurance claims.
  • Researched beneficiaries and distributed unclaimed funds as part of an Unclaimed Equities project.
  • Trained new hires on systems and procedures to ensure team was working to full potential.

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Resume Overview

School Attended

  • Rutgers, The State University of New Jersey

Job Titles Held:

  • Corporate Vice President of Claims
  • Claims Manager
  • Senior Claims Representative
  • Claims Representative

Degrees

  • Bachelor of Arts

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