Supervised six direct reports. Highest rated supervisor in department. Developed best practice that reduced pending eligibility claims by 51% in three months. Presented results to Director and Regional AVP. Best practice is under review by Home Office for nationwide implementation. Headed regional project to reduce severity/ALP. Implemented system requiring timely IME. Worked with vendor to receive weekly reports on our success. Developed strategic diary maintenance plan for entire department. Created closing template to reduce missed subrogation opportunities. Participated in college recruiting trips. Successfully orchestrated data collection overtime projects for Home Office. Attended meetings with department managers, branch managers, directors, AVP, RVP, and the President/COO.
Prepared files for litigation including BI, UM, UIM, and bad faith suits. Lowest ALP and Quality awards.
Adjusted BI, UM, and UIM claims. Decreased expenses by recommending telephone settlement conferences. Employee of the Month October, 2012.
Investigated liability disputes, coverage and liability denials, and first-party medical claims.
Adjusted non-injury claims. Initiated directive to increase service levels with medical provider phone line.
Responded to internet inquiries regarding bill payment, policy changes, and general questions. Discovered system work-around for correctly adjusting payment plans.
Senior Claims Law Associate (SCLA)
Associate in General Insurance (AINS)
Lean Six Sigma Yellow Belt
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