Skilled Risk Management with excellent day-to-day safety, claims, and operations, including claims evaluation, adjudication and customer service in accordance with agreed quality and operations standards. Processes claims in a timely manner and complies with industry fair claims practices and applicable state regulations concerning the processing of claims. Prepares reports and sets goals, while being accountable for the results. Interacts with attorneys, claims professionals, which may include care coordination and intake nurses, claims examiners, benefit/customer service specialists and administrative support personnel, including the regular and timely response evaluation of their performance. Maintains good, professional working relationship with superiors, peers, subordinates and other department managers and associates. Present statistical data in meeting and other venues.
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