Sr Claims Specialist I Resume Example
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SR CLAIMS SPECIALIST I
Professional Summary
Experienced Senior Claims Specialist who is skilled in liability, risk management, litigation management, and commercial insurance. Resourceful insurance professional promoting 6+ years of expertise assessing coverage and overseeing claims. Leverages well-developed communication skills to deliver information to policyholders. Experienced Supply Chain professional with a demonstrated history of working in multiple industries. Skilled in Operations Management, Inventory Management, Purchasing, Continuous Improvement, and Leadership. Strong operations professional with a Bachelor of Arts (BA). Eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel. Business-minded with exemplary skills in customer service, time management and service coordination. Bringing over 16 years of related experience.
Skills
- Microsoft Office
- SAP
- Delivery, Scheduling
- Documentation, Six Sigma
- Supervision
- Texas Home Adjuster License and current in all states' licensing
- Claims
- Negotiation and mediation skills
- Relationship development
- Process improvement
- Mediation
- MRP
- Customer satisfaction, Risk management
- Coverage determination
- Organization
- Team management
- Six Sigma Green Belt Certification
- Inventory, Supply Chain Management
- Team lead, Team management
- Litigation
- Managing
- Marketing
- Microsoft Office
- Negotiation
Education
North Central CollegeCity, State06/2005Bachelor of Arts: International Business And Marketing, ManagementSumma Cum Laude
Work History
Home Chef- Sr Claims Specialist I
San Bernardino , CA07/2014 - Current
San Bernardino , CA07/2014 - Current
- Review and set up claims in software tracking system
- Evaluate policy coverage, determine and establish reserve requirements
- Plan and conduct investigation of claims to analyze and confirm coverage, determine liability, damages and compensability
- Determines the potential for subrogation, identify applicable tortfeasors
- Evaluate claims for potential fraud and make referrals to the Special Investigation Units
- Assess actual damages associated with claims and conduct negotiations to settle claims
- Alert underwriting, marketing and risk management regarding risks
- Work with attorneys to settles claims
- Review lawsuit documentation and supporting documents, work with defense counsel in managing litigated files according to established litigation management protocols, jurisdiction issues and resources
- Maintain positive and long terms relationships with customers
- Serve as a Team lead assignor of incoming cases, including review and determine coverage to ensure appropriate file handling.
Ati Metals- Inventory Manager
Albany , NY04/2013 - 07/2014
Albany , NY04/2013 - 07/2014
- Managed and maintained North American Material Requirements Planning with an emphasis on inventory efficiency/reduction
- Lead end-to-end sourcing process of 2200+ parts
- Developed and monitored metrics to measure order fulfillment and on-time delivery
- Advanced forecast plans using statistical tools and customer data •Maintained 98% forecast accuracy of Preventative Maintenance items for all sites in North America
- Key contributor of Process Improvements and Documentation for the OMS group providing improved Supply Chain effectiveness and more focused operations
- Responsible for inventory levels and turns for 31 sites across North America
- Managed external customer order processing, reporting, and efficient product supply for 44 client sites and increased customer satisfaction that helped Suzlon secure $6M business per year
- Assured accurate and timely delivery of MRP items to guarantee manufacturing and client demands
- Responsible for RGA coordination/negotiation with vendors
- Coordinated PN identification, sourcing, and ordering of TCI/EI parts with engineering
- Evaluated and interviewed prospective suppliers to determine capabilities to meet pricing, delivery, and quality requirements
- Analyzed sales and operation data on a monthly basis for both Suzlon and clients
- Managed daily activities and performance of a Buyer and Planner.
- Oversaw warehouse staff and maintained efficiency in a fast-paced environment.
Thermo Fisher Scientific Inc.- Supply Chain Planner
Baltimore , MD11/2011 - 04/2013
Baltimore , MD11/2011 - 04/2013
- Managed and maintained North American Material Requirements Planning with an emphasis on inventory efficiency/reduction
- Coordinated spare parts planning, ordering and tracking of company demand and customer orders •Input material PR's for replenishment
- Managed open orders related to inventoried materials from creation through delivery, including past due orders
- Directed and lead expediting of materials/components as needed
- Generated PO's for refurbishment/repair orders
- Coordinated material delivery schedule for efficient kitting in central DC
- Maintained preventative maintenance cycle scheduling for materials with OMS sites
- Coordinated vendors and departments to ensure timely processing of invoices and payments
- Conducted the timely and accurate review and processing of requisitions, quotes, and purchase orders
- Determined priority of requests and ensured proper documentation to support PO and contracts
- Obtained information from vendors relative to product, price, availability, service, and delivery date
- Visited, inspected, reviewed, and qualified vendors sourcing materials and products
- Performed sourcing and cost analysis
- Evaluated the delivered cost to achieve optimum delivery terms and import locations
- Monitored status of purchase order obligations including overdue, damaged, or incorrect goods received and initiated corrective actions.
Insight, Inc- Buyer II
City , STATE07/2005 - 11/2011
City , STATE07/2005 - 11/2011
- Responsible for the purchasing and management of inventory as it supports the Supply Chain Management
- Coordinated with suppliers, providing and maintaining data that ensured excellent client service
- Negotiated and resolved issues, implemented and applied stocking strategy, applied MRP rules, maintained required inventory levels in turn to minimize lost sales resulting from inventory shortages
- Negotiated pricing and expedited delivery as well as lead times and opportunity buys to ensure cost effectiveness
- Forecasted and planned product selection and collaborated with vendors to foresee future needs and trends while developing valuable partnerships
- Managed vendors to ensure appropriate lifecycle for products and timely changes to new products to satisfy sales and client demand
- Worked closely with sales to ensure appropriate actions on aging inventory based on clients' forecast and consumption rate (reduced aging inventory between 40-60% on an annual basis)
- Followed and drove MRP rules and buckets within MRP to control inventory in a profitable manner
- Management of everyday tasks, including PO placement, MRP runs, backlogs, shipment errors, problem skids, AP issues, write downs, price protection claims, cost updates, special pricing orders, warranty alignment
- •Developed opportunity buys with measures of cost effectiveness and profitability that saved the company approximately $40,000-100,000 per year
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Resume Overview
School Attended
- North Central College
Job Titles Held:
- Sr Claims Specialist I
- Inventory Manager
- Supply Chain Planner
- Buyer II
Degrees
- Bachelor of Arts : International Business And Marketing, Management
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