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Sr Claims Specialist I Resume Example

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Szilvia
Smith
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 CollegeNaperville, IL06/2005Bachelor of Arts: International Business And Marketing, ManagementSumma Cum Laude
Work History
LIBERTY MUTUAL INSURANCE COMPANY- Sr Claims Specialist I
Hoffman Estates, IL07/2014 - 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.
Suzlon Wind Energy Corporation- Inventory Manager
Chicago, IL04/2013 - 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.
Suzlon Wind Energy Corporation- Supply Chain Planner
Chicago, IL11/2011 - 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
Bloomingdale, IL07/2005 - 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

Companies Worked For:

  • LIBERTY MUTUAL INSURANCE COMPANY
  • Suzlon Wind Energy Corporation
  • Insight, Inc

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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