Customer Service Years Experience
Resume:
Lawrence Boyle
Email: *********@********.***
Address: **** ********* ***
City: Omaha
State: NE
Zip: 68134
Country: USA
Phone: 402-***-****
Skill Level: Experienced
Salary Range: $60,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
Lawrence A. Boyle
7717 Manderson Circle
Omaha, NE 68134
*********@********.***
CAREER SUMMARY
Results-oriented business professional focused on the supervising and administrating. Significant experience hiring, training and motivating staff. Extensive supervisory experience, leading a claim/customer service department. Dedicated to effective communication. Focused on expense management while maintaining a people oriented perspective.
PROFESSIONAL EXPERIENCE
MUTUAL OF OMAHA, Omaha NE
Underwriting (DI AND CI)
Senior Underwriter
Underwriting Disability and Critical Illness cases
BANKERS LIFE AND CASUALTY, Omaha NE
Long Term Care (LTC) Claims division
Business Analyst
Oversaw Special Projects for the LTC Claims department.
* Developed an Initial Claims Process to assist insured`s and their designated representatives to more easily navigate the claim requirements for LTC..
* Collaborated with vendors to schedule recertifications for Nursing Home, Assisted Living and Home Health Care.
* Assessed Reserved Claims to determine if care had ended and freed millions of dollars in Reserves
* Performed Quality Review and provided coaching for senior claims adjusters and auditors.
* Represented the Claims area on the Product Development committees for Long Term Care, Partnerships and Annuities with Long Term Care riders.
* Reviewed cases to identify possible overpayments and worked with key vendor for the recovery of overpayments.
* Tracked and reported on production by major outside vendors.
* Developed a process for communication between the Claims department and the Customer Service Team.
Mutual of Omaha, Omaha NE
A full line lnsurance Company.
Claim Supervisor, (1998-2006)
Supervised a team of 21, including Claims Specialists, Quality Reviewers, Clerical Support and an RN to process Disability, Long Term Care and Critical Illness Claims.
* Developed and trained staff in Customer Service.
* 29 years of Claims Experience and face to face interaction with customers.
* Responsible for one of the highest performing teams in the Individual Claims Area.
* Designed and delivered presentations and training programs.
* More than 5 years experience with developing new LTC products
Lawrence A. Boyle
PROFESSIONAL EXPERIENCE (Continued)
Senior Claims Benefit Rep for an acquired business
Processed insurance claims.
* Examined claims at another company as a part of the decision team that brought in a profitable piece of acquired business that included Disability, Long Term Care and Medical products.
* Designed training material
* Acted as the interim Mgr. for the department until permanent managers were assigned
Accidental Death and Dismemberment Coordinator
Coordinator for all Individual Accidental Death and Dismemberment claims.
* Responsible for all claims benefits over $5000.00.
* Developed many contacts with investigative vendors and developed a strong commitment to file development and fraud detection.
* Key member of the Corporate Death Claim review committee and Corporate Fraud Committee.
* Taught Fraud Awareness classes.
EDUCATION
University of Nebraska, Omaha, Omaha, NE
Bachelor of Science, Broadcasting and Journalism with emphasis on Speech Communications
VOLUNTEERISM
United Way of the Midlands, Account Representative
Knights of Columbus, Tootsie Roll Chairman for eight Years
Blessed Sacrament School, finance committee, President of Men`s Club and many years of coaching grade school baseball, basketball and soccer.
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