Insurance, Analyst, Underwriter, Compliance, Specialist
Resume:
Vladimir Tesler, MBA
Jacksonville, FL 32258
******@*****.***
Primary Phone: 904-***-****
Secondary Phone: 904-***-****
PROFESSIONAL SUMMARY: Dedicated professional with excellent analytical, math, statistics, decision-making, problem-solving and reasoning skills. Very organized and detail-oriented, able to work well under deadlines in a changing environment and perform multiple tasks effectively and concurrently. Creative in resolving unique and challenging business problems. Strong sense of urgency, personal responsibility and accountability. Highly motivated and able to initiate, organize, and prioritize complex projects and cases. Able to work autonomously and as part of team.
EXPERIENCE: 4/14 – 6/15 Citizens Property Insurance Corporation Jacksonville, FL
Business Operations Coordinator / Business Support Specialist
• Based on analysis, developed daily, weekly, monthly and quarterly reports for Underwriting and Claims departments using advanced Microsoft Excel skills; provided team with up-to-date analytics and reporting.
• Coordinated processes to ensure that information systems support departmental business operational needs; gathered data to contribute to the development of business plans and strategies.
• Reviewed and assisted in the preparation of confidential assignments and special projects commensurate with departmental assignments; prepared and coordinated routing and approvals of documents as required.
• Created or participated in the development of training materials used to facilitate the adoption of change by end users including: policies and procedures, operating procedures, business processes, training materials, job aids and communications; created proposals for action or implementation plans as necessary and presented to management.
• Monitored appropriate systems/portals and assisted with coordinating updates to ensure information is accurate and up-to-date; evaluated the data collected through task analysis, business process and surveys.
• Worked with other departments to coordinate interdepartmental activities in order to ensure that Citizens meets customer expectations; served as liaison with business units as required.
• Managed any change requests related to the working project plans daily to meet the agreed deadlines; provided frequent updates to management utilizing exceptional computer skills.
• Coordinated record retention and archival of documents in accordance with established Citizens policy and procedure; processed and maintained confidential and sensitive information.
• Performed other tasks, assignments or projects to be determined by the department’s leadership team as a result of changing business circumstances in a spirit of continuous improvement and teamwork.
7/11 - 4/14 Citizens Property Insurance Corporation Jacksonville, FL
Underwriter / Risk Analyst
• Used underwriting discretion to approve a risk and/or structure coverage to corporate standards; initiated action to cancel a policy, modified coverage form or limit based on corporate guidelines and standards.
• Reviewed and processed applications, endorsements, renewals, cancellations, inspections, etc. in order to determine insurability based on corporate guidelines and standards; obtained missing information when required.
• Maintained a complete understanding and knowledge of company Manual, Rates, Rules and Procedures.
• Assisted management in researching and resolving difficult policy issues and complaints.
• Reviewed new and renewal business requests as well as certain endorsements in order to determine insurability based on corporate guidelines and standards; communicated with agents re underwriting issues and concerns.
• Reviewed inspection reports and other supporting documents for compliance with corporate guidelines and standards; provided technical assistance to agents and processing staff on an “as needed” basis.
• Mentored temporary employees participating in the mitigation re-inspection program; reviewed documents, answered questions, resolved concerns with internal and external customers.
• Assisted re-inspection phone team with answering questions to agents and insureds, handled supervisor callbacks.
• Provided input concerning work related issues as directed by management.
• Reviewed and processed mitigation re-inspections based on corporate guidelines and standards; obtained missing information when required; performed additional duties as assigned.
10/08 – 7/11 Citizens Property Insurance Corporation Jacksonville, FL
Product Compliance Analyst
• Executed Product Compliance Audit Programs according to department guidelines.
• Performed audit and quality reviews on Commercial and Personal Lines underwriting teams.
• Applied technical product and manual rating knowledge to validate policies are processed in accordance with filed manual rules and rates; clarified audit results issues through communication with business units.
• Manually rated commercial and personal lines types of policies and verified correct rating factors were being applied; researched, interpreted and applied compliance regulations to business area audits.
• Documented daily audit findings and prepared monthly audit statistical analysis reports.
• Met audit productivity and quality goals; supported preparation of audit recommendations to business unit management to improve the internal control environment and gain efficiencies.
• Maintained good understanding of key business objectives and associated product compliance issue risk factors.
• Validated policies are issued in accordance with filed and approved rates, rules and forms for all Citizens’ products; served on assigned Product Team and provided QA review and research support.
• Performed User Acceptance Testing (UAT) of system changes/enhancements including development of implementation and testing plans; verified new rates were being correctly applied.
• Documented daily review findings and followed departmental guidelines to support preparation of monthly reports; served on assigned Product Team and provided QA review and research support as directed.
• Assisted with department projects as directed; performed additional duties as assigned.
1/07 – 10/08 Citizens Property Insurance Corporation Jacksonville, FL
Underwriter (Commercial & Personal Lines)
• Used underwriting discretion to approve a risk and/or structure coverage to corporate standards; initiated action to cancel a policy, modified coverage form or limit based on corporate guidelines and standards.
• Reviewed and processed applications, endorsements, renewals, cancellations, inspections, etc. in order to determine insurability based on corporate guidelines and standards; obtained missing information when required.
• Maintained a complete understanding and knowledge of company Manual, Rates, Rules and Procedures.
• Assisted management in researching and resolving difficult policy issues and complaints.
• Reviewed new and renewal business requests as well as certain endorsements in order to determine insurability based on corporate guidelines and standards; communicated with agents re underwriting issues and concerns.
• Reviewed inspection reports and other supporting documents for compliance with corporate guidelines and standards; provided technical assistance to agents and processing staff on an “as needed” basis.
• Assisted re-inspection phone team with answering questions to agents and insureds, handled supervisor callbacks.
• Provided input concerning work related issues as directed by management; performed additional duties as assigned.
10/05 – 1/07 Citizens Property Insurance Corporation Jacksonville, FL
Underwriting Technician (Commercial & Personal Lines)
• Reviewed and processed applications, endorsements, renewals, cancellations, etc. as per specific company guidelines, screened and validated information.
• Obtained additional/missing information as needed to complete the policy review / issuance process.
• Provided timely and professional customer service to both internal and external customers.
• Maintained a basic knowledge of the Company Manual of Rates Rules and Procedures.
• Assisted in resolving concerns of both internal and external customers.
• Reviewed various inspection reports and other supporting documentation for compliance with departmental guidelines, conducted appropriate follow-up or referred when necessary; performed additional duties as assigned.
07/2004 – 10/2005 Citizens Property Insurance Corporation Jacksonville, FL
Technical Resource Center Specialist
• Assisted callers with questions concerning risk eligibility, submission status, rating, premiums, cancellations and/or reinstatements; explained coverage specifics to agents and insureds.
• Utilized multiple processing systems and maintained a working knowledge of the Manual of Rates, Rules and Procedures.
7/2003 - 6/2004 Progressive Insurance Company Jacksonville, FL
Medical Claims Representative
• Handled Personal Injury Protection (PIP) and Medpay claims, took recorded statements.
• Identified and investigated coverage, fraud, injury causation and subrogation issues.
• Developed and executed action plans around coverage, fraud, injury causation, and subrogation issues.
• Negotiated accurate resolution of medical and wage loss claims with insureds, attorneys, and medical providers in accordance with policy contracts, medical coding rules and local statutes.
• Contacted the Marketing and Underwriting Departments to secure or exchange information regarding desirability of the risk, applicable coverages, and ultimate claim disposition.
1/2002 - 5/2003 Arbella Mutual Insurance Company Wakefield, MA
Claims Service Specialist (Claims Advocate)
• Investigated assigned claims requiring personal, telephone, and/or written contact.
• Contacted insureds, claimants, witnesses, and other parties that had information related to the loss, took statements; requested checks, formed letters and other correspondence through the claim system.
• Negotiated settlements with individuals, other insurance carriers, and/or attorneys, within granted settlement authority; communicated effectively with body shops and rental companies.
• Evaluated case facts determining coverage, liability, reserves, and settlement.
• Contacted the Marketing and Underwriting Departments to secure or exchange information regarding desirability of the risk, applicable coverages, and ultimate claim disposition.
3/1996 - 1/2002 Moscow Nights Restaurant, Deli and Retail Jacksonville, FL
Operations Manager
• Oversaw and managed all areas of the restaurant and a delicatessen store and made final decisions on matters of importance.
• Interviewed employees; direct hiring, supervision, development and, when necessary, termination of employees; provided direction to employees regarding operational and procedural issues.
• Developed employees by providing ongoing feedback, establishing performance expectations and by conducting performance reviews.
• Ensured that all financial (invoices, reporting) and personnel/payroll related administrative duties are completed accurately, on time and in accordance with company policies and procedures.
• Adhered to company standards and service levels to increase sales and minimize costs, including food, beverage, supply, utility and labor costs.
• Ensured customer service in all areas. Responded to complaints, took any and all appropriate actions to turn dissatisfied guests into return guests.
• Estimated food needs, placed orders with distributors, and scheduled the delivery of fresh food and supplies.
• Enforced sanitary practices for food handling, general cleanliness, and maintenance of kitchen and dining areas.
11/1992 - 3/1996 Winn-Dixie Stores Inc. Jacksonville, FL
Customer Service Manager
• Management and supervision of up to ten (10) employees. Shift scheduling, store opening and closing procedures, conflict resolutions, customer service, and cash handling.
• Completed training in the following departments: Deli, Bakery, Meat, Produce, Dairy, and Frozen Food.
EDUCATION: 8/2007 Walden University Jacksonville, FL
Master’s Degree
• M.B.A., Master of Business Administration, General Track; Program GPA: 3.5
2/2004 University of Phoenix Jacksonville, FL
Bachelor's Degree
• BSB/M, Bachelor of Science in Business/Management; Program GPA: 3.85
5/2001 University of North Florida Jacksonville, FL
Some College Coursework Completed
• Major: Business and Management; Overall GPA: 3.4
SKILLS: Excellent computer skills (MS Word, Excel, Outlook, Lync, SQL, Access, PowerPoint, Visio, SharePoint, ImageRight, ePAS, AS400, POINT, IMS/CAIS, Snagit, OpenScape, IEX, HTML, CSS). Superior ability to collect and analyze data and trends and clearly communicate their results. Proven analytical, math, reasoning, investigative, decision-making and time management skills; excellent written and verbal skills. Bilingual - Russian.
ADDITIONAL INFORMATION: Currently actively working to achieve designation of CPCU (Chartered Property and Casualty Underwriter). Completed CPCU 510 and CPCU 540. Successfully completed three (3) IT bachelor’s level courses at Capella University: Communication Strategies for the Information Technology Professional, Web Systems and Technologies, Business Goals for the Information Technology Professional.
LICENSES: 2-20 General Lines Insurance Agent; 6-20 All Lines Insurance Company Adjuster.
CERTIFICATIONS & TRAINING: Citizens Underwriting School Completion, Mobile Home 360 Value, Business Writing, MS Word & Excel Training, 360 Replacement Cost Estimator Training, Insurance Fraud Prevention, Underwriting Sinkhole Policies, Business Ethics, Claim Investigation, Claim Statements, Auto Physical Damage Basics, Insurance Fraud Awareness, Negotiation Skills, Legal Concepts and Doctrines, Medical Billing Coding.
AWARDS: Excellent job processing legal scorecards – 05/2015. Best team player – 2/2015. Outstanding performance and dedication – 8/2014. Exceptional service and quality – 10/2013. Team shiner – 5/2008. Great job in processing TRC referrals – 9/2006. Excellent customer service – 4/2005.
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