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Risk Management Customer Service

Location:
Westlake, OH
Posted:
November 16, 2023

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Resume:

MICHELLE L. MICELI

Avon, OH *****

630-***-**** ad07yr@r.postjobfree.com

RISK MANAGEMENT ANALYST

Areas of Expertise:

Risk Management Information Systems• Experience with Origami and Stars RMIS • Risk Analysis/Mitigation Reporting • Auto/General Liability Claims• Property & Casualty Insurance • Project Management Client Relations • Insurance Program Coordination • Customer Service• Case Management PROFESSIONAL EXPERIENCE

ALL FAMILY OF COMPANIES, Independence, OH June 2018 – August 2020 Risk Management Analyst

Responsible for Risk Analyst and Claims Analyst job functions.

● Initiated and oversaw Request for Proposal process for a Risk Management Information System (RMIS) vendor. Successfully implemented selected RMIS.

● Administered All Crane Risk Management Information System, facilitated the consolidation of data related to insurance, policy and exposure information from multiple sources into one system.

● Managed projects and served as the main point of contact for all RMIS related issues.

● Developed and created customized reports and dashboards and provided data metrics to support corporate and operating units.

● Kept application users informed about system functionality and enhancements. Provided application users with technical support.

● Handled in-house General Liability and Auto incidents and claims. Recovered $300,000 as a result of subrogation efforts.

● Reviewed and managed insurance carrier and third-party claims administrator work to ensure proper adjusting, administration and reserving.

FORMFIRE, LLC, Cleveland, OH 2015 – April 2018

Client Support Specialist

● Provided customer support by assisting clients with on-boarding, coaching and answering questions regarding features and functions of the FormFire system.

● Received new cases and handled to ensure successful resolution.

● Resolved escalated client issues received over the phone, email or chat.

● Interpreted insurance documents and confirmed accurate data in the software platform.

● Assisted with the completion of client 1095-B tax forms. CULLIGAN INTERNATIONAL COMPANY, Rosemont, IL 2006 – 2013 Risk Management Consultant (2012 – 2013)

Led administration of risk management program as both Risk Manager and Senior Risk & Claims Analyst. Coordinated with insurance carriers to assist with annual audits.

● Key contributor in annual insurance renewal process, including collecting important underwriting information for insurance policy placement and completing Property, Casualty, and Executive Risk coverage applications.

● Developed 2013 RFP for Property and Casualty brokerage services; integrally involved in all strategic marketing meetings and senior management broker selection process.

● Handled General Liability, Auto, and Worker’s Compensation claims, including self-administered claims and claims submitted to carriers and third-party administrators. Senior Risk & Claims Analyst (2006 – 2012)

Directed the reporting, analysis, and administration of insured and self-insured programs. Managed all aspects of the Risk Management Information Systems (RMIS), including data integrity verification, report generation, location hierarchy maintenance, and monthly updates. Maintained Risk Management intranet site.

● Realized $150,000 in annual cost savings by identifying and implementing alternative reporting system.

● Analyzed RMIS platform to streamline system processes through continuous enhancements and upgrades.

● Facilitated and coordinated TPA/Carrier payments for insurance claims, ensuring proper allocation of costs to appropriate cost centers.

RISK SCIENCES GROUP, Schaumburg, IL 2003 – 2005

Account Manager

Communicated directly with clients to provide key account management and resolution of client issues. Collaborated with risk management departments of several Fortune 500 companies to offer end-user support.

● Trained and educated users on proper operation and functionality of Risk Sciences Group products.

● Assisted users in identifying and resolving software, hardware, and telecommunications issues. METROPOLITAN LIFE INSURANCE COMPANY, Aurora, IL 2002 – 2003 Group Account Specialist

Managed 16 customers across MetLife Dental, Life, and Disability accounts. Maintained constant communication with MetLife group customers, sales offices, brokers, and other agents within the Group Benefits Plans.

● Performed demographic, premium, and claims research to determine competitive premium levels for existing and prospective group customers.

● Implemented cost-appropriate premium adjustments for clients based on a wide range of variables. KEMPER INSURANCE COMPANIES, Chicago, IL 1994-2002

Risk Information Service Specialist II (2000 – 2002) Selected by management team as the sole manager and primary contact for a $10M account. Coordinated with multiple external stakeholders, including brokers and clients’ risk management team, to perform data functions.

● Collaborated closely with cross-functional team consisting of account managers, underwriters, actuaries, and IT personnel to properly manage and report data.

● Analyzed claims reporting, PPO utilization, and loss time claims to identify trends and patterns; prepared and disseminated summary of findings to client.

Risk Information Service Specialist II (1998 – 2000) Presided over data services of 30+ National accounts collectively averaging $1M in premiums.

● Established and maintained progressive business relationships to promote long-term account growth.

● Achieved Trainer certification for both internal and external customers on Kemper Risk Management System. Aggregate Coordinator / Claim Representative II (1994 – 1998) Charged with calculating aggregate figures for National Accounts and producing reports to document findings. Assisted Branch Claim Offices with structured settlements by providing proper guidance, information, and support.

● Successfully recovered $1M+ in overpayments by implementing improved collection procedures. EDUCATION

Bachelor of Science in Business Management – Marketing Concentration; Minor in Psychology State University of New York at Buffalo, Buffalo, NY PROFESSIONAL DEVELOPMENT

Associate In Claims (AIC) Designation

Certificate in General Insurance



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