Ray E. DeWalt, Jr.

ad1sd0@r.postjobfree.com ● 414-***-**** ● Dallas, Texas

Career Objective

Proactive relationship manager with a strong insurance background, transitioning career from claims representative to account manager/risk management to further enhance my business skills and expertise. Experienced in applying processes and procedures to maintain client-focused results and company growth.

Skills

Risk Assessment

Communications

Client-focused

Natural team leader/building

Results-oriented

Billing

Contract negotiation

Creative problem solving

Professional Experience

Williams Lea –( Loan Depot Site), Plano,TX August 2022 – Present

Workflow Coordinator (Office Services)

Coordinating the daily workflow in reprographics, Mail services, Intake, Hospitality, facilities, Audio/visual and reception for the Mailroom Associates.

BLUECROSS BLUESHIELD (HCSC), Richardson, TX May 2021 –October 2021,

Supervisor – Disability Life Claims

Accountable for a team to research and resolve provider inquiries arising from contract operations, system, data entry claims payment, and directory issues. Also responsible for internal and external communications including working with provider Network, Provider Relations, and Government Programs staff on issue resolution. Have 1-2 years of handling Life/Death Claims experience.

SOMPO INTERNATIONAL, Dallas, TX July, 2018 –February, 2021

Team Lead –Operations

Assist the senior staff in review of claim files and providing consistent and high quality level of claims service to internal and external clients. Duties include review claims set up and request expense payments in a timely manner. Perform office manager role which included onboarding of new hires.

QUESTPRO SERVICES, ESIS INSURANCE, Dallas, TX October, 2017- May 2018

Claims Assistant

Performed daily document review and assure system are updated to assist in client relationship maintenance. Assist on various projects including claim set-up, outstanding billings and client payments.

Completed a billing project for a major account which created a cost savings of $20K.

AEGIS CORPORATION, Brookfield, WI July, 2014 – July, 2017

Client/Claims Manager

Developed, implemented and monitored programs to maximize customer satisfaction and managed on-site customer service representatives. While providing detailed monthly reports, risk assessments, and updates to senior management, while keeping safety and leadership teams aware of trends of work injuries. Assisted in training new hires to assure high levels of customer service are met. Managed team building activities to build camaraderie.

Managed multiple client accounts and implemented return to work programs in which reduced work injuries annually by 25%.

KINEX MEDICAL COMPANY, Waukesha, WI July, 2012 – July, 2014

Contracting/Accounts Manager

Maintained existing and negotiated new contracts to remain competitive in the industry. Reported to senior management on revenue and trends in the durable medical equipment industry. Provided Provide guidance and leadership to team members to resolve complex contract issues. Investigated and resolved outstanding medical billings issues. Provided input to changes in existing methods to increase the accuracy, efficiency and responsiveness of the customer service department. Manage department procedures and workflow to ensure claims are handled consistently and appropriately within policy.

Maintained and expanded our Client retention by 15%.

JOHNSON CONTROLS, Milwaukee, WI June, 2011 – February, 2012

Claims Manager

Managed claim coordinators across the country and Canada on significant workers' compensation, commercial auto and property claims including the assessment and analysis of risk, development of strategies and action plans. Interpreted insurance policy conditions, exclusion and endorsements to resolve coverage and liability. Prepared monthly financial reports and secure insurance certificates. Provided direction to our third-party administrator on all claims and implement strategies to resolve workers compensation, property and liability claims. Integrated a plan of action to minimize workplace injuries.

GALLAGHER BASSETT SERVICES, Milwaukee, WI June, 2007 - May, 2011

Claims Representative

Interviewed claimants, medical specialists and employers to determine pertinent claim information. Conducted monthly and annual status review meetings with union representatives and executives for a major motorcycle company. Managed a caseload of 200 clients each quarter, which included reviewing and processing all compensation benefits and settlement funds; forecasting reserves; recommending settlement offers and negotiated payments; and preparing recommendations to attorneys on high exposure litigated claims to minimize exposure. Developed connections with local fraud bureaus, district attorneys' offices and professional associations.

Played a major role in helping a major Motorcycle Manufacturer in decreasing work injuries and medical expenses by 20%.

ST. PAUL TRAVELERS INSURANCE, Waukesha, WI September, 1997 – June, 2007

Client Representative

Identified and implemented various strategies to resolve multiple claims including, workers compensation, commercial auto, property and casualty and Subrogation claims. Work closely with Human Resource Department on employee relations. Advised on evaluation, negotiation and resolution of serious injury cases. Established defense counsel and monitored progress of litigation and assisted legal counsel in developing legal strategy to reduce exposure.

Education

Bachelor of Arts, Public Communications, Luther College, Decorah, Iowa

Activities

Member, Milwaukee Investment Club

Member, Wisconsin Insurance Association

Volunteer, St. Peter-Immanuel Food Pantry

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