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Experienced Claims Analyst

Location:
Chicago, IL
Posted:
January 17, 2024

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Resume:

JOSEPH WUOI

*** ******** ** **, *********, TN ***11

Mobile: 615-***-**** • ad2vdg@r.postjobfree.com

https://www.linkedin.com/in/joe-wuoi-60ba29147/

PROFESSIONAL SUMMARY

Results-oriented Analyst skillful in managing and breaking down large volumes of information. Proactive at heading off issues in operations, workflow, and production by uncovering trends affecting business success. Passionate about delivering exceptional customer service.

Skills Summary

Microsoft Office applications (Excel, Word, PowerPoint, and Access), programming, database, and analytical skills (ArcGIS, QGIS, SQL, Python, Oracle, PowerBI), Spatial analysis, Cartography, Remote sensing, excellent organizational & time management, Project Management, excellent customer service, problem-solving, critical & strategic thinker, excellent presentation (storytelling) and communication, and effective interaction with internal and external customers through tactful interpersonal and relationships management.

EDUCATION

Bachelor of Science – Geography, Penn State University, University Park, PA.

Minor in Economics

Master of Business Administration, Duquesne University, Pittsburgh, PA: (incomplete).

Substantive coursework: Business Statistics, Financial and managerial accounting, financial management, Advanced financial management, Securities analysis (extensive excel modeling), Derivatives, managerial economics, and Strategy Formulation.

Concentration – Finance (incomplete -1-credit pending research paper).

EXPERIENCE

Amazon • Nashville, TN• February 2022 – Present

ATS Safety Analyst

My goal is to ensure the safety of Amazon associates and customers in North America by analyzing behaviors that lead to accidents involving Amazon assets sites to monitor and improve safety at our facilities as well as maintaining healthy availability of assets to optimally serve our customers.

Review incidents across sites and make recommendations on suspending a carrier, coaching a carrier, or banning a carrier from hauling loads for Amazon.

Analyzing carrier’s FMCSA safety ratings such as Hours of Service, Unsafe Driving, and Vehicle Maintenance to ensure the carrier is meeting Amazon’s Safety requirements.

Plan and conduct accident investigations involving carriers hauling loads for Amazon and documenting damages and working with risk management, compliance, legal and claims on recovering damages caused by negligent carrier.

Working with legal team to identify ways to identify, quantify and augment risk reduction involving Amazon assets.

Authoring weekly flash regarding incidents across Amazon sites/facilities for Middle Mile Program Managers team.

Performing other tasks as assigned and special projects.

Amazon • Nashville, TN• April 2021 – February 2022

Linehaul Fleet Claims Specialist

Interacted with carriers and customers to obtain facts, explain claims processes, and provide high quality service to achieve a positive customer experience.

Planned and conducted investigation to determine liability and damages.

Assessed actual damages associated with claims and conducted negotiations to settle claims within assigned authority and achieve the best possible outcome.

Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.

Utilized claims system to properly document files (resolution strategy, supporting evidence, negotiations, etc.).

Utilized and navigate various internal and external websites and tools to file and manage claims.

Worked effectively with TOM/TEM/Safety/ROC Teams and other stakeholders to maintain a healthy asset pool.

Worked with TEM team members to help identify carrier caused accidents that negatively impacted AZNG asset health and availability.

Conducted thorough reviews of damages and determined the applicability of state law and other factors related to the claim.

Evaluated the financial value of the equipment loss.

Scheduled and coordinated asset repairs with ATS preferred maintenance vendors.

Referred claims to other company units to be advised on as needed (e.g., Legal, Risk, Compliance, Loss Prevention).

Performed other tasks and projects necessary to achievement of overall team’s goals.

Allstate Insurance Company • Nashville, TN• September 2017 – Sept. 2020

Casualty Claims Analyst II

Handled complex claims involving moderate to serious bodily injuries to claimants.

Providing prompt, courteous, and excellent customer service to our customers throughout the claim lifecycle.

Contacted insured and claimant to gather facts of loss and statements and documenting file for quick and efficient resolution. Maintained empathy and established rapport with customers throughout the calls.

Excellent ability to synthesize information and communicate it to the business unit leadership.

Worked effectively with outside legal counsel to review case law that resulted in favorable resolution of an exposure of $500,000 to the company.

Gathered information from sources such as police departments, third party carriers and administrators, medical providers, and outside attorneys to achieve proper resolution of claims.

Addressed Department of Insurance (DOI) inquiries in a timely manner.

Expeditiously and diligently investigated liability and damages to aid in efficient subrogation and recovery process.

Reviewed medical records to understand coding for service rendered and appropriate billing, and other information that would help in reaching a fair and equitable settlement.

Coordinated with CMS/Medicare and Medicaid to establish primary payor and reduce business unit’s exposure to penalties and interest accruals.

Collaborated with special investigation unit team to identify those claims that required referral for further investigation.

Negotiated and settled claims by being thoroughly prepared and fairly evaluating claims value.

Following up with injured claimants to monitor progress and updating reserves accordingly to limit financial impact to the business unit.

Performed other tasks and responsibilities such as mentoring teammates and being part of a select group of adjusters conducting Root Cause Problem Solving (RCPS) to help identify areas of process improvement within the claims department and served on the arbitration forum resolving liability and damages for other carriers.

Allstate Insurance Company • Pittsburgh, PA• January 2014 – September 2017

Claims Service Adjuster

Delivered excellent and timely customer service throughout all stages of a claim lifecycle by being empathetic and maintaining rapport and timely follow ups.

Contacted insured and claimant to gather facts of loss and statements.

Contacted third party carriers, and other participants such as police departments, attorneys to gather information to aid in quick and timely disposition of claims.

Effectively negotiated complex claims by being thoroughly prepared and open-minded to counter-arguments and how to address new information presented.

Determined the liability, policy coverage, risk exposure, policy limits and established reserves accordingly to reduce financial impact on the business unit.

Escalated complex claims to appropriate performers/departments and assisted with documentation and strategy.

Worked closely with the special investigation unit to investigate unusual claims.

Performed other tasks and responsibilities such as mentoring team members and being on root cause problem solving team that helps identify areas of process improvement to increase efficiency within the business unit and wider claims ecosystem.

Northrop Grumman Technical Services/GTM • Pittsburgh, PA• May 2011 – January 2015

Biometrics Analyst Contractor

Captured and analyzed biometric data of applicants seeking USCIS benefits and UK and Canadian visa applicants, and other clients.

Answered questions regarding USCIS benefits and providing customer service.

Provided prompt and courteous service to applicants resulting in excellent customer evaluations.

Performed quality assurance of fingerprints and biometrics data before being transmitted to the clients such as DHS.

REFERENCES

References available upon request.



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