Yunish Baniya
530-***-**** ************@*****.*** Woodland CA, 95776 www.linkedin.com/in/yunish-baniya PROFESSIONAL SUMMARY
Results-oriented professional with expertise in insurance claims management, Enterprise Risk Management, and data analysis. Skilled in evaluating and managing diverse insurance claims, including workers' compensation, general liability, auto, and property, ensuring meticulous documentation and compliance. Proficient in generating detailed reports and performing in-depth data analysis to inform administrative and compliance decisions. Experienced in leveraging advanced data tools to enhance operational efficiency and support informed decision-making. Known for strong communication with stakeholders and a proactive approach to problem-solving and process improvement.
Risk Analysis Data Analysis CRM Claims Processing Coverage Evaluation Regulatory Compliance Marketing Power BI SQL Salesforce Microsoft Excel Dashboard Implementation Product Management Software Management Database Management Cyber Risk Management Cyber Risk Audits User Acceptance Testing ServiceNow Azure DevOps Requirements Management Agile Methodology JIRA PROFESSIONAL EXPERIENCE
Oakland Housing Authority Oakland, CA
Risk Management Analyst August 2024 - Present
● Assessed and managed risk for diverse insurance claims (liability, auto, property), enhancing claims handling through effective risk management principles and oversight of claims processing for litigated and non-litigated cases.
● Prepared Requests for Proposals (RFPs) through in-depth market research and financial analysis, resulting in detailed proposals for Executive Director approval, including cost-benefit analysis and budget forecasting.
● Managed insurance data with meticulous record-keeping to ensure compliance with public liability regulations, effectively responding to FOIA requests and subpoenas, while maintaining accuracy in insurance policies and monitoring vendor compliance.
● Partnered with brokers to evaluate insurance quotes and conducted comparative analyses to recommend cost-effective coverage aligned with risk management needs.
● Coordinated safety training programs per CAL-OSHA standards, led the safety committee, and managed emergency preparedness initiatives, significantly enhancing workplace safety.
● Ensured precision in claims documentation (insurance agreements, incident reports, Workers’ Compensation) and facilitated effective resolutions through clear communication with claimants, adjusters, brokers, and legal representatives.
QBE Insurance Woodland, CA
Claims & Risk Solutions Analyst November 2023 - July 2024
● Defined and refined functional requirements in collaboration with business stakeholders, ensuring project backlogs aligned with strategic goals and enhanced operational efficiency. Utilized JIRA for tracking user stories and key deliverables, facilitating effective project management.
● Led the integration of LC360 software, overseeing a $1 billion premium database with $61 billion in Total Insured Value. Achieved a 95% resolution rate for operational issues, driving a 20% reduction in recurring challenges and optimizing resource allocation.
● Developed and implemented interactive dashboards using Power BI, resulting in a 20% reduction in data analysis time and improving decision-making through streamlined data visualization for over 100 end-users, leading to a 10% increase in user adoption rates.
● Spearheaded data-driven initiatives across 15+ development projects, collaborating with data scientists to design an AI-driven data pipeline that automated loss runs and claim analysis, achieving a 28% improvement in claim classification accuracy and reducing annual claim payouts by $2 million.
● Acted as a strategic liaison to senior leadership, presenting data-driven performance reports and aligning cross-functional efforts across compliance, legal, marketing, and IT departments to enhance risk management practices.
● Implemented IT service management improvements, automating over 20 workflows and reducing incident resolution times by 25%, thereby enhancing overall business processes and risk mitigation strategies.
● Facilitated training and onboarding for team members on data management best practices and system functionalities, increasing team efficiency and ensuring the seamless adoption of new technologies in claims processing and risk management.
Keenan & Associates Rancho Cordova, CA
Loss Control Consultant May 2022 - November 2023
● Conducted comprehensive risk assessments for large California school districts, identifying hazards and developing tailored risk mitigation plans, which improved safety and compliance. Utilized Power BI and Excel for loss runs and claims analysis, achieving a 30% reduction in loss frequency and a $1.3 million decrease in total incurred losses.
● Performed functional testing on risk management systems, ensuring all features were operational before deployment. Applied data analytics to track KPIs, delivering actionable insights to district leadership for strategic decision-making.
● Oversaw multiple concurrent risk management projects, employing project management methodologies and Azure DevOps to manage timelines, resources, and deliverables, ensuring timely completion and stakeholder collaboration.
● Facilitated training sessions and workshops for school staff on safety protocols and emergency preparedness, resulting in a 20% decrease in reported safety incidents.
● Monitored compliance with cybersecurity regulations through regular audits and reviews, providing expert guidance to enhance security protocols and practices.
● Streamlined risk management processes by implementing automated reporting tools, reducing manual effort by 25% and improving the accuracy and timeliness of risk assessments and mitigation actions. Physicians for Healthy California Sacramento, CA
Program Analyst September 2021 - May 2022
● Executed functional testing for CRM systems, producing comprehensive bug reports to ensure all functionalities were rigorously validated before deployment.
● Developed data-driven B2B marketing strategies for a $40 million grant program, leveraging Salesforce analytics to refine messaging and optimize social media engagement, resulting in a 25% increase in customer engagement and funding.
● Provided operational and analytical support to Program Directors by utilizing Salesforce analytics, enhancing data accuracy, streamlining decision-making, and achieving a 20% improvement in program outcomes.
● Conducted qualitative and quantitative data analysis using Salesforce and Excel to identify trends, optimizing program performance and strategy.
● Managed portfolios for California Medical Executives, collaborating with government entities to analyze complex datasets, ensuring effective program implementation and improved client satisfaction.
● Orchestrated vaccine deployment during the pandemic, employing advanced logistical and data management techniques to achieve a 95% on-time delivery rate and significantly enhance vaccination coverage among vulnerable populations.
Keenan & Associates Santa Clara, CA
Claims Intern June 2021 - August 2021
● Optimized the claims process by designing and implementing a streamlined end-to-end workflow in collaboration with Claim and Risk Managers, resulting in reduced turnaround times and enhanced operational efficiency.
● Conducted in-depth analyses of confidential financial documents to ensure accurate cost allocation, adhering to regulatory guidelines to facilitate precise cost distribution and mitigate compliance risks. EDUCATION
San Francisco State University, San Francisco, CA Graduation Date: May 2022 Bachelor of Science, BS in Business Administration, Marketing Highlighted Coursework: Data Analysis & VisualizatIon Salesforce Administration MarketIng Analytics Digital MarketIng MarketIng Management Strategic Management Cybersecurity Fundamentals Strategic Data Management Financial Risk Management Business Intelligence Project Management