Compliance Analyst Claims Management

Nicole Scott

*****.*******@*****.*** 214-***-**** Dallas, TX

SUMMARY

Seasoned Claims Analyst with 13 years of experience in compliance and licensed claims adjustment, adept at conducting audits, ensuring regulatory compliance, and managing complex litigation claims. Proficient in utilizing industry-standard databases and tools, with a strong background in negotiating settlements and interpreting policy contracts. Seeking to leverage expertise in claims analysis and process improvement to contribute to effective claims management.

WORK EXPERIENCE

GEICO Dallas, TX

Compliance Analyst Oct 2019 - Present

• Conduct compliance audits across various areas including payment transactions, policy modifications, and claims management to maintain adherence to internal and external regulations.

• Process and address inquiries and complaints from multiple sources, including state agencies and consumer protection organizations, ensuring timely and accurate responses.

• Analyze claim handling practices for compliance with state statutes, identifying trends to propose process improvements and staff training opportunities.

• Contribute to the development and implementation of automation features for claims processing systems, monitoring their effectiveness in commercial operations. Licensed Claims Adjuster May 2013 - Oct 2019

• Investigated complex litigation claims, securing recorded statements, and assessing liability to inform settlement strategies.

• Interpreted insurance policy contracts, clarified coverages, and elucidated claims processes to stakeholders.

• Engaged in negotiations for property damage and bodily injury settlements, contributing to effective conflict resolution.

• Managed documentation and correspondence related to claims, utilizing a suite of software tools including ISO, Accurint, and Microsoft Suite.

Professional Civil Process Dallas, TX

Data Entry Specialist Jun 2009 - Jun 2011

• Entered and maintained accurate records of legal documents in the company's database, ensuring efficient retrieval and processing of subpoenas at a proficient typing speed of 85 WPM.

• Organized and prepared process server packets, managed document archiving, and coordinated the distribution of legal materials within the mailroom operations.

EDUCATION

Texas State University

Bachelor of Science, Criminal Justice

San Marcos, TX

2009

Collin County Community College

General Studies

Plano, TX

2006

Naaman Forest High School

Diploma

Garland, TX

2004

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