Claims Supervisor

Qualifications Profile

Intelligent and persistent professional, offering accomplished qualifications in assessing customer and business requirements and ensuring operational success. Exhibit outstanding communication/interpersonal and public relation skills in dealing with all levels of professionals. Regarded as a team player, key source of professional knowledge, and strategic problem solver by colleagues and upper-level management. Skilled at implementing cost-effective plans to elevate work efficiencies and enhance overall operations. Show adeptness in leading teams, while fostering a positive work environment. Multitalented visionary leader, with the ability to deliver projects on-time and within budget, without compromising quality. Technically proficient in Microsoft Excel, PowerPoint, Word, DocMagic, and Electronic Claims Filing System.

Core Strengths

- Product, Performance, and Market Optimization

- Revenue/Profit Growth and Enlargement

- Organizational Needs Assessment

- Client Relationship Development

- Quality Assurance

- Tactical Planning/Problem Solving

Professional Experience

GEICO, WOODBURY, NEW YORK

Claims Supervisor - Dec 2008–Present

- Assess and coordinate examiner file handling in conformity with state regulation as well as established company standards

- Educate and guide individual examiners in ensuring peak performance and overall career growth

- Lead departmental transformation for continuous effective and efficient file handling

- Assume the roles of a project team leader in developing fraud initiative process review

- Organize and manage company event celebrations as the regional coordinator

- Mentor and guide new supervisors along with struggling supervisors to ensure compliance with best practices

- Establish and introduce the No-Fault Department with information regarding regulatory rules, fraud and detection, and best practices to positively influence suit and arbitration cases

- Completed training in multiple levels of Human Resource Courses, which involved how to have difficult conversations, coaching, ADA rules and regulations, FML rules and regulations, colors, and corrective action processes and procedures

No-Fault Claims Examiner - Aug 2007–Dec 2008

- Teamed up with the SIU Department to investigate potential fraud in both medical facilities as well as the claimants themselves

- Evaluated injuries and treatment on a file to offer an accurate forecast on how much money will be needed for the life of the file

- Worked closely with the supervisor in analyzing and tracking claims diary of other examiner in the section for timelines

Clerical Supervisor - Mar 2006–Aug 2007

- Ensured coordination of incoming No-Fault suits being served on the company and arbitrations, filed with the American Arbitration Association; verified proper delegation to examiners for continued handling

- Handled the consolidation of some non-value added functions of the section, successfully optimizing efficiencies while cutting costs

- Rendered sufficient support in developing a DocMagic database designed to deliver on-time handling of all new arbitrations, awards, conciliation notices, and examiner moves

- Initiated and executed tracking productivity for all functions in the section resulting in appropriate evaluation of performance

- Fulfilled expanded responsibility as regional coordinator for Diversity Committee

Mail Room Supervisor - Feb 2005–Mar 2006

- Sorted over 5,000 pieces of mail received on a daily basis

- Supervised and streamlined the consolidation of the mail function from New York to Virginia

- Executed and managed the new Electronic Claims Filing System, and screened mail to appropriate file and examiner

- Directed and developed a group of 19 people; provided assistance in boosting skills toward new positions within the company

Sales - Jun 2002–Feb 2005

- Underwrote and sold private passenger car insurance policies in 10 states

- Functioned as section leader, responsible in providing recommendations to peers regarding errors that occur in recording significant information

- Developed and implemented a tracking system for departmental purposes to trend mistakes by counselor and section

SHERMAN SPECIALTY, FREEPORT, NY

Sales - Aug 2000–Apr 2002

- Designed and facilitated the perfect novelty party in collaboration with retail customers

- Took charge in supplying package, requesting orders from existing wholesale customers, and ensuring timely completion of all requests

- Proactively participated at trade shows to boost company awareness and expand client base

Education and Credentials

BACHELOR OF SCIENCE IN BUSINESS MANAGEMENT: EXPECTED COMPLETION DATE

The State University of New York - Farmingdale, NY

Yellow Celt Certified in the Six Sigma process

Certified Arbitrator – Arbitration Forums

Contact this candidate