Claim Services Resume
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Chicago, IllinoiS
SUMMARY:
- A strategic and results - driven financial services leader specializing in Property and Casualty insurance with proven expertise in management of claims, operations, as well as project management and business analysis. Excels at analyzing and developing solutions for complex business issues to support an organization’s goals.
PROFESSIONAL EXPERIENCE:
Confidential, Chicago, Illinois
Claim Services
Responsibilities:
- Served as claims business process lead for Guidewire business case project.
- Acted as Guidewire Claim Center business subject matter expert for all claim technical processes
- Presented ClaimCenter updates of key functionality at conclusion of each sprint
- Participated and provided feedback for the Project Communication and Change Management plan.
- Conducted demonstrations of Claim Center functionality for various departments
- Assessed and redesigned workflows and procedures to improve efficiency and timeliness of customer service.
- Worked closely with cross-functional team to bring new products to market.
- Developed requirements for a new Large Loss tracking tool
- Managed a distributed team handling all claim services support from FNOL, to claim payment.
- Managed Underwriting clearance team
- Assigned responsibility for multiple projects that were needed to support the business including implementation of a Claim Audit tool, Self-Insured Retention account protocol, Medical Malpractice reporting, and Cyber claim handling.
Confidential, Chicago, Illinois
Claim Commodity Leader
Responsibilities:
- Worked with assigned business segments and vendors to establish relationships, resolve issues, and find creative ways to add value, reduce complexity, and reduce claim expense when using third-party claim administrators.
- Managed business relationship with E&S Underwriting and Europe to establish and refine existing process needed to support business segment.
- Established relationships across organization to effectively resolve issues related to use of third-party and unbundled claim services.
- Performed TPA due diligence for new opportunities presented by E&S and large account underwriting teams, including both claim and financial due diligence geared to mitigating risks associated with outsourced claim arrangements.
- Worked with TPA, legal, and IT to establish relationship, including TPA claim contract and reporting requirements, level of escrow funding, and detailed loss data feed.
- Interfaced with claim audit and technical claim oversight team to coordinate claim reviews and publish audit results.
- Conducted annual stewardship reviews for designated TPAs designed to provide organizational view of TPA’s performance and capabilities.
Confidential, Chicago, Illinois
IT Application Manager Information Technology
Responsibilities:
- Led project to develop Java-based, SOX-compliant rate, quote, and issue system supporting $500,000,000 marine business segment.
- Contributed to claims historical conversion project for claims and policy systems, achieving $10,000,000 in direct costs savings.
- Managed claim recovery interface project, completing on time and under budget.