Dynamic Sr. Claim Manager at New York Life Insurance Co, recognized for enhancing claims processing efficiency and customer satisfaction. Expert in claims management and team motivation, I led cross-functional initiatives that reduced processing time and improved reporting capabilities, while mentoring staff to foster professional growth and compliance with regulatory standards.
Overview
15
15
years of professional experience
Work History
Sr. Claim Manager
New York Life Insurance Co
06.2010 - Current
Reduced claims processing time by implementing efficient workflow systems and streamlining procedures.
Led cross-functional teams in the development of innovative solutions to increase customer service experience within the department.
Mentored many Claim Managers and Sr. Claim Managers, fostering professional growth within the team.
Spearheaded the integration of new technology platforms for tracking claims data, resulting in improved reporting capabilities.
Managed a team of claims managers, ensuring thorough investigations and accurate assessments of liability.
Enhanced customer satisfaction by resolving complex claims issues and providing timely claim updates.
Was on several network projects, such as Claims Genie, and the new Summary project as the lead Sr. Technical Advisor.
Completed audits on claims every month to validate and improve accuracy of financial reporting.
Pulled and reviewed claim reporting to maximize metrics and decision times.
Supported VP with special projects and additional job duties.
Established and checked coding procedures, monitored reports and updated internal files.
Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
Education
Associate of Arts - Design And Merchandising
Glendale Community College
Glendale, CA
06-2000
High School Diploma -
Glendale High School
Glendale, CA
06-1997
Skills
Claims management expertise
Time management
Claims processing efficiency
Effective communication
Staff training and development
Strategic planning
Regulatory compliance
Performance metrics evaluation
Claims auditing
Team motivation
Team management
Policy interpretation
Claims investigation and research
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Supervised team of 14 claim managers
Collaborated with other Sr. Claim Managers and led internal meeting and calls, currently mentoring 2 Sr. Claim Managers
Subject matter expert in AdminSuite
Led successive projects that have helped reduce claim review times
Financial Services Professional at New York Life Securities/ New York Life InsuranceFinancial Services Professional at New York Life Securities/ New York Life Insurance
Healthcare Compliance Officer at Arizona Department of Health Services, ADHSHealthcare Compliance Officer at Arizona Department of Health Services, ADHS