MARIAH KOVAC
Waterloo,ON
Summary
Empathetic candidate with 5+ years of experience in medical claims management. Guides lower-level medical claims managers in solving client needs effectively, simultaneously engaging personally in medical claims work. Compassionate professional giving back to community through service to others.
Overview
12
12
years of professional experience
Work History
Personal Lines Underwriter
Gore Mutual Insurance
11.2021 - Current
- Underwriting specialty personal lines risks with level of authority.
- Preparing underwriting instructions for processing on renewals, endorsements, cancellations and new business
- Achieve performance targets of 95% and meet required deadlines to maintain service standards.
- Handle escalations accordingly.
- Supported agents with subject matter expertise in risk evaluations.
- Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment.
- Negotiated terms and conditions of coverage with clients to acquire maximum profitability.
- Proven ability to learn quickly and adapt to new situations.
- Scrutinized underwriting performance to identify weaknesses and provide recommendations for improvement.
Medical Information Management
Allianz Global Assistance
12.2017 - 11.2021
- Worked closely with management teams to plan, develop and execute technical strategies aligned to client's needs.
- Played key role in on-going escalation resolution, reevaluation and optimization to keep pace with company growth.
- Passionate about learning and committed to continual improvement.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Obtained client medical history, medication information, and symptoms.
- Managed over 50 cases per day to clear backlog.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Administrative/ Personal Assistant
Natalie's Painting
08.2011 - 08.2017
- Maintained payroll and finances for 9 employees.
- Built and maintained customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
- Created and executed detailed administrative processes and procedures to drive efficiency and accuracy.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
- Identified and recommended changes to existing processes to improve accuracy, efficiency, and quality service.
Education
English Communication
Conestoga College Institute of Technology And Advanced Learning
Kitchener, ON05.2018
High School Diploma -
Kitchener–Waterloo Collegiate And Vocational School
Kitchener, ON06.2012
Skills
- Complex Problem Solving and Organizational Skills
- Tenacious Communication, Presentation and Negotiation
- Medical Terminology
- Critical Thinking
- Liability and Risk Evaluation
- Claim Referrals
- Profit Optimization
- Underwriting Understanding Medical/Personal
- Risk Management/Assessment
- Conflict Resolution
Accomplishments
- Collaborated with team of 25 in the development of ABS implementation.
- Achieved 140% productivity consistently by completing all work with accuracy and efficiency.
- Achieved high claims adjudication through effectively helping with medical documentation from hospitals and providers.
- Provided training and ongoing support for junior team members and new recruits.
Timeline
Personal Lines Underwriter
Gore Mutual Insurance
11.2021 - Current
Medical Information Management
Allianz Global Assistance
12.2017 - 11.2021
Administrative/ Personal Assistant
Natalie's Painting
08.2011 - 08.2017
English Communication
Conestoga College Institute of Technology And Advanced Learning
High School Diploma -
Kitchener–Waterloo Collegiate And Vocational School
Similar Profiles
ANUPAM ANGLANUPAM ANGL
ASSOCIATE CLAIMS ADVISOR at Gore Mutual InsuranceASSOCIATE CLAIMS ADVISOR at Gore Mutual Insurance
Toni GraciToni Graci
Manager, Operations Center of Excellance at Gore Mutual InsuranceManager, Operations Center of Excellance at Gore Mutual Insurance
Dhanisha MalvadiaDhanisha Malvadia
ServiceNow Developer at Gore Mutual Insurance CompanyServiceNow Developer at Gore Mutual Insurance Company
Mina MattaMina Matta
Lead Technical & Infrastructure Support at Gore Mutual InsuranceLead Technical & Infrastructure Support at Gore Mutual Insurance
Zachery McCallZachery McCall
Sales Associate at Movati AthleticSales Associate at Movati Athletic