Senior Claims Examiner
As an insurance adjuster I handled No-Fault medical claims. These claims were made due to injuries resulting from a car accident. I would ascertain what injuries were related to the Motor Vehicle Accident (MVA), research the standard treatment plan and estimate the cost to the company. This money would then be held in reserve and frequently many cases went up to the policy limits of $150,000. Customer service is a key function as I was dealing with complex medical claims. Many of my claimants had significant injuries requiring long term care and attorney involvement.
- Out of a staff of over 100 people I was assigned by my office manager to an advisory board to represent my fellow employees, explain my daily job duties to a panel of upper management and give feedback as to how a new team that was being developed could help alleviate some of our workload. This was a 6 month assignment.
- I offered and was assigned to be part of a focus team to implemented next-generation technologies and process automations (including new EDI and windows Vista systems) to help employees embrace technology upgrades. Trained users and served as the primary “go-to” troubleshooter on these new systems.
- Became the “Growth and Development” leader of the operation, leading by example, as I spent the majority of my free time earning a bachelor’s degree. Made multiple presentations to my coworkers, with management permission and usually over lunch hour, to discuss the many benefits available to obtain degrees and insurance designations as well as reduce the stigma of being an adult student.
- Finished my Associates at Nassau Community College and then my Bachelors degree’s at SUNY Farmingdale, a personal project of mine, while working full time and leading numerous company projects.