Insurance Analyst Resume Samples

Description :

1. Responsible for the allocation of insurance expenses and analysis of data for insurance renewals.
2. Accounted for all invoices and their monthly portions of expense. 
3. Allocated insurance premiums to cost centers based on risk exposures by using various models. 
4. Gathered, analyzed and reported company risk information for policy renewals and audits.
5. Performed research, analysis, reporting and presentations for the implementation of the erm program.
6. Responsible for activities relating to the origination, payment, forecasting, monitoring, and modification of long-term debt and long-term leases. Performed various other responsibilities.
7. Performed the RFP process for new long-term debt issues and rail financing leases.
8. Negotiated with banks to obtain the lowest rates. Earned the "CEO award" for my efforts in a year with $80m in lease transactions.
9. Forecasted long-term debt, current maturities and interest forecasts through by creating long-term debt model. This model reconciled to bank statements and general ledger but also modeled the effect of forecasted new debt issues allowing treasury to effectively ladder maturities of long-term debt.

Experience

10+ Years

Level

Senior

Education

BBA

Description :

1. Knowledge of the Delaware Medical Assistance program and procedures with the state and federal rules and regulations.
2. Attending the provider relations quarterly meetings with state of Delaware providers.
3. Exercising the independent judgment within defined practices and procedures to determine appropriate action.
4. Providing responsive and professional customer service to providers regarding states of medical and dental claims for clients.
5. Identifying the network trends and gaps as it relates to provider questions and concerns.
6. Utilizing the necessary resources and navigating the systems efficiently to accurately verify eligibility and providing verification of benefits.
7. Managing multiple tasks or cases simultaneously with minimal supervision.
8. Responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of.
9. Managing the multiple tasks or cases simultaneously with minimal supervision.
10. Knowledge in call routing and case management processes as well as case logging systems and obligation systems.
11. Conducting all work in accordance with the confidentiality requirements mandated by HIPAA for member information.

Experience

10+ Years

Level

Consultant

Education

Diploma

Description :

1. Preparing the division insurance premium distribution based on the holding company's premium budget allocation for the Directors approval.
2. Ensuring the accurate premium invoicing from the accounting department and tracking payment.
3. Leveraging the company's insurance purchasing power in the foreign markets.
4. Assessing gaps or duplicate global coverage as well as to seek premium savings and efficiency opportunities by the consolidation of local in-country insurance lines.
5. Attending the carrier underwriter and broker strategy meetings to address program issues, asses current market trends, capacity and risk appetites.
6. Involving in the design and procurement of commercial insurance programs.
7. Identifying and reporting trends, assisting in the development and deployment of training relative to trends.
8. Identifying opportunities for revenue cycle performance improvements and report to the management team.
9. Assuring that all assigned claims meet clearinghouse and/or payer processing criteria.

Experience

7-10 Years

Level

Senior

Education

MS

Description :

1. Prepared and reviewed insurance-claim forms for accuracy and completeness and process accordingly.
2. Collaborated with Senior Executives to establish and execute a sales goal for the region.
3. Managed a sales team in order to maximize sales revenue and meet or exceed corporate-set goals.
4. Reviewed administrative processes, elaborating all the necessary documents.
5. Educated the sales team with presentations of strategies, seminars and regular meetings.
6. Responsible for the billing, collection, and resolution of insurance-related account balances to include the development of action plans to resolve delinquent accounts and responded to insurance-related complaints.
7. Provided continuing services by direct deposit forms, processed changes in beneficiary and policy loans.
8. Reviewed insurance renewal information to ensure that investor insurance requirement compliance is met.
9. Provided guidance and assistance to branch directors on assigned reimbursement issues.

Experience

10+ Years

Level

Consultant

Education

BS

Description :

1. Reviewed insurance - MR, depot, hosting, long-term, NDP, TRAC and repositioning agreements.
2. Reviewed the insurance certificates to fully meet each customer/vendor requirements and make sure to update and follow-up with the expired insurance.
3. Designed and developed each agreement per customer/vendor insurance lists.
4. Streamlined the daily update process for easy understanding/updating. Enhanced for follow-up and maintained present customer/vendor.
5. Assisted on the development and updating the insurance dash-board and credit committee reporting on self- insured customer/vendor lists.
6. Reviewed EOM units on-hire lists and request insurance and update the current list.
7. Reviewed AP/AR hold list and follow-up with the insurance and provide the list to relevant parties.
8. Assigned by the superiors, such as chassis asset investigation. Contact customers on weekly "off terminal over 90 days" report to determine the status of chassis and make appropriate next actions.
9. Tracked all assets under investigation on a spreadsheet and provided a weekly update to the Claims Manager. 

Experience

2-5 Years

Level

Junior

Education

Certification

Description :

1. Following-up and Call Health Insurance companies and using online systems to help bring insurance accounts to resolution.
2. Examining, assessing, and documenting the claims operations and procedures to ensure data integrity/security and process optimization.
3. Verifying the eligibility and insurance coverage for patients with the hospital system and passport.
4. Initiating the phone calls to members, providers, and other insurance companies to gather coordination of benefits information, accident detail, or third-party liability to determine primary payer.
5. Researching the claims after Medicare has paid and account information, document findings.
6. Assisting the guarantors with all aspects of account reconciliation and closure.
7. Preparing the analysis of accounts to help the Manager with decision making on accounts in order to keep business current as defined by department standards and parameters.
8. Assisting the clients with all aspects of account collection expediting account balance and closure.

Experience

10+ Years

Level

Consultant

Education

Associates

Description :

1. Conducting the quality assurance reviews of commercial mortgage real estate loan documents to include insurance certificates and policies via strategy, CATs, CMG, ICT and other internal resources.
2. Reviewing the insurance certificates and policies to determine insurance coverage meets the compliance requirements of Fannie Mae, Freddie Mac, CME, FHA and Wells Fargo portfolios.
3. Providing loan servicing and support to internal and external customers, including vendors and other loan servicing departments on all aspects of insurance coverage.
4. Communicating with agents and customers via written correspondence or by phone to ensure all compliance issues are resolved in accordance with company policy and internal controls.
5. Recommending solutions to bring insurance issues compliant with investors guidelines, regulatory policies.
6. Accurately updating the computer systems with necessary tracking information to ensure all resolutions are documented.
7. Updating the quality control reports to track review completion date and review errors.
8. Referring loans for force place coverage that does not meet the investor's requirements.
9. Training new hires on data integrity, auditing, researching and other analytical aspects of insurance compliance.

Experience

5-7 Years

Level

Executive

Education

Business Management

Description :

1. Assisting with all policy renewals including compiling renewal data for underwriting submissions.
2. Reviewing insurance policies and endorsements for accuracy and requesting the changes from brokers as necessary.
3. Processing and managing insurance reported and in-house workers comp, general liability, property, and auto claims.
4. Processing incoming invoices, reviewing for accuracy and allocating premiums to business units as applicable.
5. Maintaining and overseeing the issuance of all certificates of insurance, auto id cards, and bonds.
6. Processing and managing claims and lawsuits associated with all policies for all entities of the company.
7. Overseeing maintenance of access database consisting of all historic and current insurance information.
8. Providing back-up to the Risk Manager for all risk management and insurance matters.
9. Processing insurance forms from multiple insurance vendors including analyzing and editing applications, actual production history records, and acreage reports utilizing insurance company software, as well as internal processing software.

Experience

2-5 Years

Level

Junior

Education

Business Administration

Description :

1. Main point of contact on insurance questions,coverage requirements and investorguidelines.
2. Pursuing and obtaining invoices, paid receipts and evidence of insurance on assigned portfolio within 30 days of insurance renewal.
3. Reviewing the investor insurance guidelines and loan documents to establish baseline requirements.
4. Performing annual review of insurance certificates, policies, statement of values and invoice to determine compliance with investor guidelines.
5. Obtaining an understanding of the insurance casualty provision and claim process.
6. Performing general insurance tasks as necessary which include processing invoices and reimbursements to borrowers.

Experience

5-7 Years

Level

Executive

Education

MBA

Description :

1. Assisting with all policy renewals including compiling renewal data for underwriting submissions.
2. Reviewing the insurance policies and endorsements for accuracy and request changes from brokers as necessary.
3. Processing and managing the insurance reported and in-house workers comp, general liability, property, and auto claims.
4. Processing the incoming invoices, reviewing for accuracy and allocating premiums to business units as applicable.
5. Maintaining and overseeing the issuance of all certificates of insurance, auto id cards, and bonds.
6. Processing and managing the claims and lawsuits associated with all policies for all entities of the company.
7. Overseeing the maintenance of access database consisting of all historic and current insurance information.
8. Providing back-up to Risk Manager for all risk management and insurance matters.
9. Analyzing and resolving the outstanding accounts receivable balance of processed and denied claims.
10. Identifying trends, appealing denied claims and interacting with insurance companies to determine the root cause of issues.

Experience

5-7 Years

Level

Executive

Education

Business Administration