Eileen Cowan
Wexford
Summary
Business-minded Claim Anaylist with exemplary skills in customer service, time management and training. Bringing over 25 years of related experience combined with superior orginzational abilities. Pursuing similar position with expanding insurance company.
Overview
34
34
years of professional experience
Work History
Claim Analyst
New York Life Insurance Co
03.2014 - Current
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Viewed reports regularly to make sure processing was conducted efficiently.
- Documented information gathered in field and uploaded data to company database for efficient processing using Workbench.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Mentored junior team members, sharing expertise in claims analysis techniques and fostering professional growth within the department.
- Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
- Participated in ongoing training programs to stay current on industry developments and maintain a strong understanding of relevant laws and regulations affecting the claims process.
- Interacted with clients and employees, which helped cultivate positive working relationships.
- Provided exceptional customer service by promptly addressing inquiries from policyholders, agents, and other stakeholders regarding the status of their claims.
- Continuously sought opportunities to streamline workflows and implement process improvements within the claims department, resulting in increased efficiency and productivity levels.
District Training Manager
American Eagle Outfitters
01.1990 - 07.2012
- Mentored junior trainers, providing guidance on best practices and professional development opportunities.
- Researched and obtained relevant course materials to achieve training objectives.
- Directed field training to enhance participants' skills.
- Analyzed effectiveness of training programs at all levels and recommended updates.
- Managed all exempt employee coaching, training, and performance improvement actions.
- Evaluated employee progress and provided constructive feedback, leading to improved job performance.
Education
Bachelor of Arts - English
University of Pittsburgh
Pittsburgh, PA05.1984
Skills
- Team Training
- Claims Processing
- Decision-Making
- Records Review
Timeline
Claim Analyst
New York Life Insurance Co
03.2014 - Current
District Training Manager
American Eagle Outfitters
01.1990 - 07.2012
Bachelor of Arts - English
University of Pittsburgh
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