CV / English / Claims Operations Manager

Matthew Collins 123 Success Street, Victory City, VY 12345 Email: [email protected] Phone: (123) 456-7890

Dynamic and detail-oriented Claims Operations Manager with over 10 years of experience in effectively managing claims processes, developing strategic operational improvements, and leading high-performing teams. Proven ability in optimizing workflows, enhancing team productivity, and implementing technology solutions that improve efficiency and accuracy in claims handling. Adept at managing complex claims portfolios, negotiating settlements, and ensuring compliance with regulatory standards.

Core Competencies

• Claims Management & Processing
• Operational Improvement
• Team Leadership & Development
• Strategic Planning & Implementation
• Data Analysis & Reporting
• Regulatory Compliance
• Customer Service Excellence
• Conflict Resolution & Negotiation

Technologies and Certifications

• Proficient in Claims Management Software (e.g., ClaimCenter, Xactimate)
• Advanced user of Microsoft Office Suite (Excel, Word, PowerPoint)
• Certified Insurance Claims Manager (CICM)
• Project Management Professional (PMP) Certification

Professional Experience

Senior Claims Operations Manager ABC Insurance Co., Victory City, VY May 2017 - Present

• Spearheaded the claims operations team, reducing processing time by 20% through strategic workflow optimizations.
• Implemented a new claims management software, enhancing efficiency and accuracy in claims handling.
• Trained and developed a team of 50+ claims processors and managers, significantly improving team performance and morale.

Claims Manager XYZ Insurance Services, Victory City, VY January 2013 - April 2017

• Managed a portfolio of complex claims, successfully settling 95% of cases within targeted timeframes.
• Developed and maintained productive relationships with policyholders, agents, and adjusters to ensure a high level of customer satisfaction.
• Conducted detailed data analysis to identify trends and areas for process improvement, leading to a 15% reduction in operational costs.

Education and Training

Master of Business Administration (MBA), Insurance & Risk Management University of Success, Victory City, VY Graduated: May 2012

Bachelor of Science in Business Administration University of Growth, Victory City, VY Graduated: May 2009

Referees

Jane Smith Director of Operations, ABC Insurance Co. Email: [email protected] Phone: (234) 567-8901

Robert Johnson Vice President, XYZ Insurance Services Email: [email protected] Phone: (345) 678-9012