Highly motivated Risk Management Specialist providing hands-on experience in the development of risk models involving market, credit, and operational risk, assuring controls are operating effectively and providing research and analytical support. Possess excellent quantitative and analytical skills, along with the ability to apply those skills across a variety of business processes. In-depth knowledge of a wide range of basic financial and accounting procedures, as well as a track record of increasing bottom-line profitability and meeting corporate objectives.
Assisted with the development of a Claims Department quality assurance program, including metrics and internal reporting standards. Analyzed data and performed trending analysis on incidents to initiate formal risk assessments or control evaluations on current processes. Provided support in the development and implementation of solutions, including quality reporting and analysis. Contributed to the department reaching an overall quality goal. Reviewed and analyzed suspicious and potentially fraudulent insurance claims. Trained new claim specialists in the detection of external fraud and red flags. Conducted audits of claims and made recommendations to claims staff and management. Coordinated, performed and assisted on internal and external regulatory examinations.
