Ricartha Haragaes

Manages HR Functions; Train (systems, processes and policy wording to new recruits within my operational space; Accountable for strategic and technical decision making within my functional area; Manages daily operations; Manage external relationships; Responsible for daily feedback and review performance; Resolve conflicts; Individually accountable for customer/client service delivery through the claims team; Guides and direct staff to achieve operational excellence standards; Creates climate for optimal performance & manages of others; Build relationships with peers, colleagues and intermediaries that impact across business areas. Balances own priorities with directing and motivating others; Accountable for others time task and output quality.

I have been responsible for decision making for smooth finalizations of specialized claims within my functional area ; Managed stakeholder relationships for key accounts; Management of daily operational delivery within my area of operations; Building and management of external relationships; Coached and mentor staff for specialized claims; Guide and direct staff to achieve operational excellence standards; Creates climate for optimal performance & manages of others; Balances own priorities with directing and motivating others; Accountable for others time task and output quality

Expedited claim settlements by negotiating fair and reasonable payments with clients and claimants. Balanced competing priorities effectively while managing a diverse caseload, ensuring timely and accurate claim resolution for clients. Implemented quality control measures to reduce errors in claim processing, increasing overall accuracy rates within the department. Evaluated complex claims situations, providing expert guidance to support informed decision-making processes. Investigated claims for accuracy, verifying proper documentation to prevent fraud. Served as liaison between customers and other departments within the company to ensure seamless communication during the claim process. Managed high volume of daily claims while maintaining attention to detail and superior customer service standards. Assisted with training new employees, sharing knowledge and expertise to ensure smooth onboarding process. Collaborated with team members to improve communication, resulting in a more productive work environment. Enhanced customer satisfaction by promptly addressing and resolving claims issues. Worked with claims adjusters and examiners to expedite processing in alignment with procedures. Checked documentation for accuracy and validity on updated systems.

Maintained accurate records of all claims processed, ensuring compliance with company policies and industry regulations. Balanced competing priorities effectively while managing a diverse caseload, ensuring timely and accurate claim resolution for clients. Reduced claim processing time by streamlining workflow and implementing efficient procedures. Saved company resources by identifying fraudulent or exaggerated claims through thorough investigation techniques. Coordinated with outside vendors such as appraisers or adjusters for timely completion of necessary evaluations or assessments related to claims handling process Applied quality control measures to reduce errors in claim processing, increasing overall accuracy rates within the department. Investigated claims documentation for accuracy, verifying proper documentation to prevent fraud. Expedited claim settlements by negotiating fair and reasonable payments with third party claimants. Worked with claims adjusters and examiners to expedite processing in alignment with procedures.

Verified third party information by analyzing existing evidence on file.