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Danna Keaveney
309 Olde Madbury Lane, Dover, NH 03820, 603-866-9876, danna@gmail.com
Insurance Claims Specialist and Business Analyst
A highly experienced Claims and Business Analyst
demonstrating the ability to lead diverse teams of professionals to success in
the highly competitive insurance industry. Strong management and analysis
qualifications with a track record of more than 15 years of hands-on experience
in claims case management, business requirements, project management, and
system design strategies. Proven ability to successfully analyze an
organization's critical business requirements, identify deficiencies and
potential opportunities, and develop innovative and cost-effective solutions
for enhancing competitiveness, increasing productivity, and improving customer
service.
Skills
Unique blend of technical, business, and people
skills.
Elicit and manage business requirements.
Develop functional specifications. Testing.
Serve as liaison between Business Groups and IT.
Evaluate technical alternatives.
Negotiate technical and non-technical solutions
to satisfy Business Groups and IT.
Create test plans and test cases.Test in-house
and vendor software releases.
Plan and Manage Implementations.
Application Training/Support/Helpdesk
Manage client relationships via customer support
and problem solving.
10 years hands on experience in Claims Case
Management.
Investigations, Negotiations, Reserving, Pricing
and Settlements.
Excellent customer service skills and experience
in a fast paced environment.
Microsoft Office, Excel, Word, PowerPoint, Lotus
Notes.
Professional
Experience
Long Term Care
Partners, Portsmouth, NH [From 3/2011 to Present] – temp.
Certified
Long Term Care Consultant, HIPPA & HITECH certified
- Provide information on Coverage, Benefits, Eligibility, Premiums, Payment Methods, and clearly define the Federal Program to employees, government departments / HR. Answer questions and resolve any problems.
- Participate in and support Program Promotions.
- Provide Consulting services to Federal Employees, spouses, family members, and Annuitants on long term care.
- Participate in defining system business requirements and system testing.
Retail Web
Development and Marketing [From 12/2009
to Present]
Dover, NH part time self employment
● Established relationships with 40-45 retailers
to market products and promotions.
● Successful design, testing, and problem free
implementation of retail websites.
● Introduced new sale promotions on existing
websites.
● Received over 1800 visitors the first week for
Dish Tv.
Claims
Examiner [From 10/2009 to 12/2009]
REM - Quincy, MA
● Successful management of Workers Compensation
claims.
● Accurate indemnity and medical reserving.
● Timely completion of Broker Reports.
● Published Settlement Authority Requests for the
customer (100% approved).
● Meaningful customer service and case updates.
Claims
Examiner [From 8/2009 to 9/2009]
Meadowbrook TPA -
Andover, MA
● Management of Workers Compensation cases.
● Timely investigations and accurate case pricing.
● Negotiating fair settlements.
● Completion of State Forms according to state
requirements.
Property
Locater [From 9/2007 to 8/2009]
Self Employed - Dover, NH
Property locater for
people seeking to relocate to the NH seacoast area. Provided
photos and information
on various locations which included researching town records
and checking liens.
Also worked part time for Regal Limo Services in North Hampton, NH providing
transportation to customers traveling to and from Logan Airport.
Claims
Supervisor [From 7/2006 to 1/2007]
NiiS - Danvers, MA
● Management of WC and GL Claims for National
League of Cities.
● Consultant to claims personnel in GA, MA, VA,
CT, UT, and AK.
● Identified claims that had potential to breach
self insured retentions.
● Author Settlement Authority Requests for NLC
Mutual (100% approved).
● Review NLC Mutual RSG Claims System, recommend
enhancements, and identify new business requirements.
Claims
Examiner [From 7/2003 to 7/2006]
Guaranty Fund
Management Services - Boston, MA
● Direct investigation, and reserving of Workers
Compensation claims.
● Negotiate disposition of WC claims
● Determine Liquidated Insurance Companies
exposure on outstanding WC claims.
● Identify WC claim eligibility for specific state
Guaranty Funds. Resolve WC coverage issues with liquidated insurers.
● Successful development and implementation of
test plans for enhancements to WC systems and Image Processing.
Regional Claims
Rep. [From 1/2001 to 7/2003]
Guard Insurance -
Nashua, NH
● Successfully changed NH WC law regarding PPD
awards by partnering with Government Relations and documenting information and
reasons to support Insurer’s position on the need to change the law.
● Lead meetings with Underwriting and provided
claims data to identify profitable accounts or cancellations.
● Managed WC claims by directing case handling and
financial reserving.
● Worked with State WC boards to insure compliance
on State WC procedures.
● Researched and developed test plan for
enhancements to WC systems.
Home Care [From 8/1999 to 12/2000] Dover, NH
Provided home care for
disabled parent that had no long term
care coverage. Did some
part time sales work for Bournival, Inc.
and Dover Honda in
Portsmouth, NH and Dover, NH during
this period.
Liberty
Mutual - Systems [From 11/1981 to
8/1999]
Project Leader,
Sr. Business Analyst, and Business Analyst
Boston, MA,
Portsmouth, NH, and Dover, NH
● Project Management of claim systems.
● Research and publication of detailed business
requirements.
● Design new systems based on business
requirements, develop test plans, and test.
● Prepare implementation and training plans.
● Received national recognition award for WC fee schedule project that saved 3 million
dollars on WC medical bill processing and improved productivity.
● Author performance reviews for analysts.
● Insure analyst projects are done according to
company guidelines. Provide counseling and training to analysts.
● Timely reporting to management on projects.
Liberty Mutual
- Claims Department
Claims Examiner,
Supervisor, and Manager [From 11/1981 to
8/1999]
Natick, MA,
Chestnut Hill, MA, Boston, MA, and Dover, NH
● Management of WC, GL, Property, Environmental,
and Auto BI claims.
● Management and supervision of claims staff in
Branch Office and
● Consultant to Division Claims.
● Increased branch office production by 7%.
● Identified reserving problem on NJ PPD long term
cases and provided resolution
● Consulted on automated reserving project and coordinated
testing.
● Resolved several EPA monitored pollution cases
in excess of one million dollars.
● Authored performance reviews and led training
for adjusters and medical payment processors.
● Led branch office in total negotiated
settlements by identifying all cases ready to be settled with a particular law
firm then held one meeting with them to bring multiple GL, WC, and Auto BI
claims to their conclusions.
Certifications:
1. HIPPA
2. HITECH
3. Federal Long Term Care Certified Consultant
Education
Bachelor of Science in Biology
Framingham State College
National
Insurance Research {2007 to 2008}
Business Ethics
Annuities & Structured Settlements
Company Sponsored Courses (1981 to 2006)
Project Management, Business Management, various Claims
Handling courses.
Online Courses (2001 to 2010)
HTML, Intro to Web Design, and Basic SQL
My Web Sites
https://sites.google.com/site/donkeaveney
www.linkedin.com/in/donkeaveney
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