Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Monika Grzymkowska

Bartlett,IL

Summary

Accomplished professional with expertise in claims assessment, negotiation, and resolution. Utilizes strategic problem-solving techniques to efficiently manage high-volume claims. Proven track record of enhancing team performance and ensuring compliance with regulatory standards.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Director of Claims

Kemper Insurance Co. | American Access Casualty Company
04.2015 - Current
  • Leads a Team of Casualty, Unrepresented Casualty, Auto Liability, and Express claims professionals, including managers, adjusters, and support staff, overseeing daily operations for auto claims across multiple regions/states.
  • Develop and implement various claims handling strategies to improve cycle time and reduce claim costs.
  • Streamlines processes by integrating new technologies (e.g., XX) result in increased productivity.
  • Ensures compliance with state and federal regulations, internal policies, and industry best practices.
  • Collaborates cross-functionally with underwriting, legal, SIU, and customer service departments to ensure seamless claims resolution and customer retention.
  • Support the designing of training and development programs to upskill claims staff and improve technical accuracy and customer service metrics.
  • Monitor key performance indicators and presents executive reports on trends, performance and strategic initiatives.
  • Leads change management efforts during company mergers, system conversations, or organizational restructuring.
  • Established vendor partnership (repair shops, appraisers, rental companies, translation lines) and negotiated service level agreements to improve turnaround times and reduce costs.
  • Supports litigation strategy for high-exposure and complex claims, collaborating with internal litigation Team, internal legal counsel to achieve favorable outcomes. Monitors litigation trends and loss development, using insights to adjust claims handling practices and training.

Claims Supervisor

American Service Insurance Co.
02.2006 - Current
  • Successfully manage Unit’s Pending and Average Unit’s closure goal of 102% on a weekly/ monthly basis.
  • Responsible for managing Fast Track, Total Loss, Coverage and Theft adjusters. Manage a pending in additional to Unit’s Pending.
  • Manage the Claims DOI log and responded to Department of Insurance complaints.
  • Conduct Material Misrepresentation investigates and process policy rescissions.
  • Knowledge and practice claim handling in the state of Illinois, Indiana, Ohio, Missouri, Florida (Licensed), Texas (Licensed), California (Certified), Louisiana (Licensed) including NAFTA files, and Virginia.
  • Complete daily helpdesk reports for KIIS system and if an error is identified made the necessary corrections. Key role in system implementation for Diamond including testing, training, etc.
  • Secure Examination under Oath’s to help reduce expense on sending out to defense counsels; prepare claim file for Declaratory Judgment actions.
  • Complete Quality Assurance reviews to confirm accurate reserving, rule out leakage and ensure file handling is in compliance within the DOI regulations.
  • Complete weekly/ monthly/ yearly reports including Pending Report, Reserve Movement Report, Dashboard Report, Audit Summary report, etc.
  • Provide adjuster training to new/ existing employees.

Customer Service Supervisor

United Automobile Insurance Co.
02.2002 - 02.2006
  • Managed the customer service department.
  • Provided training to all new employees.
  • Handled dispatching and processed all estimates daily.
  • Investigated coverage, liability and opened reserves on all new claims.
  • Processed and acknowledged attorney UM, BI and PD liens.
  • Processed and handled all UM vehicle inspections.
  • Ran motor vehicle reports on all claims with an injury exposure.
  • Processed adjuster mail and completed property damage investigations for settlement.
  • Managed high volume of inbound and outbound calls.

Office Manager

First Illinois Insurance Agency
03.2000 - 02.2002
  • Quoted and sold liability, comprehensive/collision automobile polices to customers.
  • Processed new customer applications and renewals.
  • Entered and handled insurance claims for customers.
  • Attended to customer’s needs and requests.
  • Trained all new employees.

Education

Associate of Science Degree -

Harper Community College
Schaumburg, IL
05.2010

High School - undefined

Elmwood Park High School
Elmwood Park, IL
01.2003

Skills

  • Proficient in Microsoft Access
  • Effective organizational skills
  • Insurance claims analysis
  • Claims analysis expertise
  • Regulatory compliance assessment
  • Data analysis methods
  • SOP documentation development
  • Claims analysis proficiency
  • Project Management

Certification

  • Advanced Claims Professional (ACP) October 2023
  • Certified Claims Professional (CCP) September 2023
  • CCPU Target Completion Date: 2027

Languages

Polish
Native or Bilingual

Timeline

Director of Claims

Kemper Insurance Co. | American Access Casualty Company
04.2015 - Current

Claims Supervisor

American Service Insurance Co.
02.2006 - Current

Customer Service Supervisor

United Automobile Insurance Co.
02.2002 - 02.2006

Office Manager

First Illinois Insurance Agency
03.2000 - 02.2002

High School - undefined

Elmwood Park High School

Associate of Science Degree -

Harper Community College
Monika Grzymkowska