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, IL05.2010
High School - undefined
Elmwood Park High School
Elmwood Park, IL01.2003
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
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