Asia Demming
Union City
Summary
Strategic Claims Specialist with extensive progressive experience in reinsurance and insurance operations, specializing in Long Term Care and Individual Disability claims management. Subject matter expert recognized for delivering $15M+ annual cost savings through proactive risk assessment, treaty compliance optimization, and client training initiatives. Proven leader in managing complex claim portfolios exceeding $50M in annual exposure while maintaining 98.5% accuracy rate and 95% client satisfaction scores. Licensed insurance adjuster with track record of reducing claim cycle times by 30%, improving reserve accuracy by 25%, and increasing audit efficiency by 40% through process innovation. Published author of industry best practices with demonstrated expertise influencing C-suite stakeholders, developing high-performing teams, and representing organizations at national conferences.
Overview
10
10
years of professional experience
4
4
years of post-secondary education
Work History
Senior Claims Specialist – Remote
Allied World Assurance
Dallas
04.2022 - 04.2026
- Manage high-complexity claim portfolio of $50M+ annual exposure across 200+ active LTC and Individual Disability cases, achieving 98.5% accuracy rate and 95% client satisfaction score while reducing claim cycle time by 30% through streamlined processes
- Serve as subject matter expert and strategic advisor to 15+ ceding companies, delivering $15M in annual cost savings through proactive risk identification, reserve optimization, and treaty compliance recommendations
- Conduct comprehensive claim audits remotely and on-site at 25+ client locations annually, reviewing 1,200+ claim files and identifying $3.2M in recovery opportunities while improving client claim handling practices by 40%
- Lead development and delivery of customized training programs for 300+ insurance professionals annually, covering LTC benefit triggers, ADL assessments, elimination periods, and regulatory compliance, resulting in 35% reduction in client claim errors
- Analyze and adjudicate 80-120 complex reinsurance submissions monthly including facultative placements and consultative reviews, providing risk management insights that reduced adverse selection by 22%
- Maintain expert-level knowledge of state/federal regulations including NAIC Model Acts, state-specific LTC regulations, and CMS guidelines, ensuring 100% compliance across multi-state claim portfolio
Claims Analyst – Remote
Allied World Assurance
Dallas
08.2016 - 04.2021
- Adjudicated 75-95 LTC and Individual Disability claims daily with 97.8% accuracy rate, exceeding department benchmarks by 15% while maintaining service level agreements of 48-hour turnaround
- Reduced claim denials by 28% through comprehensive documentation review, provider outreach, and policy interpretation, resulting in $2.1M annual cost savings and improved member satisfaction scores by 18%
- Collaborated cross-functionally with underwriting, finance, and legal teams to resolve 150+ complex coverage disputes annually, achieving 85% favorable resolution rate without litigation
- Created SQL queries and Excel macros to automate reserve calculations and claim reporting, reducing manual processing time by 45% and improving data accuracy from 93% to 99.2%
- Mentored team of 8 junior claims examiners, providing technical guidance on policy interpretation, regulatory compliance, and customer service excellence, contributing to 25% improvement in team productivity
- Participated in quality assurance program reviewing 50+ peer claim files monthly, identifying training opportunities and process improvements that reduced rework by 32%
Education
High School Diploma -
Crowley High School
Crowley, TX 08.2007 - 05.2011
Skills
- Reinsurance Claim Risk Management
- Long Term Care (LTC) Claims Expertise
- Individual Disability Income Protection
- Remote & On-Site Claim Auditing
- Medicare/State/Federal Regulatory Compliance
- Cost Containment & Loss Mitigation
- Microsoft Office Suite
- Power BI
- SQL Query Development
- Database Management
Core Competencies And Technical Expertise
- Reinsurance Claim Risk Management ($50M+ Portfolio)
- Long Term Care (LTC) Claims Expertise
- Individual Disability Income Protection
- Treaty & Policy Compliance (98.5% Accuracy)
- Executive Stakeholder Relationship Management
- Strategic Client Training & Development
- Facultative & Consultative Underwriting
- Remote & On-Site Claim Auditing
- Medicare/State/Federal Regulatory Compliance
- Cost Containment & Loss Mitigation ($15M+ Savings)
- Data Analytics & Predictive Modeling
- Process Optimization & Workflow Redesign
- Industry Thought Leadership & Publishing
- Microsoft Office Suite, Visio, Power BI
- SQL Query Development & Database Management
Professional Licenses And Certifications
- Licensed Insurance Adjuster, [Texas], Active
Timeline
Senior Claims Specialist – Remote
Allied World Assurance
04.2022 - 04.2026
Claims Analyst – Remote
Allied World Assurance
08.2016 - 04.2021
High School Diploma -
Crowley High School
08.2007 - 05.2011