Judy Meyer
Moyock,NC
Summary
Claims Examiner with deep knowledge of PIP/No-Fault, Medical Payment claims industry across all 50 states but specializing in PA, FL, CT, DC, DE. Solid abilities in developing objectives and strategies to settle PIP/Med Pay Excellent skills compiling, coding, categorizing and auditing information to process claims.
Overview
33
33
years of professional experience
Work History
Sr. Claims Examiner
Chubb Insurance
11.1999 - Current
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Researched claims and incident information to deliver solutions and resolve problems.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Coordinated field involvement on claims identified as SIU (was part of SIU Department for 6 years)
- Experience with handling PIP Suit files & depositions (regularly handle and address FL PIP Demands & Arbitrations)
- Work closely with defense counsel on the resolution of PIP Suits
- Provide back up assistance to other departments (auto, property, casualty)
- Coordinate, facilitate and mentor new PIP adjusters
- Currently licensed in all required states
Body Shop Claims Representative - USAA Stars
Phillips Oldsmobile, Mercedes & Landrover
01.1996 - 11.1999
- Dedicated USAA representative for USAA Stars DRP
- Interviewed policyholders to verify information and obtain additional details.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Examined damages, generated estimate for upload to USAA
- Scheduled and coordinated repair work drop off and pick up times
- Coordinated any sublet repair (ie mechanical work, electrical work etc)
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
Office Manager
B&E Auto Collision
01.1994 - 01.1996
- Scheduled auto repairs drop off and pick up, assisted with the scheduling of rental vehicle
- Coordinated supplement inspections with various insurance companies
- Oversaw 6 Auto body repair technicians, including spot inspections to ensure adherence to written estimates
- Review and processed timecards weekly
- Coordinated any sublet auto repairs
- Reviewed damages and generated estimates
- Facilitated OSHA meetings every 5 weeks
- Maintained computer and physical filing systems.
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Store Manager
Colormasters Inv
01.1990 - 01.1994
- Managed inventory control, cash control and store opening and closing procedures.
- Managed 2 delivery drivers through proactive communication and positive feedback.
- Completed point of sale opening and closing procedures.
- Maximized sales and minimized shrinkage through excellent customer service and adherence to standard practices.
- Select and mixed auto paint to produce desired color and according to specifications using weighted scales
- Ability to locate and decipher auto paint codes to ensure correct color match
- Followed up with area body shops to ensure excellent customer relationship and to confirm needs are being met and exceeded.
Education
Associate of Applied Science - Business Management
Commonwealth College
Virginia Beach, VA06.1996
Skills
- Technologically proficient
- Reading Comprehension
- Customer Satisfaction
- Liability Determinations
- Claim Validity Determination
- Claims Understanding
- Claims Evaluations
- Client Interviewing
- Vehicle Damage Assessment
- Reservation Documentation
- Carrier Policies
- Claim Form Analysis
- Customer Inquiries
- Training Programs
- HIPAA Procedures
- Status Updates
- Complex Problem-Solving
- CMS Guidelines
- Microsoft PowerPoint
- Injury Evaluation
- Policy Interpretation
- Human Relations Skills
- Maintaining Closing Ratios
Timeline
Sr. Claims Examiner
Chubb Insurance
11.1999 - Current
Body Shop Claims Representative - USAA Stars
Phillips Oldsmobile, Mercedes & Landrover
01.1996 - 11.1999
Office Manager
B&E Auto Collision
01.1994 - 01.1996
Store Manager
Colormasters Inv
01.1990 - 01.1994
Associate of Applied Science - Business Management
Commonwealth College
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