Megan Stowell
Harleysville,PA
Summary
Results driven insurance professional, eager to bring my extensive experience in claims analysis and resolution. Proven track record in handling complex claims accurately and efficiently ensuring timely payout for our members. Valued team player with focus on customer service, known for the ability to flex into any role based on business unit need and assisting in training peers on process improvement and claims handling as well as systems management.
Overview
25
25
years of professional experience
Work History
Central Claim Adjuster
Progressive
11.2024 - Current
- Evaluated insurance claims to determine coverage and liability.
- Conducted thorough investigations of incidents and damages.
- Collaborated with policyholders to gather necessary documentation.
- Investigate and determine liability of auto claims in multiple jurisdictions
- Maintain open communication with claimants, insureds, other carriers, and all other involved parties to resolve claim
- Ensures proper documentation of investigation to adhere to guidelines
- Work closely with estimators to ensure damages are consistent with reported incident
Medical Claims Adjuster, Associate- Personal Injury Protection (PIP)
Progressive Insurance-Plymouth Meeting
Plymouth, Pa
04.2023 - Current
- Handling file owner claims working with claimant carriers to determine liability.
- Managing Peer Reviews to negotiate responsibility of payment to ensure accurate and reasonable payouts.
- Analyze and review PA Policy Language, statutes, and case law to make accurate coverage decisions and determine when subrogation is required for medical expenses when covered by other claimants’ carriers.
- Effectively and accurately complete coverage investigations and resolve coverage issues in a timely manner.
- Obtaining legal recorded statements between parties for file documentation.
- Successfully resolve customer issues to resolution while providing excellent customer service.
- Evaluate medical billing and records to determine accident-related injuries vs preexisting conditions to make accurate payments.
- Analyzing medical treatment for reasonability and necessity.
- Handling wage loss claims ensuring our insured is reimbursed correctly and paid while out of leave from work.
Bus driver
Custers Garage
Pottstown, Pa
04.2019 - 04.2023
- Performed daily mechanical/safety inspections to ensure safety; Involved in planning and execution of routes for the department to ensure optimal route scheduling and efficiency;
- Daily communication with dispatch and team to ensure safety on roads and up to date information throughout the day.
Restaurant Manager
Red Lobster
Pottstown, Pa
05.2001 - 11.2021
- Effectively managed payroll and timekeeping, and paperwork for new hires and terminations.
- Developed, implemented, and managed business plans to promote profitable food and beverage sales.
- Mentored and developed staff members for career advancement opportunities, leading to a more skilled and motivated workforce.
Education
Highschool -
Souderton Highschool
Souderton, PAundefined
Lansdale School Of Business
Skills
- Excellent customer service
- Claim Pro efficient
- Strong decision-making skills
- Critical thinker and problem solver
- Work well under tight timelines
- Can rally and lead a team toward meeting goals under difficult circumstances
- Eager to learn new tasks and assignments very quickly
- Dependable and reliable
- Independent worker, self-motivated
- Strong attention to detail
Affiliations
Milnet, Parent Connection
Timeline
Central Claim Adjuster
Progressive
11.2024 - Current
Medical Claims Adjuster, Associate- Personal Injury Protection (PIP)
Progressive Insurance-Plymouth Meeting
04.2023 - Current
Bus driver
Custers Garage
04.2019 - 04.2023
Restaurant Manager
Red Lobster
05.2001 - 11.2021
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Lansdale School Of Business
Highschool -
Souderton Highschool