Melanie Queen
Colorado Springs,CO
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
6
6
years of professional experience
Work History
Auto Non-Injury Core Adjuster
USAA
07.2023 - Current
- Investigates and determines coverage and liability.
- Interact with all parties involved to gather information to determine liability.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Communicate with all parties involved and assist with claims process.
- Contributed to team success by participating in regular training sessions, sharing best practices, and mentoring new adjusters.
- Voicemail champ. Pulling and returning all incoming voicemails in a timely fashion.
- Monitoring teammates desk.
Walmart Delivery
Walmart
09.2022 - Current
- Contacted customers prior to delivery to confirm and coordinate delivery times
- Prospected and grew customer base by identifying new opportunities in communities
- Obtained customer signatures confirming receipt of high-value products
- Verified items and model numbers to match products on invoice with quantities loaded
- Observed and adhered to traffic laws and safety procedures, preserving accident-free driving record
- Considered traffic congestion and weather conditions to determine best routes.
Intake Representative
EVICORE HEALTHCARE
10.2018 - 03.2022
- Responding to in-coming calls
- Data entry
- Submitting Prior Authorizations for various Health plans
- Aided with website issues
- Determined patient eligibility by reviewing patient documentation for completeness and accuracy
- Added to case information with dates of service, diagnosis or procedure codes and facility and doctor information
- Updated patient information on computer system to maintain billing accuracy
- Scheduled appointments for consultations, tests and procedures by determining doctor availability.
Education
GED -
Pikes Peak Community College
Colorado Springs, CO11.2011
Skills
- Damage Assessment
- Highly motivated
- Claims Investigation
- Policy Interpretation
- Insurance policy coverage knowledge
- Claims Processing
- CCC Reports
- Problem-solving abilities
References
References available upon request
Timeline
Auto Non-Injury Core Adjuster
USAA
07.2023 - Current
Walmart Delivery
Walmart
09.2022 - Current
Intake Representative
EVICORE HEALTHCARE
10.2018 - 03.2022
GED -
Pikes Peak Community College