Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Melina Nava

Whittier,CA

Summary

Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Detail-oriented Examiner with Number years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and Area of expertise. Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through Number years of experience interviewing specialists, witnesses and claimants to compile information. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Job Title position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

13
13
years of professional experience

Work History

Claims Adjuster

Auto Club Of Southern California
03.2022 - Current
  • Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
  • Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
  • Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
  • Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
  • Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
  • Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
  • Examined claims forms and other records to determine insurance coverage.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Worked on settling arbitrations and Subro demands
  • Took the Spanish speaking claims to help the insured better understand as they would struggle with Translators
  • Helped other adjusters with translating voicemails, text and emails

Washington Dental Group

Dental Assistant
06.2020 - 03.2022
  • Enhanced patient comfort by providing gentle and thorough dental cleanings.
  • Streamlined appointment scheduling for increased efficiency and reduced wait times.
  • Assisted dentists with complex procedures, ensuring optimal patient care and treatment outcomes.
  • Maintained a clean and sterile work environment to prevent cross-contamination and infection.
  • Educated patients on proper oral hygiene techniques, promoting long-term dental health.
  • Collaborated with the dental team to develop customized treatment plans for individual patients.
  • Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
  • Prepared instruments and equipment for use in dental procedures, ensuring their availability when needed.
  • Increased patient retention by building rapport through excellent communication skills and a friendly demeanor.
  • Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
  • Reduced appointment cancellations by implementing reminder calls and text messaging services, resulting in improved scheduling efficiency.

Sales Representative

Victoria Secrect
06.2017 - 01.2019
  • Increased sales revenue by identifying and targeting high-potential accounts.
  • Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
  • Generated additional sales opportunities with upselling and cross-selling techniques.
  • Consistently met or exceeded quotas by implementing strategic sales plans and effective time management.
  • Worked on making a connection with the customers on a more relationship level not just another customer

Internacional Trainer for Bartending, Server Host

P.F. Chang’s
06.2011 - 11.2018
  • Reduced onboarding time by streamlining the new hire orientation process.
  • Improved team productivity by conducting regular skills assessments and providing targeted coaching.
  • Boosted company-wide efficiency by identifying skill gaps and creating tailored training solutions.

Trained and opened one restaurant in Puerto Rico and another in Costa Rica due to my bilingual ability


Worked my way up from a hostess to a server and bartender. Ended up being the international trainer for the company

Education

Dental Assistant Certification - Dental Assisting

American Career College
Los Angeles, CA
05.2020

High School Degree -

La Sierra High School
Riverside, CA
06.2011

Skills

  • Determining the liability of a claim
  • Legal Proceedings Knowledge
  • CCC Reports
  • Insurance Policy Coverage Knowledge
  • Multitasker
  • Customer service efficiency

Languages

Spanish
Native or Bilingual

Timeline

Claims Adjuster

Auto Club Of Southern California
03.2022 - Current

Washington Dental Group

Dental Assistant
06.2020 - 03.2022

Sales Representative

Victoria Secrect
06.2017 - 01.2019

Internacional Trainer for Bartending, Server Host

P.F. Chang’s
06.2011 - 11.2018

Dental Assistant Certification - Dental Assisting

American Career College

High School Degree -

La Sierra High School
Melina Nava