Melissa Lautieri
Rural Hall,NC
Summary
Detail-oriented team player with strong organizational skills and attention to detail. Ability to handle multiple projects simultaneously with a high degree of accuracy. Ready to add value and exceed company goals.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claim Specialist
The Auto Club Group - AAA
02.2022 - Current
- Conduct new hire training and onboarding
- Create and conduct departmental training on process changes, new programs/tools, and general refresher topics
- Mentor bottom tier performers to enhance understanding of job responsibilities and how to satisfy goals
- Create and maintain training material and reference documents for APD, Homeowners, and FNOL units
- Complete approximately 70% of all CTK audits for Carolinas APD unit
- Analyze data and findings to prepare robust reports detailing department monthly and quarterly performance
- Collaborate with leadership to refine and establish new processes, and develop effective training plans based on department needs and objectives
Claims Team Leader
AAA Carolinas
01.2019 - 02.2022
- Managed 6 to 8 claim representatives
- Reviewed all claim files to ensure timely and accurate handling, as well as completing all quality audits for direct reports
- Provided guidance and recommendations to resolve complex coverage and liability investigations
- Completed monthly performance reviews and development plans for direct reports
Claim Representative II
AAA Carolinas
12.2017 - 01.2019
- Worked productively in fast-moving work environment to process large volumes of claims.
- Investigated claims to determine proper application of coverage and liability
- Worked to determine damage/loss extent and negotiate fair settlement
- Analyzed and addressed escalated claims to resolve issues quickly.
- Collaborated with internal departments and external vendors to achieve fast resolution of claims.
- Maintained accurate and up-to-date records of claim information for future reference.
Material Damage & Injury Claim Representative
National General Insurance
09.2014 - 12.2017
- Handled material damage and Medical Payments claims from first notice of loss to settlement.
- Mentored new hire trainee groups in the training pod for 3-6 week intervals
- Mentored 1-on-1 with poor performing adjusters
- Worked on the coverage team to investigate material misrepresentation; collaborated with Underwriting, Product Manager, and General Counsel to render coverage decisions in weekly roundtable meetings
- Claims consultant for the Underwriting Rate Pursuit team
- Advanced to handling of pro se bodily injury claims
Case Manager
Crumley Roberts, Attorneys At Law
03.2014 - 09.2014
- Assisted clients in application of Social Security Disability benefits
- Order medical records and other supports to ensure successful outcomes
- Assisted attorney in preparation of litigated cases
- Managed continuous case load of 300
Education
Elementary Education
East Carolina University
Greenville, NCSkills
- Time Management
- Attention to Detail
- Claims Processing
- Analytical Thinking
- Quality Assurance
- Planning and Organization
- Training and Development
- Problem Solving
- Adaptability
- Process improvement
Accomplishments
2018 AAA Carolinas Triple Diamond Adjuster
Certification
- AIC-M, The Institutes - November 2023
- AIC, The Institutes - December 2022
- Licensed Adjuster - NC & SC - NPN 17378647
Timeline
Claim Specialist
The Auto Club Group - AAA
02.2022 - Current
Claims Team Leader
AAA Carolinas
01.2019 - 02.2022
Claim Representative II
AAA Carolinas
12.2017 - 01.2019
Material Damage & Injury Claim Representative
National General Insurance
09.2014 - 12.2017
Case Manager
Crumley Roberts, Attorneys At Law
03.2014 - 09.2014
Elementary Education
East Carolina University
- AIC-M, The Institutes - November 2023
- AIC, The Institutes - December 2022
- Licensed Adjuster - NC & SC - NPN 17378647
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