Melissa Mann
Newberry,SC
Summary
Highly articulate insurance claims consultant and leader with extensive expertise in claims management, investigation, pre-suit demands and litigation. Team player with proven time management skills to complete multiple deadlines and the ability to influence others to achieve positive results. Talented communicator actively seeking the right role to leverage my skills for continued growth.
Overview
20
20
years of professional experience
Work History
PIP Litigation Sr. Consultant II (Remote)
National General Insurance Company
Tampa, FL
07.2021 - Current
- Evaluate and adjust high volumes of complex pre-suit demands for Florida Personal Injury Protection (PIP) and Medical Payment (MP) claims for accuracy
- Team Leader to review errors and provide feedback to front line adjusters monthly
- Designated team manager back-up to assist with supervisory tasks
- Collaborate with company attorneys for continued litigation strategies and improvements to work processes
- Mentor and trainer for new associates while managing a full case load
- Department Job Shadow Event Leader
- Department resource in policy, statute, pre-suit demands, litigation and depositions
- Department board member of Employee Engagement Committee and Focus Committee
- Leader and creator of "Espresso Yourself" team chat
- Fluent in Microsoft Word, Outlook, Teams, OneNote, Zoom and Excel
PIP Branch Claim Representative (Hybrid)
Auto-Owners Insurance Company
Lakeland, FL
10.2019 - 07.2021
- Investigate, evaluate, and audit high volumes of Florida Personal Injury Protection (PIP) and Medical Payment (MP) claims efficiently with an exposure up to $15,000
- Manage inventories consisting of new losses, pre-suit demands, litigation, fatalities and subrogation while working in fast-paced environment
- Department resource in policy, statute, demands, litigation and depositions
- Selected to be a fatality point of contact
- Designated PIP trainer for new associates while managing a full PIP/MP inventory
Workers' Compensation Claims Specialist (Remote)
The Hartford Insurance Group
Lake Mary, FL
01.2019 - 05.2019
- Investigate, evaluate and adjust Workers' Compensation Claims for Florida and Georgia
- Manage an inventory consistent with insured, injured worker and medical provider contacts
- Identify and address wage loss, mileage, replacement services
- Daily team huddle director and designated team lead in management absence
- Department mentor for new hires
- Timely regulatory reporting to the state and Medicare
- Detect NICB fraud indicators and escalate in compliance with company and state regulations
PIP Claims Specialist
State Farm Insurance
Winter Haven, FL
01.2011 - 12.2018
- Investigate, evaluate and adjust Personal Injury Protection (PIP) and Medical Payment claims with an exposure up to $110,000
- Managed an average of 250 - 300 medium to complex causes of loss at any time including litigation
- Fatality specialty handler and point of contact
- Detect NICB fraud indicators and escalate in compliance with company and state regulations
- Department resource in policy, statute, case law, litigation and depositions
- Classroom trainer and resource for 20-60 new associates at a time
- Mentor for new hires and associates looking to transition into claims
- Designated department complaint call point of contact which resulted in 89% reduction of routed calls to management
- Management back-up for vacations and unplanned absences
- Queue director for 3 teams during claim handler absences
- Led subrogation projects to meet company referral goals which resulted in a 72% referral increase
- Team morale specialist and led monthly team building activities
Property Claims Associate
State Farm Insurance
Winter Haven, FL
04.2005 - 01.2011
- Investigate, evaluate and adjust minor to moderate property damage claims
- Daily team queue coordinator and director for 45 associates
- Single point of contact for Claims Specialist for assistance with their inventories
- Overtime Team Lead to organize and meet customer demands
- Led and implemented a project team of Claims Associates to streamline customer service at the first notice of their loss
- Effectively communicate, both orally and written, to meet customer needs
Claims Service Assistant
State Farm Insurance
Winter Haven, FL
08.2004 - 04.2005
- Captured initial loss reporting information from customers for new claims
- Ordered police reports
- Contacted other insurance companies for their claim information and set up new claims
- Timely routed incoming calls to the appropriate department
- Designated Team Trainer for new hires
- Individually obtained my Florida 6-20 All Lines Adjuster License for promotion competitiveness
Education
Florida 7-20 Adjuster License
Newberry, SC2022
Dale Carnegie Course/Skills For Success
Dale Carnegie & Associates, Inc.
Lakeland, FL2020
Bachelor of Science - Business Administration: Supervision and Management
Polk State College
Winter Haven, FL2018
Florida 6-20 Adjuster License -
Polk Community College
Winter Haven, FL2005
Skills
- Customer Service
- Communication
- Detailed Oriented
- Leadership
- Decision Making
- Adaptability
- Time Management
- Ability to Work Under Pressure
- Self-Motivation
- Conflict Resolution
- Teamwork
- Creative
- Change management
Affiliations
- Volunteer, Art Studio, Newberry, SC (2021 - present)
- Volunteer, DC Dogos - Dog Rescue (2019 - present)
- Board Member, Goal Diggers - Women's Motivation Club (2017 - present)
- Volunteer, Pug Rescue of Central Florida (2010 - 2018)
Timeline
PIP Litigation Sr. Consultant II (Remote)
National General Insurance Company
07.2021 - Current
PIP Branch Claim Representative (Hybrid)
Auto-Owners Insurance Company
10.2019 - 07.2021
Workers' Compensation Claims Specialist (Remote)
The Hartford Insurance Group
01.2019 - 05.2019
PIP Claims Specialist
State Farm Insurance
01.2011 - 12.2018
Property Claims Associate
State Farm Insurance
04.2005 - 01.2011
Claims Service Assistant
State Farm Insurance
08.2004 - 04.2005
Florida 7-20 Adjuster License
Dale Carnegie Course/Skills For Success
Dale Carnegie & Associates, Inc.
Bachelor of Science - Business Administration: Supervision and Management
Polk State College
Florida 6-20 Adjuster License -
Polk Community College