Summary
Overview
Work History
Education
Skills
Timeline
Generic

MELISSA TEAGUE

Dalton,GA

Summary

Dynamic Claims Manager with a proven track record at Shaw Industries, excelling in claims analysis and customer service. Expert in negotiating settlements and enhancing client satisfaction through effective communication and timely resolutions. Recognized for meticulous attention to detail and strong organizational skills, driving successful outcomes in complex claims investigations.

Overview

7
7
years of professional experience

Work History

Claims Manager

Shaw Industries
06.2021 - Current
  • Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
  • Enhanced customer satisfaction with timely and accurate claims resolutions.
  • Streamlined communication between adjusters and clients, expediting claim resolution times.
  • Assist customers and sales representatives with filing claims.
  • Coordinate inspections to validate a defective claim
  • Read and comprehend inspection reports to determine if the flooring is defective or if the issue arose due to installation or site related problems.
  • Ensure all proper documentation is uploaded to OnBase including but not limited to photos, inspection reports, emails and supporting documents.
  • Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
  • Documented and communicated timely claims information while supporting accurate outcomes.
  • Negotiated settlements with claimants, achieving fair outcomes while controlling costs.
  • Conducted thorough investigations of complex claims, gathering evidence to support decision-making processes.

Claims Analyst

Mohawk
03.2019 - 06.2021
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Managed high-volume claims, prioritizing tasks to ensure timely completion of all claims.
  • Maintained compliance with industry regulations and company policies while managing sensitive client information and claims records.
  • Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
  • Enhanced claims handling of white glove accounts responsible for all claims, returns and shortages/damages.
  • Valuable member of testing team for new system implementation

Project Coordinator

Windstream
03.2018 - 09.2018
  • Kept projects on schedule by managing deadlines and adjusting workflows.
  • Supervised multiple projects from project start through delivery by prioritizing needs and delegating assignments.
  • Enhanced team collaboration through regular meetings, fostering a positive work environment for increased productivity.
  • Liaised between departments to facilitate communication and keep appropriate parties updated on project developments.
  • Created job files for each project and maintained current data in each file.
  • Coordinated cross-functional teams to achieve seamless collaboration in achieving project objectives.
  • Improved client satisfaction with timely updates and transparent communication throughout the project lifecycle.

Education

Business

Gordon Central
Calhoun, GA
06-1990

Skills

  • Claims analysis
  • Claims investigation and research
  • Policy interpretation
  • Procedure implementation
  • Investigation techniques
  • Claims auditing
  • Planning and organization
  • Team motivation
  • Claims processing
  • MS office suite
  • Quality assurance
  • Financial acumen
  • Customer service
  • Multitasking Abilities
  • Reliability
  • Critical thinking
  • Computer skills

Timeline

Claims Manager

Shaw Industries
06.2021 - Current

Claims Analyst

Mohawk
03.2019 - 06.2021

Project Coordinator

Windstream
03.2018 - 09.2018

Business

Gordon Central

Similar Profiles

CREATE PROFILE