Melva Saldana
AAA of Michigan
Southgate,MI
36
years of professional experience
Results-driven Auto Claims Adjuster with AAA of Michigan, adept at claims investigation and negotiation. Successfully managed high-volume caseloads while enhancing customer satisfaction through effective communication and problem-solving. Proven ability to interpret policies and detect fraud, ensuring timely and accurate claim resolutions.
Work History
Auto Claims Adjuster
36 Years 5 Months- Investigated auto claims, gathered statements, and documented loss details for accurate coverage decisions.
- Reviewed policy provisions, endorsements, and accident facts to determine claim eligibility and liability.
- Communicated with members, repair facilities, and vendors to resolve claim questions and next steps.
- Applied state regulations and company guidelines to maintain accurate, timely claim handling.
- Documented claim activity, correspondence, and payments in claims systems to ensure complete files.
- Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
- Issued payouts to insurers and claimants.
- Managed a high volume caseload without sacrificing quality or timeliness in delivering resolutions to clients'' auto accident-related issues.
- Successfully negotiated settlements with claimants and insurers.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Enhanced customer satisfaction by providing empathetic and clear communication throughout claims process.
- Managed portfolio of claims from initiation to closure, ensuring all customer interactions were handled professionally.
Education
High School Diploma
Skills
Claims handling
Policy interpretation
Claims investigation
Insurance regulations
Fraud detection
Claims investigation
Customer service
Claims explanation
Documentation management
Teamwork and collaboration
Customer service
Problem-solving
Insurance policy knowledge
Time management
Problem-solving
Multitasking
Communication excellence
Decision-making
Active listening
Effective communication
Decision-making
Teamwork
Claims processing
Adaptability
Professional demeanor
Negotiation
Claims settlement
Timeline
Auto Claims Adjuster
AAA of Michigan
08.1988 - 01.2025Read More
Ecorse High School
High School Diploma
Read More