MICHAEL WHITE
CLEARWATER,US
Summary
Dynamic professional with a solid background in claims investigation and negotiation at Nationwide Mutual Insurance Company. Expertise in data analysis and collaboration across teams, achieving marked reductions in processing times. Focused on enhancing customer satisfaction and operational integrity through strategic initiatives and effective communication. Specialized knowledge in claims adjustments, particularly in commercial business auto.
Overview
12
12
years of professional experience
1
1
Certification
Work History
COMMERCIAL CLAIMS ADJUSTER
Nationwide Mutual Insurance Company
09.2022 - Current
- Investigate claims, negotiate settlements, ensure fair outcomes, and protect company interests.
- Analyze reports to enhance claim accuracy, reducing processing times significantly.
- Collaborate with legal teams to defend claims, maintaining favorable resolutions.
- Utilize systems to verify coverage, ensuring thorough claims processing.
- Evaluate claims with data analysis, leading to informed decisions, and improved accuracy.
- Partnered with legal teams to defend insurer positions in contested claims, fostering a unified approach that improved case resolution efficiency.
- Maintained thorough documentation of claim investigations, ensuring compliance, and facilitating seamless audits while driving operational integrity.
- Evaluated commercial claims for accuracy and compliance with company policies.
- Evaluated insurance claims to determine eligibility and coverage.
- Investigated incidents to determine liability and coverage issues.
- Reviewed policy documents to ensure compliance with regulations.
ASST. STORE MANAGER & OPTICAL LEAD
True Eye Experts Inc
Tampa, US
01.2018 - 03.2023
- Manages all sales opening and closing procedures at the end of the shift. Must ensure that accurate funds are collected, and payments are made at the point of service.
- Communicates and follows up with General Manager and Regional Director, Operations regarding department performance, maintenance situations, team member's performance, and doctor relations.
- Develop and implement strategies to increase customer satisfaction and improve patient outcomes.
- Manage optical staff, including hiring, training, scheduling and performance evaluations.
PARALEGAL
Florida Department of Health, Legal Division
Tallahassee, US
11.2014 - 12.2015
- Accurately and timely updates the computer case management system and the electronic case file repository as action occurs in the responsible attorney's assigned cases.
- Communicates telephonically and in writing with the Respondent, Respondent's counsel, witnesses, complainants, expert witnesses, Department employees, and the general public. Drafts, edits, and prepares routine correspondence based on preapproved document templates.
- Provided administrative legal support to two or more attorneys, used independent judgment, time management, and initiative in the completion of a variety tasks and preparation and finalization of work product under the oversight of assigned attorneys.
REGULATORY SPECIALIST
Florida Department of Health, Division of MQA
Tallahassee, US
01.2014 - 11.2014
- Monitors incomplete applications using pending reports in the licensure database. Sends follow-up notices to pending applicants according to the time frame established for the division. Tracks and expires incomplete application files that have met the one-year mark.
- Summarizes and prepares application files and supporting documentation for review by Board members.
- Independently evaluates and monitors applications for licensure and determines eligibility and ensures all applicants are timely and accurately processed according to established guidelines and entered on the applicable profession's exam and ratification lists, or, placed on an agenda for individual consideration, as applicable.
Education
BUSINESS ADMIN. -
Florida A&M University
Tallahassee, FL06.2007
Skills
- Cross-functional collaboration
- Data analysis
- Problem solving
- Microsoft Office proficiency
- Effective communication
- Documentation management
- System implementation
- Customer service excellence
- Team management
- Negotiation expertise
- Project management
- Analytical thinking
- Customer engagement strategies
- Process improvement initiatives
- Team leadership skills
- Market analysis techniques
- Client relationship management
- Customer advocacy practices
- Operational strategy development
- Claims investigation processes
- Settlement negotiation skills
- Coverage verification expertise
- Insurance compliance knowledge
Certification
- 6-20 All-Lines Adjuster
Timeline
COMMERCIAL CLAIMS ADJUSTER
Nationwide Mutual Insurance Company
09.2022 - Current
ASST. STORE MANAGER & OPTICAL LEAD
True Eye Experts Inc
01.2018 - 03.2023
PARALEGAL
Florida Department of Health, Legal Division
11.2014 - 12.2015
REGULATORY SPECIALIST
Florida Department of Health, Division of MQA
01.2014 - 11.2014
BUSINESS ADMIN. -
Florida A&M University
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