L. Michelle Aljoe
Lakeland,FL
Summary
Extensive experience with First Party Medical Claims; consecration with customer service with claims handling in liability; Distinguishing team building and new adjuster training and special projects.
Overview
25
25
years of professional experience
Work History
First Party Medical PIP Supervisor-Florida
GEICO
11.2024 - Current
- Supervise a team of 3-6 PIP adjusters handling claims in Florida Statute 627.736
- Provide technical guidance on complex claims and ensure timely, accurate claim resolutions
- Conduct regular audits to maintain compliance with state regulations and company standards
- Lead onboarding and assist with class training for new adjusters
- Participate in training initiatives to enhance team knowledge and performance
- Geico fun committee – team consists of fellow supervisors coordinating events to boost and maintain positive moral
First Party Medical PIP Adjuster-Florida
GEICO
05.2021 - 11.2024
- Licensed adjuster to investigate PIP and MedPay under the Florida Statute 627.736
- Ensures proper claim handling with correct coverages to include but not limited to: approvals, denials, letter of representation handling, closures, etc.
- Superb communication skills with policy holders, interested parties, attorneys, medical providers and fellow adjuster to ensure complete and compliant claim handling
- Maintains a claim case load of approximately 370 exposures at one time
- Lead for special projects- handpicked by upper management
- Acted as coach to new hires in the training process. Offered in class training and side-by-side training as needed
- Served as a shadow for fellow employees wanting to apply for First Party Medical
- Consistently performing in the first and second quartiles
- Number one adjuster in Frontline April 2024
- Examined claims forms and other records to determine insurance coverage.
Corporate Transportation Payment Coordinator/ Claims
Publix Super Markets Inc.
09.2019 - 05.2021
- Process inbound freight claims (MS Access platform), determine if the claim will be against the carrier or vendor; process specific discrepancy and prepare notification in database then notify carrier or vendor; clear understanding of inventory and supply chain; meeting claims processing deadlines and time sensitive POs
- Process formal claims and investigate who will be responsible for payment, formal claims are assigned on a rotating schedule and various in nature to include property damage, building damage, and full load damage over the cost of the product purchased; prepare final packet for supervisor approval or for litigation purposes, meticulous attention to detail
- Evaluate paper invoices and TMS produced invoices for various carriers; approval authority of $2499.99 without supervisor consent; review for inconsistencies and added charges, dispute of necessary
Accounts Payable
Colorado Boxed Beef Company
02.2019 - 09.2019
Credit Department Administrative Assistant
Colorado Boxed Beef Company
05.2016 - 02.2019
Office Manager/ HR Coordinator
U.S. Army Central Florida Recruiting Company HQ
06.2001 - 05.2016
Airman
U.S. Air Force
06.2000
Education
Business Management - Human Resources Certification
Post University
Waterbury, CT05.2014
Skills
- Claims Management PIP-Florida
- Medical Billing/ MedPay
- Claims Management Liability-Florida
- Claims Customer Service Handling
- Employee training & development
- Teamwork and collaboration
- Friendly, positive attitude
- Customer service
Licensing
0620 Insurance Adjuster- all lines, W750610
Timeline
First Party Medical PIP Supervisor-Florida
GEICO
11.2024 - Current
First Party Medical PIP Adjuster-Florida
GEICO
05.2021 - 11.2024
Corporate Transportation Payment Coordinator/ Claims
Publix Super Markets Inc.
09.2019 - 05.2021
Accounts Payable
Colorado Boxed Beef Company
02.2019 - 09.2019
Credit Department Administrative Assistant
Colorado Boxed Beef Company
05.2016 - 02.2019
Office Manager/ HR Coordinator
U.S. Army Central Florida Recruiting Company HQ
06.2001 - 05.2016
Airman
U.S. Air Force
06.2000
Business Management - Human Resources Certification
Post University
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