Mink Mandley
BI Claims Adj
Phoenix,AZ
Summary
Relentless professional known for working hard to uncover the truth. A smart Fraud Investigator promoting exemplary talents in forensic analysis, digital investigating and assessment of client needs. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
14
14
years of professional experience
Work History
Bodily Injury Claims Adjuster
Allstate Claims Adjuster
Laveen, Arizona
01.2020 - Current
- Casualty, 2020 and current
- Conducted claims investigations by obtaining written statements, preparing reports, researching public records and conducting personal interviews.
- Evaluated coverage, liability and damages and investigated suspicious claims.
- Determined liability and estimated and approved benefit payments.
- Obtained credit information from banking services.
- Documented and tracked claims approval process and communicated status monthly with claimants, attorneys and in-house personnel.
- Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
- Estimated cost of filing claims and applicable court or legal fees for claimant party.
- Prepared reports of findings in investigations.
- Interpreted policy details and recommended most favorable course of action.
- Prepared and presented complex cases to management, in-house legal team and Claims Committee.
- Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
- Interviewed relevant parties to determine claim denial or settlement.
- Referred extreme cases to Special Investigation Unit (SIU) for further review.
- Examined forms to determine insurance coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Examined claims forms and other records to determine insurance coverage.
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments, and policy coverage.
Claims Adjuster
Allstate
Chandler, Arizona
07.2018 - Current
- Implementing Allstate quality,
- Here to help any customer in need, as well as any team members that are in need of assistance or guidance
- Participate and taking lead in group huddles and establishing goals to carry team forward
- Being transparent to all new changes and to others and be flexible
- Establish rapport with customer to make them feel at easy
- Time, desk, and organizational management
- Meeting goals to establish move on to higher level and take on more responsibilities
- Having control over managing desk and planning out day to be successful
- Having healthy relationships between coworkers to uplift one another
- Management skills to guide other in how to become successful dealing with their desk
- Recognition team – to recognize others for their outstanding job and boosting morale in office
- Mentoring new LDU adjusters so have successful transition into their new found role
- Doing desk sits with adjuster to come up with effective desk management
- Giving reminders to team to stay on top of tasks and compliances that are needed to be completed so there is no falling behind
- Half manager – making sure team is helped out, providing time to other when in need, marking schedule out for time to spend with other adjusters who need assistance, sit- alongs, doing task for other adjusters
- Handling medical compensations which is rightfully owed to client by proven information and documents
- Request/obtain information, bills, and documents to asses matter
- Proficient with NextGen as system to handle claims
- Handling 8 states with incorporating rules and regulations needing to abide by per state to state.
- Answered customer questions regarding deductibles.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Advisor
Apple Tier 1
Gilbert, Arizona
07.2016 - 06.2018
- Implementing customer service
- Addressing a customers concern and finding articles to assist customers to obtain a prompt resolution
- Reaching and setting goals to establish a better understanding and to receive more positive surveys
- Team meeting to discuss information about awareness of products and software technical difficulties
- Maintain a consistent work schedule that assist co-workers with questions that have about problem solving
- Participating in team meetings valuable ideas, feedback, and information
- Sending helpful articles to give clients a do-it-yourself experience
- Logging the correct information to keep the case understandable
- Note everything that is happening with client and put distinct information in there
- Coordinated work or project dedicated to raise awareness of need, applying strong project, and team leadership to enhance success.
- Planned, developed, and implemented strategies to convey information with key decision makers.
- Anticipated responses and prepared clear and articulate answers.
- Produced detailed reports outlining key issues and proposed solutions.
Salon Receptionist/Payroll Advisor
HairAdize
Chandler, Arizona
10.2010 - 10.2017
- Maintain excellent time management skills between setting appointments, cleaning, and performing duties as cosmetologist when having clients
- Answering phone calls and scheduling appointment efficiently and with positive tone of voice
- Meeting goals for selling merchandise
- Cashier/ money management
- Customer service - Maintaining superb customer service style and attitude when talking face to face and over phone with clients and management
- Janitorial duties
- Manager/Team lead – promoting daily schedules, hire, coordinate employees, maintain budgets, providing training, planning events, and overseeing levels, planning staff outings
- Managed Payroll collecting timekeeping, issuing money updating employee files
- Authenticating employees and timekeeping
- Calculating wages, commission, and deductions
- Perfecting on wages amount to make sure of accuracy
- Issuing paychecks
- Distributing and receiving valuable paperwork that is necessary and required
- Oversee electronic payments and make sure are sent in timely manner
- Learned details of types of treatments and procedures in order to answer questions from spa guests.
- Communicated with spa team members if clients canceled or changed appointment times.
Education
High School Diploma -
Mesquite High School
Gilbert, AZ 8 2010 - 6 2014
Associate of Arts - Cosmetology
East Valley of Institute of Technology
Mesa, AZ 8 2012 - 06.2014
Bachelor of Arts - Liberal Arts and Science
Arizona State University
Tempe, AZ 8 2014 - 12 2017
Skills
Document management software
Complex coverage issues
EDR InSight
Bodily injury settlements proficiency
Keyboarding
Transcription
Fraud detection
Procedure review
Detection models
Effective communication
Dispute Resolution
Data analysis
Teamwork and Collaboration
Attention to Detail
Analytical and Critical Thinking
Training and Development
Timeline
Bodily Injury Claims Adjuster
Allstate Claims Adjuster
01.2020 - Current
Claims Adjuster
Allstate
07.2018 - Current
Advisor
Apple Tier 1
07.2016 - 06.2018
Salon Receptionist/Payroll Advisor
HairAdize
10.2010 - 10.2017
High School Diploma -
Mesquite High School
8 2010 - 6 2014
Associate of Arts - Cosmetology
East Valley of Institute of Technology
8 2012 - 06.2014
Bachelor of Arts - Liberal Arts and Science
Arizona State University
8 2014 - 12 2017