Summary
Overview
Work History
Skills
Certification
Timeline
Generic

Myranda Ross

Plant City,FL

Summary

Experienced and detail-oriented Property Claims Adjuster with expertise in evaluating, negotiating, and settling residential and commercial property claims. Skilled in policy interpretation, damage assessment, and customer service, with a proven ability to manage complex cases efficiently. Eager to expand skillset into auto claims adjusting, bringing a strong foundation in claims handling, analytical thinking, and cross-functional collaboration. Quick to learn new systems and guidelines, with a commitment to continuous professional growth and delivering fair, accurate, and timely claim resolutions.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Property Claims Adjuster

Slide Insurance
10.2024 - Current
  • Handled property claims remotely by reviewing documentation, photos, and reports to evaluate the extent of damage and determine coverage.
  • Interpreted policy language and applied appropriate endorsements and exclusions to assess claim validity and settlement options.
  • Collaborated with field adjusters, contractors, and vendors to gather additional information and ensure timely resolution of claims.
  • Managed a high-volume caseload efficiently while maintaining attention to detail, documentation accuracy, and timely communication.
  • Negotiated settlements with policyholders and third parties, balancing customer service with financial responsibility.
  • Maintained regular communication with insureds to explain claim processes, updates, and outcomes, ensuring a positive customer experience.
  • Documented all claim activity and decisions clearly and consistently within the claims management system.

Program Scheduling Coordinator- Radiation Oncology

Tampa General
10.2023 - 10.2024
  • Enhanced patient satisfaction through prompt response and professional resolution of inquiries and concerns
  • Efficiently scheduled appointments and managed cancellations, enhancing patient satisfaction.
  • Managed confidential and sensitive information with carefulness and diplomacy.
  • Increased efficiency in the management of physician schedules through effective coordination of meetings, appointments, and travel arrangements.

Claims Specialist

MetLife
06.2022 - 06.2023
  • Managed a portfolio of long-term disability claims from intake through resolution, ensuring compliance with policy provisions, legal requirements, and internal guidelines.
  • Assessed medical, vocational, and occupational information to determine claim eligibility, benefit duration, and return-to-work potential.
  • Communicated regularly with claimants, physicians, employers, and internal departments to obtain documentation and provide claim status updates.
  • Interpreted complex medical records, functional capacity evaluations, and attending physician statements to support benefit decisions.
  • Collaborated with clinical, vocational, and legal resources to make accurate, well-documented determinations on claim validity and ongoing eligibility.
  • Developed individualized case management plans aimed at facilitating recovery and appropriate return-to-work outcomes.
  • Maintained detailed and compliant documentation within claims management systems, supporting transparency and audit readiness.
  • Ensured timely payment of benefits and monitored for changes in medical status, employment activity, or policy terms that could impact claim status.

Mammography Coordinator

Onsite Mammography
08.2018 - 08.2020
  • Coordinated daily operations of the mammography department to ensure efficient workflow, regulatory compliance, and high-quality patient care.
  • Scheduled and tracked mammography appointments, ensuring timely follow-ups for diagnostic imaging and abnormal results.
  • Served as a liaison between radiologists, technologists, patients, and referring physicians to facilitate communication and streamline care coordination.
  • Maintained compliance with FDA, MQSA (Mammography Quality Standards Act), ACR, and state regulations through accurate documentation and reporting.
  • Managed patient records, quality assurance logs, and audit documentation to support regulatory inspections and internal reviews.

Central Scheduler

Florida Cancer Specialists & Research Institute
09.2016 - 04.2018
  • Demonstrated working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures
  • Performed other duties and projects as assigned
  • Performed all duties in accordance with regulatory requirements and organizational policies and procedures
  • Communicated information to patients regarding requirements for appointments and test preparation
  • Scheduled patients for tests and consultations
  • Used electronic systems to enter provider orders and retrieve test results
  • Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff
  • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy
  • Managed complex calendars for multiple medical practitioners, verifying accuracy of all appointments.

Skills

  • Damage assessment
  • Excellent time management skills
  • Claims investigation
  • Claims processing
  • Analytical-minded
  • Policy interpretation
  • Investigate claims
  • Negotiate settlements
  • Analytical thinking
  • Detail orientation
  • Customer service experience

Certification

  • All lines adjuster 620

Timeline

Property Claims Adjuster

Slide Insurance
10.2024 - Current

Program Scheduling Coordinator- Radiation Oncology

Tampa General
10.2023 - 10.2024

Claims Specialist

MetLife
06.2022 - 06.2023

Mammography Coordinator

Onsite Mammography
08.2018 - 08.2020

Central Scheduler

Florida Cancer Specialists & Research Institute
09.2016 - 04.2018

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Myranda Ross