Nathaniel McElveen
Mesa,AZ
Summary
Claim Team Manager with over 30 years in the insurance industry, specializing in enhancing claim processing efficiency and resolving complex disputes. Expertise in process automation and team leadership promotes a culture of excellence and customer satisfaction. Demonstrated success in driving performance improvements and ensuring regulatory compliance across cross-functional teams. Recognized for fair adjudication and exceptional organizational skills in claims management.
Overview
20
20
years of professional experience
Work History
Claim Team Manager - Auto - Total Loss
State Farm
Tempe, AZ
08.2016 - 05.2025
- Developed and implemented strategies to enhance claim processing efficiency.
- Managed daily operations for team of claims adjusters, ensuring optimal performance.
- Assisted in resolving complex, high-value claims as necessary.
- Responded promptly to inquiries from regulatory agencies regarding dispute resolution status.
- Identified automation opportunities utilizing available technology solutions.
- Resolved customer complaints swiftly while aiming for complete satisfaction.
- Collaborated with various departments on cross-functional projects.
- Provided mentorship and coaching to new employees on adjusting procedures.
Claim Team Manager - Auto Express
State Farm
Tempe, AZ
01.2015 - 08.2016
- Responded promptly to inquiries from regulatory agencies regarding dispute resolution status updates.
- Participated in internal audit reviews as necessary to verify accuracy of claim files.
- Monitored and reviewed performance metrics for each adjuster in order to ensure quality standards were met.
- Resolved customer complaints in a timely manner while striving for complete satisfaction.
- Identified opportunities for process automation using available technology solutions.
Claim Team Manager - Initial Loss Reporting
State Farm
Tempe , AZ
01.2013 - 01.2015
- Monitored performance metrics for each adjuster to ensure compliance with quality standards.
- Participated in internal audits to verify accuracy of claim files and operational integrity.
- Evaluated staff systems for effectiveness and proposed necessary modifications.
- Identified process automation opportunities utilizing available technology solutions.
- Hired, trained, and coached team members on industry standards and legal requirements.
- Assessed team performance and provided training or counseling to enhance outcomes.
Claim Support Services, Supervisor
State Farm
Indianapolis, IN
01.2011 - 12.2012
- Reviewed and approved insurance claims payments in accordance with established guidelines.
- Analyzed customer financial statements to assess eligibility for benefits under existing policies.
- Trained new staff on procedures for effectively managing customer inquiries and complaints.
- Ensured compliance with regulatory requirements, including HIPAA and state insurance laws.
- Maintained comprehensive records of all departmental correspondence related to processed claims.
Claims Adjuster
State Farm
Indianapolis, IN
05.2010 - 01.2011
- Conducted interviews with claimants, witnesses, and medical professionals to gather claim information.
- Determined reserves for each claim based on estimated settlement or defense costs.
- Investigated insurance claims, reviewing coverage and liability, and prepared reports with recommendations.
- Maintained accurate documentation of all claim activities within designated systems.
- Collaborated with team members across departments to identify process improvement opportunities.
- Provided training sessions for new adjusters on best practices in claims adjustment.
- Analyzed loss facts using photographs, diagrams, and evidence to identify recovery sources.
- Negotiated settlements with claimants or representatives to resolve disputes efficiently.
Marketing Analyst
State Farm
Indianapolis, IN
11.2005 - 05.2010
- Facilitated brainstorming sessions with internal teams to develop innovative products and services.
- Designed surveys to assess customer satisfaction with existing offerings.
- Compiled detailed reports on campaign performance metrics for senior management review.
- Managed multiple projects simultaneously, consistently meeting tight deadlines.
- Tracked competitor activities including advertising campaigns, promotions, and product launches.
Education
Bachelor of Science - Marketing
South Carolina State University
Orangeburg, SC05-1993
Skills
- Claim processing
- Dispute resolution
- Process automation
- Customer complaints
- Team management
- Regulatory compliance
Affiliations
- Life member, Omega Psi Phi Fraternity, INC.
- Christian
Timeline
Claim Team Manager - Auto - Total Loss
State Farm
08.2016 - 05.2025
Claim Team Manager - Auto Express
State Farm
01.2015 - 08.2016
Claim Team Manager - Initial Loss Reporting
State Farm
01.2013 - 01.2015
Claim Support Services, Supervisor
State Farm
01.2011 - 12.2012
Claims Adjuster
State Farm
05.2010 - 01.2011
Marketing Analyst
State Farm
11.2005 - 05.2010
Bachelor of Science - Marketing
South Carolina State University
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