Ryane Shelton

I began my career as a Claims Adjuster in the Auto Warranty department, where I handled non-powertrain mechanical failures and evaluated repair coverage by interpreting contract terms and reviewing detailed diagnostics from repair facilities. After two years, I transferred to the Home Warranty division, where I currently adjudicate claims involving appliances, electrical systems, plumbing, and other major home components. In this role, I review service provider diagnoses, determine cause of failure, verify coverage based on contract limitations and exclusions, and communicate clear approval or denial decisions to both customers and technicians. My experience across both auto and home warranty lines has given me a strong foundation in contract interpretation, technical troubleshooting, and high-volume claims management.

My responsibilities included reviewing Medicare supplement applications. Daily I reviewed and worked Medicare supplement pending errors, critical errors, disenrollment’s and overlapping coverage errors. Using and mastering serval Humana systems including AE, CI, MARx, Macess, CRM and many others, I was able to evaluate approximately 40 applications a day and reached out to the members and their agent for any needed information that may be missing. I enjoyed being able to assign and be a part of the health and wellbeing of future and current members of the Humana family.

As a customer service agent for USAA, I provided member on-boarding and servicing of USAA banking products. I empathized with the members and provided offers and solutions to make it easier for members to acquire information or assistant regarding their banking products, as well as provide excellent customer service.

Directed 15 cashiers in reconciling cash receipts, processing returns, and executing closing procedures. Delivered efficient customer service to over 300 customers daily. Oversaw training and performance of cashiers to enhance service quality.