Tracy Melin
Salem,Oregon
Summary
Personable and detail-focused individual with talent for analyzing complex information and making sound decisions. Well-versed in understanding policy terms and conditions, as well as employing investigative techniques to assess claims accuracy. Dedicated to providing fair and accurate claim resolutions to ensure customer satisfaction and company integrity.
Overview
22
22
years of professional experience
Work History
PIP Claims Adjuster
Progressive Insurance
02.2022 - Current
- Research policy contract, regulation, and cause of injury to make coverage decisions
- Successfully manage between 150-170 claims at a time
- Confirm facts of loss
- Identify, review and research wage loss expenses and documentation for payment consideration
- Identify loss control opportunities around IME’s and per reviews and compare against lowest ultimate cost
- Interpret medical records and understand medical terminology regarding injuries
- Investigate coverage, liability, fraud, injury causation and subrogation issues
- Established working relationships with attorneys and medical providers
- Keep insureds, attorneys, and medical providers up to date and honor commitments to follow up for current file status
Customer Benefits Care Specialist (Temp Position)
RiskPoint Insurance Advisors
02.2021 - 10.2021
- Company Overview: Temp Position
- Processed all enrollments for Medical, Dental, Vision, HSA, FSA with various carriers
- Sent correspondence to carriers to report members’ eligibility and solve any issues that may arise
- Assisted with new proposals and renewals
- Managed meeting calendars
- Built sites in Ease
- Audited co-workers builds and renewals
- Scheduled and led intro calls with Producers
- Ran reports and distributed accordingly
- Temp Position
- Contributed to a positive work environment through effective teamwork and open communication with colleagues across departments.
Administrative Assistant / CSR
Henningsen Cold Storage
08.2018 - 09.2020
- Worked in an extremely high volume and fast paced environment
- Coordinated with customers, brokers, and drivers to schedule deliveries and pickups
- Created orders and problem solved any issues
- Coordinated with the warehouse to get orders ready for shipment
- Checked drivers in and dispatched them
- Made sure trucks were loaded and created BOL’s for drivers
- Ran detail reports for customers, general office duties such as filing, data entry and multi-line phones
- Kept a high detail of organization and coordination as was essential for the position
Office Manager / Executive Assistant
Mid Valley Auto Wholesale
01.2003 - 07.2018
- Scheduled and assisted with sales meetings took and transcribed minutes
- Contacted wholesale clients to collect unpaid balances
- Manage all HR related issues
- Coordinated travel arrangements, including flights, hotels, and car rentals
- Served as the first point of contact for customers
- Accounts payable/Receivable
- Transferred titles
- Prepared invoices and routine reports with MS Word/Excel while correcting errors for proper reporting to management
Education
Business Administration -
Linn Benton Community College
Paralegal Studies -
College Of The Legal Arts
Skills
- Excellent people skills
- Proficient in Microsoft Office
- Medical billing
- Medical terminology
- Client Interviewing
- Claims Evaluations
- Insurance policy coverage knowledge
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
Timeline
PIP Claims Adjuster
Progressive Insurance
02.2022 - Current
Customer Benefits Care Specialist (Temp Position)
RiskPoint Insurance Advisors
02.2021 - 10.2021
Administrative Assistant / CSR
Henningsen Cold Storage
08.2018 - 09.2020
Office Manager / Executive Assistant
Mid Valley Auto Wholesale
01.2003 - 07.2018
Paralegal Studies -
College Of The Legal Arts
Business Administration -
Linn Benton Community College
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