MELISSA MEYERS
Elmwood Park
Summary
Professional with robust background in process improvement and optimization, ready to drive efficiency and effectiveness in operations. Strong analytical skills, adept at identifying bottlenecks and implementing solutions. Skilled in team collaboration, adaptable to changing needs, and focused on delivering measurable results. Known for reliability and strategic approach to achieving organizational goals.
Overview
19
19
years of professional experience
Work History
Claims Process Specialist III- CBL Process Dent
Progressive Insurance Claims
12.2023 - Current
- Developed user-friendly documentation for processes, increasing employee understanding and reducing training time.
- Served as a subject matter expert for process-related inquiries, providing guidance to colleagues when needed.
- Conducted regular audits of processes, identifying areas for improvement and recommending corrective actions.
- Streamlined communication within the team, leading to better project coordination and timely completion of tasks.
- Optimized process efficiency by identifying bottlenecks and implementing improvements in workflows.
- Managed multiple projects simultaneously under tight deadlines while maintaining a strong focus on quality outcomes.
- Led root cause analysis efforts on process failures, preventing future occurrences through corrective action implementation.
- Conducted regular process reviews, identifying inefficiencies and implementing improvements that led to increased productivity and cost savings.
- Identified and resolved process issues to drive optimal workflow and business growth.
- Monitored and reported on process performance to verify compliance with established standards.
- Prioritized initiatives to increase success rates of strategic projects.
- Built and established relationships with clientele to improve future business opportunities.
- Strong interpersonal and communication skills with the ability to interact effectively with others at all levels within the organization, including senior management and executives.
- Knowledge of internal business processes.
- Experience developing process improvements and/or managing projects.
- Demonstrated ability to conduct formal presentations.
- Strong planning, prioritizing and organizational skills.
- Detail-oriented.
- Strong negotiation/influential skills with the ability to work with others to reach mutually agreed upon solutions..
- Proficient computer skills, such as Word, Excel, and PowerPoint leveraging technology to support my business unit.
- Ran and supported multiple Business unit Tier 2 coverage and liability events.
- Calibrated files with directors, managers and leaders on a consistent basis during aligned and local events.
CLAIMS SUPERVISOR–URBI/ARBI/File Owner/Commercial/Special Lines
Progressive Insurance
01.2012 - 12.2023
- Team management and coaching.
- Maintain accountability for day-to-day management processes such as, performance management, coaching and development, and training of claims representatives.
- Change management.
- Implement organizational initiatives to achieve best in class results.
- Project/SME work
- Claims quality and customer service.
- Review, direct and authorize claim handling.
- Resolve escalated claims inquires.
- Identify performance trends and direct the remediation of performance deficiencies.
- Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
- Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
- Maintained up-to-date knowledge on industry trends, best practices, and regulatory changes to ensure optimal decision-making in the claims management process.
- Enhanced team productivity by providing ongoing training and mentorship to claims adjusters.
- Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
- Reduced claim processing time by implementing efficient workflow improvements and streamlining processes.
- Developed strong relationships with external partners such as medical providers, attorneys, and investigators to facilitate effective information exchange during claim investigations.
- Optimized resources allocation by monitoring workload distribution among team members, leading to increased efficiency within the department.
- Ensured timely resolution of escalated claims by working closely with legal counsel and other stakeholders.
- Achieved high customer satisfaction ratings by maintaining open lines of communication and addressing concerns promptly.
- Oversaw the negotiation process between policyholders and insurance carriers, achieving equitable settlements on behalf of clients.
- Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
- Spearheaded internal process reviews aimed at enhancing overall productivity through continuous improvement efforts.
CLAIMS ADJUSTER – URBI/ARBI/Special Lines/Commercial/File Owner/PD
Progressive Insurance
01.2007 - 01.2012
- Adjudicated property and casualty claims.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
Education
BA - Business Marketing
Northeastern Illinois University
01.2003
Skills
- Property & Casualty Insurance
- Customer Satisfaction
- Leadership
- Analysis
- Team Development
- Mentorship
- Process Improvement
- Process analysis
- Presentations
- Process flows
- Continuous improvement
Languages
Spanish
Native or Bilingual
Timeline
Claims Process Specialist III- CBL Process Dent
Progressive Insurance Claims
12.2023 - Current
CLAIMS SUPERVISOR–URBI/ARBI/File Owner/Commercial/Special Lines
Progressive Insurance
01.2012 - 12.2023
CLAIMS ADJUSTER – URBI/ARBI/Special Lines/Commercial/File Owner/PD
Progressive Insurance
01.2007 - 01.2012
BA - Business Marketing
Northeastern Illinois University
Similar Profiles
Laura SteinbrecherLaura Steinbrecher
Claims Representative at Progressive Insurance ClaimsClaims Representative at Progressive Insurance Claims
Jasmine EscobarJasmine Escobar
Central Loss Specialist at Progressive Insurance ClaimsCentral Loss Specialist at Progressive Insurance Claims
Courtney ShacklefordCourtney Shackleford
Claims Adjuster at Progressive Insurance ClaimsClaims Adjuster at Progressive Insurance Claims
BERTHA PENABERTHA PENA
Dispensary Assistant at Midwestern UniversityDispensary Assistant at Midwestern University
Jason ByfordJason Byford
GSM/GM at Audi NapervilleGSM/GM at Audi Naperville