Mink Mandley
Phoenix
Summary
Relentless professional known for working hard to uncover the truth. A smart Fraud Investigator promoting exemplary talents in forensic analysis, digital investigating and assessment of client needs. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
14
14
years of professional experience
Work History
Claims Adjuster
Allstate
01.2020 - Current
- Conducted claims investigations by obtaining written statements, preparing reports, researching public records and conducting personal interviews
- Evaluated coverage, liability and damages and investigated suspicious claims
- Determined liability and estimated and approved benefit payments
- Obtained credit information from banking services
- Documented and tracked claims approval process and communicated status monthly with claimants, attorneys and in-house personnel
- Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders
- Estimated cost of filing claims and applicable court or legal fees for claimant party
- Prepared reports of findings in investigations
- Interpreted policy details and recommended most favorable course of action
- Prepared and presented complex cases to management, in-house legal team and Claims Committee
- Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event
- Interviewed relevant parties to determine claim denial or settlement
- Referred extreme cases to Special Investigation Unit (SIU) for further review
- Examined forms to determine insurance coverage
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability
- Examined claims forms and other records to determine insurance coverage
- Answered customer questions regarding deductibles
- Verified insurance claims and determined fair amount for settlement
- Prepared summaries of damage, payments, and policy coverage
Claims Adjuster
Allstate
07.2018 - Current
- Implementing Allstate quality
- Here to help any customer in need, as well as any team members that are in need of assistance or guidance
- Participate and taking lead in group huddles and establishing goals to carry team forward
- Being transparent to all new changes and to others and be flexible
- Establish rapport with customer to make them feel at easy
- Time, desk, and organizational management
- Meeting goals to establish move on to higher level and take on more responsibilities
- Having control over managing desk and planning out day to be successful
- Having healthy relationships between coworkers to uplift one another
- Management skills to guide other in how to become successful dealing with their desk
- Recognition team – to recognize others for their outstanding job and boosting morale in office
- Mentoring new LDU adjusters so have successful transition into their new found role
- Doing desk sits with adjuster to come up with effective desk management
- Giving reminders to team to stay on top of tasks and compliances that are needed to be completed so there is no falling behind
- Half manager – making sure team is helped out, providing time to other when in need, marking schedule out for time to spend with other adjusters who need assistance, sit- alongs, doing task for other adjusters
- Handling medical compensations which is rightfully owed to client by proven information and documents
- Request/obtain information, bills, and documents to assess matter
- Proficient with NextGen as system to handle claims
- Handling 8 states with incorporating rules and regulations needing to abide by per state to state
- Answered customer questions regarding deductibles
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability
Advisor
Apple
07.2016 - 06.2018
- Implementing customer service
- Addressing a customers concern and finding articles to assist customers to obtain a prompt resolution
- Reaching and setting goals to establish a better understanding and to receive more positive surveys
- Team meeting to discuss information about awareness of products and software technical difficulties
- Maintain a consistent work schedule that assist co-workers with questions that have about problem solving
- Participating in team meetings valuable ideas, feedback, and information
- Sending helpful articles to give clients a do-it-yourself experience
- Logging the correct information to keep the case understandable
- Note everything that is happening with client and put distinct information in there
- Coordinated work or project dedicated to raise awareness of need, applying strong project, and team leadership to enhance success
- Planned, developed, and implemented strategies to convey information with key decision makers
- Anticipated responses and prepared clear and articulate answers
- Produced detailed reports outlining key issues and proposed solutions
Salon Receptionist/Payroll Advisor
HairAdize
10.2010 - 10.2017
- Maintain excellent time management skills between setting appointments, cleaning, and performing duties as cosmetologist when having clients
- Answering phone calls and scheduling appointment efficiently and with positive tone of voice
- Meeting goals for selling merchandise
- Cashier/ money management
- Customer service - Maintaining superb customer service style and attitude when talking face to face and over phone with clients and management
- Janitorial duties
- Manager/Team lead – promoting daily schedules, hire, coordinate employees, maintain budgets, providing training, planning events, and overseeing levels, planning staff outings
- Managed Payroll collecting timekeeping, issuing money updating employee files
- Authenticating employees and timekeeping
- Calculating wages, commission, and deductions
- Perfecting on wages amount to make sure of accuracy
- Issuing paychecks
- Distributing and receiving valuable paperwork that is necessary and required
- Oversee electronic payments and make sure are sent in timely manner
- Learned details of types of treatments and procedures in order to answer questions from spa guests
- Communicated with spa team members if clients canceled or changed appointment times
Education
High School Diploma -
Mesquite High School
Gilbert, AZ06.2014
Bachelor of Arts - Liberal Arts and Science
Arizona State University
Tempe, AZ12.2017
Associate of Arts - Cosmetology
East Valley of Institute of Technology
Mesa, AZ06.2014
Skills
- Document management software
- Complex coverage issues
- EDR InSight
- Bodily injury settlements proficiency
- Keyboarding
- Transcription
- Fraud detection
- Procedure review
- Detection models
- Effective communication
- Dispute Resolution
- Data analysis
- Teamwork and Collaboration
- Attention to Detail
- Analytical and Critical Thinking
- Training and Development
Personal Information
Title: BI Claims Adj
Timeline
Claims Adjuster
Allstate
01.2020 - Current
Claims Adjuster
Allstate
07.2018 - Current
Advisor
Apple
07.2016 - 06.2018
Salon Receptionist/Payroll Advisor
HairAdize
10.2010 - 10.2017
Bachelor of Arts - Liberal Arts and Science
Arizona State University
Associate of Arts - Cosmetology
East Valley of Institute of Technology
High School Diploma -
Mesquite High School
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