Team Manager Regulatory Compliance
Resume:
***************@*****.*** 317-***-****
Mesa, AZ ***10
WWW: Bold Profile
Skills
•Relationship building
•Customer focused
•Process analysis
•Dispute resolution
•Process automation
•Customer complaints
•Team management
•Regulatory compliance
•High Value claim management
Education And Training
05/1993
Bachelor Of Science: Marketing
South Carolina State University
Orangeburg, SC
Nathaniel McElveen
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.
Experience
State Farm - Claim Team Manager - Auto - Total Loss
Tempe, AZ 08/2016 - 05/2025
•Developed and implemented strategies to enhance claim processing efficiency.
•Managed daily operations for a 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.
•High Value claim management
•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.
•Florida adjuster’s license.
State Farm - Claim Team Manager - Auto Express
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 to ensure quality standards were met.
•Resolved customer complaints in a timely manner while striving for complete satisfaction.
•Identified opportunities for processing automation using available technology solutions.
•Managed team of claim associates handling non complex liability claims.
State Farm - Claim Team Manager - Initial Loss Reporting
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.
State Farm - Claim Support Services, Supervisor
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.
State Farm Employee - Various Roles - 01/1995 - 01/2011
•I have held various roles throughout my career with State Farm. Below are the additional positions that I held at State Farm during my 30-year career in addition to the positions listed above which are more closely related to the Claims Manager.
•Auto - Claim Specialist – Auto Claims
•Auto - Claim Specialist - Complex claims
•Customer Response Center Supervisor
•Auto National Glass Supervisor
•Marketing Analyst
Activities And Honors
•Life member, Omega Psi Phi Fraternity, INC.
•Christian
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