Melisande Croftwell-Banerjee

Manage a desk of 45–60 open auto and homeowners claims from first notice of loss through payment or denial in Guidewire ClaimCenter. Complete liability investigations: take recorded statements, review dashcam and police reports, and apply comparative negligence under Ohio law. Order and review body-shop estimates and independent appraisals; negotiate repair and total-loss settlements within $15,000 authority. Reduce average auto cycle time on clear-liability claims from 28 to 19 days by tightening photo requests and vendor follow-up. Spot potential SIU red flags and refer 12 files for fraud review; three resulted in denial or reduced payment.

Supported staff adjusters on 80+ open files: ordered medical bills, police reports, and rental-car authorizations. Drafted reservation-of-rights and coverage acknowledgment letters reviewed by senior adjusters before mailing. Logged FNOL intake for walk-in and phone claims, capturing loss facts, policy details, and injury status accurately.

Checked in 100+ patients per day, verified insurance eligibility, and scheduled follow-up visits in the EHR.

GPA 3.6/4.0; Coursework: Property and Liability Insurance, Claims Management, Business Law, Statistics for Business, Corporate Finance Member, Gamma Iota Sigma (risk management and insurance fraternity)

Ran a semester-long simulated claim desk with 20 staged auto losses; documented investigation steps and settlement rationales graded by a local adjuster guest speaker.

Wrote sample denial and reservation-of-rights letters for five fact patterns; peer-reviewed against state unfair-claims-practices rules.

Assist with temporary lodging and personal-property intake after residential fires.

Tutored introductory statistics for 6 hours per week across two semesters.