GERARDO SIFUENTES
Houston,TX
Summary
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
18
18
years of professional experience
1
1
Certification
Work History
SIU Investigator
Allstate Insurance Co
07.2021 - Current
- Conducted thorough investigations into suspicious insurance claims, utilizing advanced investigative techniques to uncover potential fraud, including but not limited to surveillance, background checks, and interviews.
- Demonstrated proficiency in analyzing insurance policies, claim documents, medical records, and other pertinent information to identify inconsistencies and potential indicators of fraud.
- Prepared detailed investigation reports documenting findings, evidence collected, and recommendations for further action, ensuring accuracy and compliance with company policies and regulatory requirements.
- Established and maintained relationships with external stakeholders, including law enforcement agencies, regulatory bodies, and industry associations, to facilitate information sharing and collaboration in combating insurance fraud.
- Led training sessions for claims adjusters and other relevant personnel on recognizing red flags and best practices for detecting and preventing insurance fraud, enhancing overall fraud awareness within the organization.
Insurance Adjuster
Allstate Insurance Co
01.2015 - 07.2021
- Oversaw the evaluation and appraisal of complex insurance claims, including property damage, liability, and subrogation claims, ensuring compliance with company guidelines and regulatory requirements.
- Negotiated settlements with claimants, attorneys, and other involved parties to achieve fair and equitable resolutions, while minimizing financial exposure for the insurance company and providing excellent customer service.
- Provided leadership and support during catastrophic events or natural disasters, coordinating claims response efforts and ensuring continuity of service for affected policyholders.
- Conducted training sessions for claims adjusters on policy interpretation, claims investigation techniques, negotiation strategies, and regulatory compliance, fostering a culture of continuous learning and professional development.
- Excelled in LDU, Auto/Property appraisal, subrogation, arbitration, and CAT.
Company Owner
Southern Trade & Transit, LLC
09.2005 - Current
- Founded and established a successful business specializing in both car rental services and residential home construction, demonstrating entrepreneurial vision and leadership in navigating diverse industries.
- Managed all aspects of business operations, including finance, marketing, sales, customer service, and human resources, ensuring alignment with organizational goals and objectives.
- Oversaw the acquisition, maintenance, and management of a diverse fleet of rental vehicles, implementing efficient inventory management practices to optimize utilization and maximize profitability.
- Directed the planning and execution of residential construction projects, from initial concept and design through to completion, ensuring adherence to budgetary constraints, timelines, and quality standards.
- Stayed abreast of industry developments, emerging technologies, and regulatory changes relevant to both the car rental and construction sectors, adapting business strategies and operations accordingly to maintain competitiveness and ensure compliance.
Education
BBA - Business Management
Lamar University
Beaumont, TXMBA - Project Management
Lamar University
Beaumont, TX12.2020
Skills
- Conflict Resolution Expert
- Operations Management
- Continuous Improvement
- Employee Development
- Business Development
- Technology Proficiency
- Decision-Making
- Risk Identification
Certification
ASE Collision Repair Estimator,
I-Car Platinum,
Xactimate
Languages
Spanish
Native or Bilingual
Timeline
SIU Investigator
Allstate Insurance Co
07.2021 - Current
Insurance Adjuster
Allstate Insurance Co
01.2015 - 07.2021
Company Owner
Southern Trade & Transit, LLC
09.2005 - Current
BBA - Business Management
Lamar University
MBA - Project Management
Lamar University
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