Abraham Lopez
San Antonio,TX
Summary
Honest Auto Claims Adjuster with proficient skills in determining liability in compliance with company policies and procedures. Outstanding verbal and written communication traits to keep calm under pressure and provide excellent customer service.
Overview
5
5
years of professional experience
Work History
Claim Specialist - Commercial Casualty
Nationwide Insurance Company
05.2023 - Current
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Licensed and trained to handle all 50 states, Canada and Mexico.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Substantiated legitimate claims and denied unjustified claims.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Prepared summaries of damage, payments, and policy coverage.
- Verified insurance claims and determined fair amount for settlement.
Claims Specialist I
Nationwide Insurance Company
11.2021 - 05.2023
- Partners with Underwriting and Special Investigation Unit to prevent fraud.
- Followed up with customers on unresolved issues.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
- Conducts auto accident liability investigations.
- Licensed and trained to handle all 50 states, Canada and Mexico.
- Excellent knowledge in personal auto policy language.
- Negotiated with claimants to settle claims.
Members Services Engagement Specialist
Carenet Healthcare
01.2021 - 10.2021
- Engaged in continuous learning and development opportunities to promote continued performance improvement.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Assisted 100+ customers in average 5 hours by answering questions, responding to inquiries and handling telephone requests.
- Met all customer call guidelines including service levels, handle time and productivity.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Maintained excellent attendance record, consistently arriving to work on time.
Payroll Assistant
Elcom Satellite
03.2020 - 03.2021
- Responded to employee questions and requests for information in timely and knowledgeable fashion.
- Updated employee files with new details such as changes in address or salary levels.
- Maintained employee privacy and protected payroll operations by keeping all information confidential.
- Maintained payroll information by calculating, collecting and entering data.
- Updated employee banking records when it was necessary.
- Verified timekeeping records and handled any discrepancies with employees.
- Accurately calculated bonuses, salary increases.
Education
Bachelor of Science - Business Administration (Data Analytics Focus)
Colorado Technical University
Colorado Springs, CO12.2024
Associate of Arts - Business Administration
Northeast Lakeview College
Universal City, TX12.2020
High School Diploma -
James Madison High School
San Antonio, TX06.2017
Skills
- Bilingual (Spanish)
- Claims handling
- Customer service expertise
- Claims process explanation
- Analytical and Critical Thinking
- Excellent Communication
- Problem-Solving
- Mentor
Skills & Achievements
- Texas All lines Adjuster License
- Louisiana Property & Casualty Adjuster License
- New Mexico Adjuster License
- Oklahoma Property & Casualty Adjuster License
- Wyoming Adjuster License
- Mentor and training new hires
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Interests
Data Analytics
Timeline
Claim Specialist - Commercial Casualty
Nationwide Insurance Company
05.2023 - Current
Claims Specialist I
Nationwide Insurance Company
11.2021 - 05.2023
Members Services Engagement Specialist
Carenet Healthcare
01.2021 - 10.2021
Payroll Assistant
Elcom Satellite
03.2020 - 03.2021
Bachelor of Science - Business Administration (Data Analytics Focus)
Colorado Technical University
Associate of Arts - Business Administration
Northeast Lakeview College
High School Diploma -
James Madison High School
Similar Profiles
Heather EzellHeather Ezell
Quality Assurance Analyst at Nationwide Insurance CompanyQuality Assurance Analyst at Nationwide Insurance Company
SaNasha GentSaNasha Gent
Case Management - CareMatters at Nationwide Insurance CompanyCase Management - CareMatters at Nationwide Insurance Company
Michael WatsonMichael Watson
Solution Center Representative at Nationwide Insurance CompanySolution Center Representative at Nationwide Insurance Company