Aliana Suarez
Pompano Beach,FL
Summary
Efficient and productive Claims Specialist, known for accurately managing claims processes. Specializes in claims management, negotiation, and settlement strategies, which allow for timely investigation and conclusion of claims. Extensive history in handling complex claims and fraud investigations. Excels in communication, problem-solving, and organizational skills to effectively handle multiple claims simultaneously while maintaining accuracy and efficiency.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Coverage Claims Specialist
Progressive Insurance Company
Fort Lauderdale, FL
06.2023 - Current
- Completed thorough coverage investigations on claims and policies for any application fraud or misrepresentation.
- Identified suspicious claims and worked closely with the SIU to resolve them.
- Determined liability, compensability, and benefits due on each claim.
- Ensured reserves were adjusted accordingly for all coverages.
- Provided exceptional customer service through effective and courteous communication.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Maintained a diary system to ensure all claims were followed up & handled in a timely matter.
Bodily Injury Claims Adjuster
Progressive Insurance Company
Fort Lauderdale, FL
03.2021 - 06.2023
- Manage a diary system to ensure all claims are handled in a timely manner
- Evaluated bodily injury demands sent by attorneys for complete accuracy.
- Attended and collaborated at roundtables with claims counsel and management when necessary to review files.
- Made all necessary and appropriate contacts to properly evaluate liability outcomes in claims.
- Maintained exceptional customer service through kind and courteous contact by remaining available to service customers and returning voicemails.
- Kept customers updated on claim status, and helped walk them through the next steps.
- Negotiated bodily injury and uninsured/underinsured settlements with attorneys.
- Created and upheld rapport with attorneys to establish a good working relationship in regard to bodily injury claims and resolutions.
- Verified the extent of injuries by obtaining all proper documents.
Liability Claims Adjuster
Allstate Insurance Co
Coconut Creek, FL
01.2013 - 11.2020
- Investigated liability claims to determine the extent of insurance company's responsibility for payment.
- Negotiated settlements with claimants or their representatives in order to resolve disputes.
- Investigated coverage thoroughly prior to making any payments.
- Provided exceptional customer service to insureds, claimants, body shops, third parties & internal customers.
- Assisted in creating training classes for new hires.
Education
Bachelor of Science - Business Administration And Management
Broward College
Fort Lauderdale, FL05-2027
Skills
- Claims management
- Negotiation techniques
- Customer service
- Problem solving
- Accident investigations
- Coverage investigations
- Teamwork
- Fraud detection
- Risk assessment
Certification
- 0620 - ADJUSTER - ALL LINES - LICENSE NUMBER: W477739
Languages
Serbian
Professional
References
References available upon request.
Timeline
Coverage Claims Specialist
Progressive Insurance Company
06.2023 - Current
Bodily Injury Claims Adjuster
Progressive Insurance Company
03.2021 - 06.2023
Liability Claims Adjuster
Allstate Insurance Co
01.2013 - 11.2020
Bachelor of Science - Business Administration And Management
Broward College
Similar Profiles
BRITTANY PITTSBRITTANY PITTS
Insurance Claims Specialist at Progressive Insurance CompanyInsurance Claims Specialist at Progressive Insurance Company
Kristine JonesKristine Jones
Casualty Claims Supervisor at Progressive Insurance CompanyCasualty Claims Supervisor at Progressive Insurance Company
Neema MuhammadNeema Muhammad
Senior Underwriting Specialist at Progressive Insurance CompanySenior Underwriting Specialist at Progressive Insurance Company
Caleb RawlsCaleb Rawls
Volunteer at Kappa LeagueVolunteer at Kappa League
Shirley AlbertoShirley Alberto
Unit Secretary, Med-Surg at Broward Health Medical CenterUnit Secretary, Med-Surg at Broward Health Medical Center