ALONSO LOPEZ MENA
Plano
Summary
Diligent Claim Adjuster with strong background in evaluating and processing claims effectively. Successfully resolved numerous complex cases by applying deep knowledge of policy provisions and regulatory requirements. Demonstrated proficiency in negotiation and customer service, ensuring fair outcomes and client satisfaction.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claim Adjuster
STATE FARM
09.2024 - Current
- Investigate and evaluate claims, conduct investigation of property claims by reviewing policy details, assessing damages to determine coverage, collecting statements and claim validity.
- Communicate with Policyholders and third parties, serving as a main point of contact between policyholders, agents, and contractors to gather necessary information and provide updates on claim status.
- Negotiate and settle claims, evaluating damages and negotiating fair settlement sin accordance with State Farm guidelines and state regulations, ensuring timely and accurate claim resolution while maintaining customer satisfaction.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
Division Leading Petty Officer IT Specialist
US NAVY
01.2019 - 01.2023
- Created reports detailing accomplishments of the division as well as any areas needing improvement or further attention.
- Analyzed large datasets using SQL and Excel, providing insights that led to a 25% reduction in operational costs.
- Created detailed reports on marker trends, which were used to inform strategic decisions by senior chiefs.
- Participated in a cross-functional team to develop a new data visualization tool, resulting in improved client presentations. Assisted in the implementation of a new CRM system, training 20+ employees, and ensuring a smooth transition.
- Created Python script to streamline data entry, cutting down manual input by 25%.
- Designed an internal website within a team of 10, enhancing employee engagement by 55%.
- Conducted through the testing of new software releases, identifying and documenting over 50 bugs for resolution.
- Initiated a project to optimize network security measures, which was later implemented company wide.
Claim Manager
Fiesta Insurance Franchise
08.2014 - 08.2018
- Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
- Enhanced customer satisfaction with timely and accurate claims resolutions.
- Streamlined communication between adjusters and clients, expediting claim resolution times.
- Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
Education
MASTER OF SCIENCE - INFORMATION TECHNOLOGY AND MANAGEMENT
Dallas Baptist University
12-2025
BACHELOR OF SCIENCE - CRIMINAL JUSTICE AND RISK MANAGEMENT
University
06-2022
Skills
- Training Leadership
- High problem-solving and organization Skills
- Financial & Data Analysis
- Strategic Planning & Execution
- Documentation & Reporting
- Strong auto & Fire policy foundation
- Proficiency with Microsoft Office Applications
- Multi-disciplinary Collaboration
- Solid Written and Oral communication skills
- Python, SQL, Tableau
- IT Strategy & Analysis
- Excel
- Stakeholder communication
- CRM Systems
- Project Management
- Settlement negotiation
- Casualty and property loss
- Report writing
- Quality control
- Policy investigations
- Damage assessment
Certification
Advanced Python for Data Science
LNGG
Spanish, Proficiency
Timeline
Claim Adjuster
STATE FARM
09.2024 - Current
Division Leading Petty Officer IT Specialist
US NAVY
01.2019 - 01.2023
Claim Manager
Fiesta Insurance Franchise
08.2014 - 08.2018
MASTER OF SCIENCE - INFORMATION TECHNOLOGY AND MANAGEMENT
Dallas Baptist University
BACHELOR OF SCIENCE - CRIMINAL JUSTICE AND RISK MANAGEMENT
University