Summary
Overview
Work History
Education
Skills
Outside Scope
Quality Improvement
Certification
Timeline
Generic

Amanda Reyes

Italy,TX

Summary

My expertise is analyzing risk while balancing quality and quantity claims handling. I have enhanced skills in litigated bodily injury claims while meeting or exceeding objectives. I also have advanced training and knowledge of industry best practices since being an ACE. I currently have my AIC and continue towards my CPCU. I am detailed driven and self-motived with over 7 years of diverse insurance experience while demonstrating quality claims handling. I've expanded my expertise and my knowledge into commercial claims. For the last four months, I have worked as a Claims Quality Specialist, and I'm excited to make it my career.

Proficient [Job Title] delivering encouragement and feedback to help employees be successful. Energetic professional with great poise. Well-trained in [Skill].

Quality professional with strong background in process improvement, quality assurance, and regulatory compliance. Adept at driving team collaboration, adapting to changing needs, and delivering measurable outcomes. Known for effective problem-solving, keen analytical skills, and commitment to maintaining high standards. Dependable and versatile, ensuring quality and efficiency in all tasks.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Claims Quality Specialist II

Liberty Mutual Insurance Company
05.2023 - Current
  • Audit all 50 states
  • Review and asses Medpay, APD, SIU, No Fault, Complex, Core, Total Loss, Bodily Injury, General Liability
  • Business planning for DoorDash and Lyft
  • Recommend continuous improvement and monitor implementation
  • Participate in focus audits through multiple lines of business
  • Ensured compliance with industry standards by conducting thorough audits and recommending corrective actions.
  • Pulled raw data and assigned audits to the QA team
  • Provided regular updates to team leadership on quality metrics
  • Educated employees on specific QA standards
  • Updated guidelines and standards
  • Participated in numerous Quality events across various lines of business

Senior Bodily Injury Specialist I

Liberty Mutual Insurance Company
11.2017 - 05.2023
  • Manage 'stretch-complex' files and bring to resolution
  • Strong experience with Homeowners, UM & UIM files
  • Coordinated with legal counsel
  • Conducted productive negotiations
  • ACE trainer to all new hires
  • Developed onboarding material, vetted through legal and presented to new hires
  • Backed up TM
  • Approved authority requests on Bodily injury files for all grade levels
  • Participated in SLQE and audited files

Bodily Injury Team Lead

State Farm
04.2017 - 11.2017
  • Train new to role associates while managing incoming volume
  • Provided coverage for escalation calls

Property Damage Liability Adjuster

02.2016 - 04.2017

Education

Nursing & Management -

Hennepin Technical College
06.2012

Science & Nursing -

Normandale
05.2011

High School -

Chandler High School
05.2010

Skills

  • Area Coach Expert (ACE)
  • Mentoring
  • Training
  • Collaboration
  • Decision Making
  • Problem Solving
  • Leadership

Outside Scope

  • DEI: Active member of the Chandler DE&I committee since 2017
  • One Team Committee President- Until 2020
  • Back up to Current TM while on FTO. Auth requests to office
  • Assisted with Coverage training with TMs for training for the BI floor
  • Created Safeco Drop dawn training for BI and APD cross training

Quality Improvement

  • On-going mentorship with QI - TM
  • On-going mentorship with BI underwriting director
  • Participated in Chandler diagnostics with Leadership 3 rounds - analyzed 24 files.
  • 6 Submitted CI's, 4 Implemented, 1 Pending
  • Pilot team to test a new office Evaluation tool: 3-month program
  • Developed a QI Champions committee in Chandler.
  • Manage the QI Champions
  • IC Calibrations

Certification

Designations:

*AIC

*AIC- Management

Timeline

Claims Quality Specialist II

Liberty Mutual Insurance Company
05.2023 - Current

Senior Bodily Injury Specialist I

Liberty Mutual Insurance Company
11.2017 - 05.2023

Bodily Injury Team Lead

State Farm
04.2017 - 11.2017

Property Damage Liability Adjuster

02.2016 - 04.2017

Science & Nursing -

Normandale

High School -

Chandler High School

Nursing & Management -

Hennepin Technical College
Amanda Reyes