Ana Garcia

• Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
• Examined claims forms and other records to determine insurance coverage.
• Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
• Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
• Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
• Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• Verified insurance claims and determined fair amount for settlement.

Examine claims forms and other records to determine insurance coverage.

Investigate claim and all parties involved.

interview or correspond with claimants, witnesses, police, physicians or other relevant parties to determine claims settlement, denial or review.

Review police reports, medical treatment records, medical bills or property damage to determine and extend liability.

Negotiate claims settlements and recommend litigation when settlement cannot be negotiated.

Refer questionable claims to special investigator or claims special adjuster for further investigation or settlement.

Conduct searches to find needed information, using such searches as the Internet and police reports, and court houses.

Adhere to all regulatory and Casualty best practices followed by the company.

Provided great customer service to both internal and external customers.

Responsible for managing the evaluation and settlement of pre-litigation complex, high volume claims with claimant attorneys.

Handled claims in AL, AZ, NM, GA, CO, IN, OH, CA, TX and MO.

Closing ratios had been maintained with 100% or better every month.

All new claims reviewed within 48 hours or less ane put on a diary to keep involved in files.

Supported eight adjusters. Reviewed discovery, requested missing information from defense attorneys, faxed suit referral with petition to defense, followed up from defense attorneys daily to ensure an answer was filed with the court prior to due date, assisted with inquiry calls, issued checks, special projects for managers, mainained log for timed demands, prepared medical packets, mentored and trained new employees.

Took test for Liability Adjuster

Liability Adjuster.

Investigated claims from beginning to end, coverage and liability.

Took statements from all parties involved in the accident including any witnesses' if any.

Reviewed police reports, estimates and photos to bring claim to a resolution with both insurer and claimant.

Was responsible for assisting four Doctors for Night Clinic

Checked in patients answered phone, made appointments,

called prescriptions into the pharmacy for patients.

Prepared office for the next day for the Day Shift

pulled files for all for Doctors

Prepared paperwork for the hospital if the patients was going to be admitted.

Transcribed Doctors notes to put in patients hospital records.