ANGELA GARCIA
Orlando,FL
Summary
My professional experience in the insurance industry would make me an ideal candidate for this position. My prior knowledge handling liability claims has provided me with the skills necessary to become proficient as a claims adjuster. I have my Florida 6 -20 All Lines Claims Adjuster license and am globally licensed in all states that require a license. I have developed skills in conducting complex coverage and liability investigations, as well as developing a relationship with members and customers. I am experienced in software applications such as Lexis Nexus, Microsoft Office Suite, Guidewire, Accurint, ISO, CCC, IAA, ARMS, and ClaimsPro which are industry known standards and crucial to the claims generalist associate role. My professional experience over the years has provided me with superior decision-making skills, problem solving skills, and multi-tasking skills. Being an advocate for others has always been a passion of mine which has helped develop my customer service skills.
Overview
16
16
years of professional experience
Work History
Claims Adjuster
Progressive
08.2022 - Current
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments and policy coverage.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Answered questions posed by insured and attorneys.
- Documented all investigation activity and presented reports to management.
- Established productive working relationships with public officials and law enforcement officers.
- Investigated claims involving potential and suspected fraudulent activities.
Claims Adjuster
Kemper Insurance
07.2021 - 07.2022
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments and policy coverage.
- Examined claims forms and other records to determine insurance coverage.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Documented all investigation activity and presented reports to management.
- Maintained claims data in different systems.
- Analyzed information gathered by investigations to report findings and recommendations.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Maintained contact with claimants and attorneys to determine treatment status.
- Trained new staff members in detection of external and internal fraud.
Medical Assistant
TriCounty Heart Institute
05.2020 - 06.2021
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Obtained pre- and post-treatment vital signs and weight.
- Tested and recorded blood glucose levels.
- Monitored patients' response to dialysis therapy and reported any unusual findings to nurse supervisor.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Verified appropriate lab couriers picked up collected lab specimens.
- Ambulated, turned and positioned patients.
Claims Adjuster
Progressive
01.2020 - 05.2020
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments and policy coverage.
- Verified insurance claims and determined fair amount for settlement.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Partnered with legal counsel on litigation cases.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Investigated and assessed damage to property and reviewed property damage estimates.
Lead Medical Assistant
Florida Cardiology Associates Of Ocala
10.2009 - 11.2019
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Called and faxed pharmacies to submit prescriptions and refills.
- Taught patients about medications, procedures and care plan instructions.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions.
- Met operational targets consistently by guiding and motivating medical assistant team to effectively handling administrative and clinical needs.
- Documented vital signs and health history for patients in clinic and hospital environments.
Education
EKG Technician -
Taylor College
Belleview, FL06.2021
Medical Assistant - Medical
Community Tech
Ocala, FL05.2009
GED -
Community Technical Adult Education
Ocala, FL05.2006
Skills
- DETAIL-ORIENTED
- DEVELOPMENT
- COMMUNICATION
- ORGANIZATION
- LIABLE DETERMINATION
- CUSTOMER SERVICE
Languages
Spanish
Native or Bilingual
Timeline
Claims Adjuster
Progressive
08.2022 - Current
Claims Adjuster
Kemper Insurance
07.2021 - 07.2022
Medical Assistant
TriCounty Heart Institute
05.2020 - 06.2021
Claims Adjuster
Progressive
01.2020 - 05.2020
Lead Medical Assistant
Florida Cardiology Associates Of Ocala
10.2009 - 11.2019
EKG Technician -
Taylor College
Medical Assistant - Medical
Community Tech
GED -
Community Technical Adult Education