Xactimate
Open To Work
Antonio Estrada
Chicago,IL
Overview
15
15
years of professional experience
1
1
Certificate
Education
Bachelor of Science - Business Administration And Management
Work History
PROPERTY ADJUSTER SPECIALIST - CLAIMS
USAA
01.2021 - Current
- Successfully manage a diverse portfolio of complex and high-risk property claims by leveraging 15 years of property claim adjusting experience, both at the desk and in the field.
- Collaborated with policyholders to gather detailed information regarding claims incidents.
- Led training sessions for staff on new software tools used in property claim evaluations and reporting systems.
- Executes world-class member service through clear communication, empathy, and accurate claims handling
- Identify process enhancement opportunities for GuideWire Claims Center and aid in developing test strategies for defects found.
- Conceived and developed the HOA Governing Document Special Task within the Xactware Claim Xperience environment in collaboration with a BPO Senior in Property Optimization
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Reviewed police reports, medical treatment records, and physical property damage to determine the extent of liability.
- Identified suspicious losses and contacted the manager for investigative assistance.
- Briefed management and senior leadership on the Xactimate Xpert Tool Pilot for evaluation and provided process feedback.
- Collaborate with USAA affiliate P&C teams, 3p Vendors, and Service Providers
General Adjuster
IAS Claims Service
06.2016 - 12.2020
- Evaluated and accurately adjudicated complex residential, commercial, and flood claims
- Engaged in tactical and strategic CAT planning for large event deployment
- Led and coordinated large-scale Catastrophic events in collaboration with multiple Third-Party vendors and service providers
- Mastered skills in investigation, evaluation, negotiating, and adjustment of a broad scope of large loss claims
- Collaborated with carriers, contractors, and public adjusters to resolve complex claims involving liability, appraisals, and litigation
- Performed Quality Assurance reviews during CAT events for multiple carriers
- Demonstrated adaptability by managing various types of insurance policies, including homeowner's insurance, commercial property insurance, and renters' insurance policies
- Conducted thorough investigations to assess property damage and determine liability for claims.
- Managed a caseload of complex property damage claims, ensuring prompt resolutions and fair settlements.
NFIP Flood General Adjuster
Colonial Claims
08.2013 - 06.2016
- Expert knowledge of relevant industry practices, trends, and state/federal laws and regulations
- Handling local and CAT flood losses for over 15 carriers under the NFIP Flood Program
- Assisted clients in navigating the complex recovery process after catastrophic flooding events, offering support and resources as needed.
- Assessed flood damage to determine claim validity and coverage options.
- Evaluated loss estimates using industry-standard software and tools.
- Enhanced claim processing efficiency by thoroughly inspecting flood-damaged properties and accurately documenting damages.
- Expedited claim resolution by swiftly responding to catastrophe events and efficiently managing a high caseload of claims.
Property CAT Claims Adjuster
Pilot Catastrophe Services
10.2010 - 08.2013
- Engaged in strategic planning for large-scale CAT deployments
- Expert knowledge of loss scope for all interior and exterior damage assessments
- Achieved and maintained the highest payment authority by providing exemplary quality scopes and settlements after quarterly QA reviews
- Experience with field property claims, quality assurance, and supplements for hurricane and other CAT events
- Authoritative understanding of all P&C policies and endorsements in accordance with state compliance
- Conducted on-site field inspections to assess damages firsthand, allowing for more accurate estimates and informed decision-making regarding repair costs or total loss assessments.
- Performed QA field inspections for Allstate
- Investigated complex claims by gathering relevant information and documentation.
- Increased overall productivity by managing a large caseload while maintaining strict attention to detail and accuracy in documentation.
Skills
- Lean Six Sigma Methodologies
- JIRA working knowledge
- Teamwork and collaboration
- 6 years Management Experience
- Risk assessment
- Process Improvement
- MS Office and Visio
- Guidewire Claims Center
- Sourcing and compiling information
- Process Mapping Hands-On
- Proven experience working in highly collaborative environment
- Recent experience in a role supporting Service projects, and initiatives
- Knowledge of methodologies including Waterfall and Agile
- 5 years Quality Assurance
- Ability to perform Root Cause Analysis (RCA)
Certification
- LEAN Six Sigma Yellow Belt
- Process Mapping Specialist
- Xactimate Level 2
Software
Microsoft Office Suite
Xactanalysis
Timeline
PROPERTY ADJUSTER SPECIALIST - CLAIMS - USAA
01.2021 - Current
General Adjuster - IAS Claims Service
06.2016 - 12.2020
NFIP Flood General Adjuster - Colonial Claims
08.2013 - 06.2016
Property CAT Claims Adjuster - Pilot Catastrophe Services
10.2010 - 08.2013
Western Governors University - Bachelor of Science, Business Administration And Management
Summary
Professional property claims specialist with a proven track record in assessing and resolving insurance claims efficiently. Adept at working collaboratively within teams to achieve optimal results and adapt to changing needs. Skilled in negotiation, investigation, and customer service, ensuring fair and accurate claims outcomes. Dependable and results-driven, with a strong ability to manage multiple cases and maintain client satisfaction.
Prior Professional Experience
SALES AND MANAGEMENT EXPERIENCE
September 1988 - October 2010
- Experience in presenting to large audiences
- Managed sales promotions and marketing strategies
- Successfully managed a health insurance team for 3 years
- Retail Store Manager for 6 years
- Real Estate Broker for 3 years
- Life and Health Insurance sales for 3 years
- Annuity Sales for 3 years
- Series 6 License - Mutual Fund sales for 3 years
- 20 years Outside & Inside Sales Experience