Antonio Ortiz
Phoenix,AZ
Summary
Skilled insurance professional ready to handle complex claims with precision and efficiency. Proven track record in thorough investigation, accurate assessment, and effective negotiation. Strong collaborator focused on team success and adaptable to changing environments. Expertise in customer communication, claims processing, and conflict resolution.
Overview
8
8
years of professional experience
Work History
Auto Quality Adjuster
Insurance Auto Auctions/TheBest Claims Solutions Staffing
02.2025 - Current
- Fortified vulnerable vehicle sections utilizing industry-standard protective gear; reduced pre-auction damage by ensuring vehicles met stringent quality standards
- Complete final physical quality vehicle inspections before vehicle is auction ready.
- Coordinate with the branch manager regarding client yard claim requests
- Assist office title clerks with title issues
Sr Auto Adjuster (Non-Injury)
USAA/Kforce Staffing
11.2024 - 01.2025
- Investigated auto losses to determine applicable coverages and liability for claims
- Identify coverage issues and fraud indicators while making necessary SIU referrals
- Assess, negotiate and settle high-volume of complex first and third-party collision and comprehensive claims
- Utilize critical thinking decision-making skills to resolve claims according to state jurisdictional guidelines
- Obtain market evaluations, deliver settlements, mitigate storage, and set expectations on Total Loss claims
- Document all actions and promptly respond to all communications with customers and business partners
- Monitor claims for closure after repairs/subrogation is complete
Claims Advocate
Uber/Hillview Consulting Solutions
08.2024 - 10.2024
- Aided US & selected Canadian territories partner drivers using Uber products and services
- Received reported incidents, 1st and 3rd party: auto, property, and injury claims
- Identify exposures, confirmed loss details, examined loss details, using Uber tools to investigate loss details
- Served as advocate for partner drivers and serving as a liaison between drivers while communicating crucial information
Auto Claims Specialist
UCars Management LLC
08.2023 - 06.2024
- Complete first notice of loss intake statements, collect supporting documents: photos, reports, evidence for potential litigation/arbitration
- Completed liability to confirm party at fault
- Document all interactions within internal claim system
- Acknowledge all inquiries, respond to legal requests within 24 hours
- Set appropriate diary calendar follow-ups
- File claims with at-fault parties and or ride-share carriers
- Large volume of clams assigned within inventory
- Partnered with TPA's to bring claims to resolution, and audit files
- Prepare subrogation demands and followed up for payment
Insurance and Safety Specialist
DriveTime
09.2022 - 04.2023
- Examine numerous car and property incident reports submitted by internal departments
- Gather data to assist with investigations while focusing on prompt resolution
- Documenting all activities on company's CRM system, while setting appropriate follow-ups/pending to oversee progress
- Contact all involved parties via phone, email, fax for communication
- Confirm available policy coverages to determine if claim should be self-insured administered or liability
- Partner with internal teams to coordinate repairs, contact police departments for reports, and TPA's for additional assistance
- Facilitate discussions and update leadership on severe incidents and any trends during weekly meetings
- Prepare at-fault claims for recovery
- Send subrogation demands as necessary
Total Loss Specialist
State Farm
02.2017 - 08.2022
- Negotiated, settled, and investigated complex total loss claims
- Utilized company tools as well as ISO, NICB, Accurint to assist with collecting information
- Handled high end vehicles, recreational vehicles, commercial vehicles
- Obtain actual cash values, adequate paperwork to process salvage disposal, monitor vehicle through salvage stages
- Interpreted knowledge of policy and state specific guidelines according to the individual state department of insurance claims settlement practices
- Escalation claims for first- and third-party disputes
- Coordinate with body shops and salvage vendors to allocate vehicles
- Identified alternative disposal methods for vehicles with title issues
- Documented all interactions with customers, send corresponding letters as applicable to the state
- Manage claims within the parameters of your authority, seeking management's advice as necessary
Education
Associate of Applied Science - Administration of Justice
Maricopa Community Colleges, Phoenix College
Phoenix, AZ05-2014
Skills
- Claim investigation
- Coverage assessment
- Liability determination
- Fraud detection
- Negotiation skills
- Customer service
- Vehicle inspection
- Market evaluations
- Attention to detail
- Documentation management
- Risk assessment
- Effective communication
- Coordination with stakeholders
- Claims investigation
- Compliance with regulations
- Decision-making
Languages
Spanish
Native or Bilingual
Timeline
Auto Quality Adjuster
Insurance Auto Auctions/TheBest Claims Solutions Staffing
02.2025 - Current
Sr Auto Adjuster (Non-Injury)
USAA/Kforce Staffing
11.2024 - 01.2025
Claims Advocate
Uber/Hillview Consulting Solutions
08.2024 - 10.2024
Auto Claims Specialist
UCars Management LLC
08.2023 - 06.2024
Insurance and Safety Specialist
DriveTime
09.2022 - 04.2023
Total Loss Specialist
State Farm
02.2017 - 08.2022
Associate of Applied Science - Administration of Justice
Maricopa Community Colleges, Phoenix College
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