Antonio Partida
San Antonio,TX
Summary
Texas licensed claims adjuster with comprehensive experience evaluating and investigation policy coverage, liability and damages in a timely manner. Committed to following all claim guidelines. Recognized by superiors for maintaining accurate and organized claim files consistently.
Overview
8
8
years of professional experience
Work History
Property Desk Adjuster
Citizens Insurance
San Antonio, TX
09.2022 - 03.2024
- Investigated coverage, liability and reasons for denial of claims and reiterated that info to policyholders, attorneys and third-party providers.
- Reviewed and enhanced field estimates to identify supplements and rectify any omitted items not originally included by the field adjuster
- Coordinated emergency repair with mitigation companies and contractors to optimize customer claim handling.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Investigated properties, classified damages and created estimates outlining repair costs.
Liability Claims Adjuster
Eberls Claim Service
San Antonio, TX
11.2021 - 08.2022
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
- Conducted interviews to obtain detailed information to accurately complete liability decisions.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Ensured timely processing of claims through regular follow-up on outstanding issues.
- Interpreted legal documents such as contracts, policies and pleadings in order to assess potential liability exposures.
- Investigated, analyzed and evaluated complex insurance claims to determine coverage and liability.
Bodily Injury/Liability Claims Specialist
Eberls Claim Service
San Antonio, TX
08.2021 - 10.2021
- Contacted policyholders, claimants and witnesses to determine liability in auto accidents.
- Handled billing related activities focused on medical specialties.
- Collected payments, processed receipts and informed policyholders of coverage decisions.
- Handled complex related claims which included multi car accidents, disputes, and coverage questions.
- Maintained detailed documentation of all activities related to assigned cases including correspondence, research notes, investigative reports and settlement agreements.
- Reviewed relevant case law in order to evaluate potential courses of action for resolving disputes.
Liability Claims Adjuster
Alacrity
San Antonio, TX
08.2019 - 07.2021
- Analyzed first reports of loss and underlying file material to determine liability
- Handled 1st and 3rd party property damage claims from inception to close
- Recommended settlement offers and negotiated payment arrangements
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
- Conducted interviews with claimants, witnesses, and medical providers to obtain information concerning claim circumstances.
- Researched applicable legal precedents and consulted with attorneys when necessary.
- Negotiated settlements with claimants or their representatives in order to resolve disputes.
Claim Adjuster (liability)
EA Renfroe
Winter Haven, FL
10.2018 - 04.2019
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Presented and clearly explained insurance policy options based on clients' needs and goals.
- Reviewed data to verify validity of claims and determine case management actions.
- Gathered information from various third parties to determine claim acceptability.
- Communicated with personnel and legal counsel on claims involving litigation.
Claim Owner (complex Liability)
Worley Claims Services LLC
Dallas, TX
01.2017 - 09.2018
- Provided quality customer service to all assigned, insured and claimants throughout claims process to deliver timely service to customers.
- required to close claims at a rate of 100% on a daily basis
- Submitted up to date activity and production logs to management daily
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Analyzed information gathered by investigations and reported findings and recommendations.
CAT Field Inspector
Worley Claims Services LLC
Austin, TX
08.2016 - 12.2016
- Determined coverage based on policy and created estimates outlining repair costs using audatex
- Documented all pictures and assessed damaged per carrier guidelines
- Conducted field investigations, including on-site inspections of property damage.
- Drafted detailed reports outlining findings from investigations and interviews.
- Reviewed policy language to ensure accuracy when processing a claim.
Bodily Injury/General Liability Claims Adjuster
EA Renfroe
Winter Haven, FL
01.2016 - 07.2016
- Investigated and compared insurance policies, including fire, homeowners, personal line, liability and commercial coverage.
- Interviewed and spoke with claimants, witnesses, police officers, doctors and other parties to determine claim settlement or denial.
- Analyzed medical bills, police reports and medical treatment records
- Collected evidence to support contested claims in court cases.
- Conducted witness interviews to assist claim information gathering process.
- Interviewed claimants, medical specialists and employers to determine pertinent claim information.
- Completed required investigations on referred files within established timeframes.
Education
High School Diploma -
Thompson Valley Highschool
2016
Skills
- Daily claim experience (commercial and residential with multiple jurisdictions)
- Property adjusting ( Xactimate level 1)
- Desk reviewer (property)
- Auto adjusting (in office and field)
- Total loss experience
- Bodily Injury experience
- Strong interpersonal and communication skills
- Quick learner
Affiliations
- Texas all lines adjuster license
- New Hampshire
- Utah
- Vermont
- Delaware
- Connecticut
- California
- South Carolina
- Florida
- Arizona
- Alaska
- Georgia
- Mississippi
- Louisiana
- North Carolina
- Michigan
Timeline
Property Desk Adjuster
Citizens Insurance
09.2022 - 03.2024
Liability Claims Adjuster
Eberls Claim Service
11.2021 - 08.2022
Bodily Injury/Liability Claims Specialist
Eberls Claim Service
08.2021 - 10.2021
Liability Claims Adjuster
Alacrity
08.2019 - 07.2021
Claim Adjuster (liability)
EA Renfroe
10.2018 - 04.2019
Claim Owner (complex Liability)
Worley Claims Services LLC
01.2017 - 09.2018
CAT Field Inspector
Worley Claims Services LLC
08.2016 - 12.2016
Bodily Injury/General Liability Claims Adjuster
EA Renfroe
01.2016 - 07.2016
High School Diploma -
Thompson Valley Highschool