Arlette Guerrero
Dallas,Texas
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 6 years of insurance experience.
Overview
5
5
years of professional experience
Work History
AUTO PROPERTY LIABILITY ADJUSTER
SUPERIOR RISK MANAGEMENT
1301 SOLANA BLVD STE 2100 WESTLAKE TX 76262
03.2024 - Current
- Maintained detailed records for each claim, ensuring accuracy and completeness for future reference and audit purposes.
- Established rapport with policyholders through clear communication, empathy, and professionalism during difficult circumstances.
- Reduced claims processing time by implementing efficient workflow strategies and prioritizing tasks.
- Managed a caseload of complex liability claims, maintaining organization and meeting deadlines consistently.
- Maintained compliance with industry regulations by staying informed on changes to laws that impacted claims handling processes.
- Investigated liability claims thoroughly, analyzing evidence and interviewing involved parties to determine fault accurately.
BILINGUAL CLAIMS SPECIALIST
GEICO
RICHARDSON, TEXAS
06.2021 - 03.2024
- Review, analyze and process routine to moderately complex claims within assigned authority limits and consistent with policy and legal requirements to ensure the delivery of quality service to customers while protecting the assets of the company
- Reviews and administratively sets up claims in software tracking system and writes or revises the brief description of loss to ensure that it accurately reflects the actual circumstances
- Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim
- Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain of custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners
- Evaluates claims for potential fraud and makes referrals to the Special Investigations Unit as appropriate.
Liability Claims Representative
GEICO
Richardson, TX
04.2019 - 06.2021
- Provided excellent customer service by addressing concerns and answering questions promptly and professionally.
- Assisted clients in filing claims, coordinating with adjusters to expedite the process and secure fair settlements.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Skills
- Excellent verbal and written communication skills
- Ability to work with minimum supervision over long periods of time
- Able to do repetitive tasks accurately over long periods of time
- Working knowledge of MS Office software and spreadsheets
- Claims Investigation
- Dispute Resolution
- Assertiveness
Languages
Spanish
Native or Bilingual
Timeline
AUTO PROPERTY LIABILITY ADJUSTER
SUPERIOR RISK MANAGEMENT
03.2024 - Current
BILINGUAL CLAIMS SPECIALIST
GEICO
06.2021 - 03.2024
Liability Claims Representative
GEICO
04.2019 - 06.2021
Similar Profiles
Sheryl WilloughbySheryl Willoughby
Receptionist & Claims Initiator at Superior Risk Management Insurance Co.Receptionist & Claims Initiator at Superior Risk Management Insurance Co.
Kyle BurnettKyle Burnett
Litigation Bodily Injury Supervisor at Superior Risk ManagementLitigation Bodily Injury Supervisor at Superior Risk Management
Brandon WhitakerBrandon Whitaker
Physical Damage and Cargo Commercial Supervisor at Superior Risk ManagementPhysical Damage and Cargo Commercial Supervisor at Superior Risk Management
Xavier Jose Amaya JuarezXavier Jose Amaya Juarez
Apartment Maintenance Technician at Avaya of GarlandApartment Maintenance Technician at Avaya of Garland
Stephanie NanceStephanie Nance
Head of Business Strategy (Finance) at Smart Business ConceptsHead of Business Strategy (Finance) at Smart Business Concepts