ASHLEY RODRIGUEZ
Lubbock,TX
Summary
Senior auto claims adjuster specializing in high-complexity claims, including total loss and liability disputes. Expertise in negotiating favorable settlements and mentoring new adjusters to enhance team performance. Proven track record of improving overall claims processing efficiency.
Overview
17
17
years of professional experience
Work History
SENIOR CLAIMS ADJUSTER
Bridger Insurance
Pleasanton, CA
05.2022 - 03.2026
- Resolved high-complexity claims, including total loss fire, theft, and liability disputes, handling 200 claims simultaneously and managing dollar amounts up to $15,000.
- Managed nonstandard insurance policies, resolving high-risk claims through detailed risk analysis and strategic decision-making, demonstrating strong analytical skills and dispute resolution expertise.
- Conducted thorough assessments of liability, analyzing scene evidence and statements to determine fault, and presented structured arguments in arbitration forums, effectively influencing outcomes for disputed bodily injury and property damage claims.
- Analyzed policy provisions, endorsements, exclusions and conditions to determine claim validity.
- Mentored new adjusters on proper file handling, documentation, and customer interactions, fostering skill development and improving team performance.
SENIOR CLAIMS ADJUSTER
Allstate Insurance
Lubbock, TX
01.2018 - 05.2022
- Conducted investigations on advanced auto claims, assessing coverage liability and damages to support informed decision-making.
- Handled claims with attorney participation, applying judgment to facilitate early resolution and prevent litigation.
- Negotiated settlements with claimants and legal representatives, achieving favorable outcomes in diverse environments.
- Managed high-volume caseloads, ensuring compliance with state regulations and carrier policies while maintaining quality standards.
- Facilitated fraud investigation referrals to Special Investigations Unit, enhancing case evaluation and supporting fraud prevention efforts.
Bilingual Technical Support Agent
AT&T
Lubbock, TX
01.2015 - 03.2017
- Delivered bilingual (English/Spanish) technical support for warranty and insurance-related inquiries, claims, and troubleshooting.
- Assisted customers in high-stress situations by providing clear explanations and ensuring accuracy in procedures, enhancing customer satisfaction.
- Managed customer accounts by overseeing activations, service changes, credit checks, collections, and maintaining accurate records, ensuring seamless account operations.
- Processed product returns and exchanges efficiently at multiple retail locations.
- Sold products and services by delivering personalized recommendations based on customer needs, driving customer engagement.
Direct Support Professional II
Lubbock State Supported Living Center
Lubbock, Texas
01.2009 - 01.2015
- Provided direct care and support to individuals with developmental disabilities, fostering a nurturing environment.
- Implemented behavior management techniques tailored to client needs, enhancing individual care effectiveness.
- Documented client progress and behavioral changes to inform and enhance individualized care strategies.
- Worked with interdisciplinary teams to develop and implement individualized care plans, ensuring alignment with client needs.
- Trained new staff on care protocols and safety procedures to ensure consistent client support.
- Assisted in planning activities and outings aligned with individual preferences.
- Conducted performance evaluations for team members, providing constructive feedback.
- Ensured compliance with state regulations and agency policies throughout operations.
Education
High School Diploma -
Estacado High School
Lubbock, TxSkills
- Claims analysis and management
- Liability assessment and coverage
- Policy interpretation and application
- Fraud detection expertise
- Data documentation and entry
- Customer advocacy and relations
- Interpersonal communication
- Conflict resolution strategies
- Organizational skills
- Adaptability in work environments
Timeline
SENIOR CLAIMS ADJUSTER
Bridger Insurance
05.2022 - 03.2026
SENIOR CLAIMS ADJUSTER
Allstate Insurance
01.2018 - 05.2022
Bilingual Technical Support Agent
AT&T
01.2015 - 03.2017
Direct Support Professional II
Lubbock State Supported Living Center
01.2009 - 01.2015
High School Diploma -
Estacado High School