Beatriz Medina
Dallas,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
11
years of professional experience
Work History
Injury Claim Specialist
State Farm
Richardson, TX
11.2023 - Current
- Investigate, evaluate, negotiate, and settle injury and property damage involving auto and commercial auto claims with third parties and attorneys.
- Apply knowledge of policies and insurance regulations when determining coverage, liability, and damages
- Contact customers by telephone, written correspondence and/or various electronic media
- Effectively managing work through task driven queues while multi-tasking in a fast-paced call center environment.
- Assign defense counsel to respond to suits and oversee litigation process from beginning to end.
- Review and approve budgets submitted by defense counsel. Issue payments for invoices submitted.
- Roundtable claims and send serious injury reports to team and sections managers.
Bodily Injury Claims Adjuster
National General Insurance
Dallas, TX
10.2019 - 10.2019
- § Presented early settlement offers for bodily injury to third parties
- § Reviewed and issued payment for medical bills to providers or injured parties.
- § Investigated, evaluated, managed, and paid hundreds of injury and property damage exposures varying in complexity. Investigations included coverage and liability, and policy material misrepresentation.
- § Determined liability by taking recorded statements from insureds, claimants, or witnesses all while maintaining communication to keep parties informed of status, process, and expectations.
- § Met department metrics assigned, such as 24-hour contact, phone answer rate, closing, rental, storage, and cycle time.
- § Updated claim information and kept activity to work claims to closure.
- § Set and managed rental reservations, reviewed estimates, supplements, and sent them to vehicle owners or shops.
- § Assigned files to incoming/outgoing subrogation, and total loss, and other departments such as SIU.
- § Triaged attorney represented large loss/fatality claims and requested reassignment.
- § Order police reports, TLO's, and carrier search
- § Filed claims, verified coverage and liability with other carriers
Claims Adjuster
Quantum Alliance MGA
Rowlett, TX
08.2018 - 03.2019
- § Took recorded statements from insured's, claimants, and witnesses.
- § Investigated, evaluated, and negotiated claims and coverage issues of varying complexity.
- § Processed total losses and subrogation demands.
- § Took new incoming losses.
- § Provided claims customer support for other adjusters in office.
- § Ordered police reports, DMV, ISO, and Carfax.
- § Processed of all outgoing letters and incoming mail.
- § Contact agents for updated phone numbers or missing documents.§ Kept all parties informed about the claim status.
- § Maintained a diary for file review and document files to reflect status of work performed.
- § Communicated all claims activities timely and effectively and in a manner, which supports the outcome of the claims file.
Claims Associate II
Elephant Insurance
Carrollton, TX
01.2018 - 08.2018
- § Investigates, evaluated, and negotiated claims and coverage issues of varying complexity.
- § Took recorded statements from all parties involved.
- § Maintained all involved parties informed of claim status.
- § Triaged claims of lower or moderate complexity to other levels.
- § Set up appraisal assignments.
- § Negotiated minor bodily injury claims.
- § Maintained diary of file for review to reflect next step in claim process.
- § Provided claims customer support for other adjusters.
Claims Adjuster
Anchor General Insurance Company
Dallas, TX
05.2015 - 01.2018
- § Kept all parties informed about the claim status.
- § Negotiated and settled minor bodily injury claims non-attorney represented.
- § Timely and accurate written/verbal communications.
- § Investigated, evaluated, and negotiated claims of varying complexity.
- § Apply knowledge of policy contract investigation to determine applicable coverages.
- § Maintained a diary for file review and document files to reflect status of work performed.
- § Communicated all claims activities timely and effectively and in a manner, which supports the outcome of the claims file.
Education
Associates in Arts -
Eastfield College
Mesquite, TXSkills
- Risk evaluation
- Litigation management
- Payment processing
- Liability assessment
- Coverage analysis
- Claims negotiation
- Customer relationship management
- Attention to detail
- Effective communication
- Problem solving
- Conflict resolution
- Adaptability
- Settlement coordination
- Microsoft office
- Claims processing
- Compliance management
- Settlement determinations
- Accident investigations
- Coverage assessments
- Liability denials
- Claims analysis
- Documentation review
Timeline
Injury Claim Specialist
State Farm
11.2023 - Current
Bodily Injury Claims Adjuster
National General Insurance
10.2019 - 10.2019
Claims Adjuster
Quantum Alliance MGA
08.2018 - 03.2019
Claims Associate II
Elephant Insurance
01.2018 - 08.2018
Claims Adjuster
Anchor General Insurance Company
05.2015 - 01.2018
Associates in Arts -
Eastfield College