B E N A R D I N O B R I O N E S
Katy
Summary
Detail-oriented claims specialist processing high volumes of paperwork daily. Delivers accurate recommendations for policy approvals and denials while effectively managing risk and enhancing customer satisfaction through strong communication and problem-solving skills.
Overview
17
17
years of professional experience
Work History
Claims Specialist
Bluewave Express Carwash
Houston
01.2023 - Current
- Delivered accurate approval and denial recommendations for new policies, renewals, and reinstatements under pressure.
- Managed risk and maximized customer satisfaction, contributing to overall company objectives.
- Processed high volume of paperwork daily with attention to detail, ensuring accurate claims processing.
Site Leader
BlueWave
Cypress
03.2023 - 11.2025
- Led daily operations ensuring compliance with safety and quality standards.
- Coordinated team schedules to optimize workflow and resource allocation.
- Trained staff on operational procedures and best practices for efficiency.
- Implemented process improvements to enhance productivity across the site.
- Managed inventory control and ensured accurate stock levels on-site.
- Facilitated communication between departments to streamline project execution.
- Monitored equipment maintenance schedules to minimize downtime risks.
- Conducted regular safety audits to uphold workplace safety protocols.
- Resolved conflicts between staff members in a professional manner.
- Responded promptly to customer inquiries regarding product availability or pricing information.
- Planned special events such as conferences or workshops for clients or colleagues.
- Identified areas for improvement in processes and procedures at the site.
- Assisted with recruiting efforts by conducting interviews and providing input on hiring decisions.
- Oversaw all aspects of inventory management including ordering supplies, tracking shipments.
- Conducted regular meetings with team members to assess progress and resolve issues.
- Organized training sessions for employees on topics such as customer service techniques or safety protocols.
- Implemented strategies that enhanced operational efficiency and productivity.
- Monitored performance metrics to track goal attainment.
- Managed the day-to-day operations of the site, including staffing, scheduling, budgeting, safety protocols.
- Developed and maintained relationships with customers, vendors, and other stakeholders.
- Collaborated with other departments within the organization to ensure successful project completion.
- Provided guidance and support to staff members while ensuring they adhere to company standards.
- Prepared reports detailing operational activities at the site.
- Communicated daily progress and incident reports to clients and corporate offices.
- Supervised projects to uphold schedule requirements and quality demands.
- Complied with safety procedures and monitored team members for adherence to safety protocols on job sites.
- Tracked material usage and contractor hours to align projects with budgets.
- Reviewed written, oral and schematic instructions and relayed key details to laborers.
- Maintained access control procedures set by property managers.
- Prioritized tasks to direct workforce in a dynamic environment.
- Conducted regular site inspections to ensure compliance with safety and building regulations.
- Maintained positive working relationships with fellow staff and management.
- Set specific goals for projects to measure progress and evaluate end results.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
Assistant Store Manager
Bluewave Express Carwash
Houston
09.2020 - 01.2023
- Trained new hires on store standards, sales procedures, and point-of-sale systems.
- Managed daily cash handling and prepared bank deposits for the store.
- Assisted in managing daily operations of car wash facility.
- Trained and supervised team members in service procedures.
- Ensured compliance with safety and cleanliness standards.
Team Leader
Bluewave Express Carwash
Houston
02.2020 - 09.2020
- Key holder- Ensuring store is running correctly.
- Oversaw 4 GSA throughout shift, ensuring effective operations and team coordination.
- Customer service - Problem solving with any complaints/incidents.
- Calmed customers during incidents, documented issues, and investigated to prevent recurrence.
- Facilitated membership sales by engaging potential customers and articulating benefits clearly.
- Communicate with both employees & customers.
- Safety and ensuring till money is correct.
- Ensure Chemicals are dispensing.
- Leaving the store ready for Next Business day.
GSA
Bluewave Express Car Wash
Katy
07.2019 - 02.2020
- Call and conducted claims investigations to analyze and confirm or deny coverage and determine liability, and damages.
- Addressed customer service issues with timely, detailed responses to escalated complaints, enhancing customer satisfaction.
- Managed upset customers, explaining incident causes and prevention strategies for future visits.
- Resolved problems, provided open communication and recommended discipline and terminations.
- Logged file notes, stored electronic documents and keyed claim details in Spot AI to manage record-keeping.
- Tracked and modified staff schedules, ensuring adequate coverage for operational needs.
- Managed daily operations and organized paperwork for chemical orders.
- Interacted with customers, membership sales and insuring satisfaction.
Baker
Lecaroz Bakery
Houston
01.2011 - 07.2019
- Baked Mexican-style pastries including flan, conchas, roscas, and cakes to meet customer demand.
- Decorated cakes for special events and holidays, enhancing customer satisfaction.
- Trained new hires on walk-in oven operation and sanitation procedures to ensure safety and quality.
Delivery Driver
Lecaroz Bakery
Houston
01.2009 - 01.2011
- Picked up bread and cakes from Lecaroz bakery early morning and delivered to grocery stores and small businesses with pre-orders, ensuring timely service.
- Cleaned and maintained delivery van's interior and exterior to uphold professional appearance and ensure reliability.
- Delivered fresh baked goods to customers promptly and efficiently.
- Maintained vehicle cleanliness and ensured proper functioning of equipment.
- Assisted with loading and unloading bakery items at various locations.
Education
GED -
Houston, TXSkills
- Claims documentation
- Claim evaluation
- Policy analysis
- Regulatory compliance
- Data management
- Customer service
- BILINGUAL (SPANISH AND ENGLISH)
- Sales
- Team coordination
- Performance monitoring
- Recruitment and training
- Employee onboarding
- Adaptability
- Leadership
- Staff developing
- Coaching and mentoring
- Goal setting
- Problem solving
Languages
Spanish, Fluent
Timeline
Site Leader
BlueWave
03.2023 - 11.2025
Claims Specialist
Bluewave Express Carwash
01.2023 - Current
Assistant Store Manager
Bluewave Express Carwash
09.2020 - 01.2023
Team Leader
Bluewave Express Carwash
02.2020 - 09.2020
GSA
Bluewave Express Car Wash
07.2019 - 02.2020
Baker
Lecaroz Bakery
01.2011 - 07.2019
Delivery Driver
Lecaroz Bakery
01.2009 - 01.2011