Competitive, highly motivated individual with leadership experience from professional endeavors, analytical, critical thinker who meets challenges head on. 12+ years of claim adjusting commercial auto, property damage and BI claims. Responsible Senior Claims Adjuster with experience performing detailed investigations and researching issues. Skilled at interpreting laws, evaluating facts, inspecting damage and analyzing case facts.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Senior Claim Adjuster
John Christner Trucking, LLC
08.2021 - Current
Handle all investigation with property damage, bodily injury claims, heavy equipment physical damage claims from inception to closure to company’s equipment
Manage, investigate, and determined liability claims in a timely manner
I also, keep a good filing system in our company’s drive with important documents for the claim and team members to access
Dispatch tows and hazmat assistance to any required accident at any time of the day, help with post DOT accident drug and alcohol testing
Create reports for accounting, safety department as needed
Assist drivers with any questions regarding their accident from initial reports, deductible, repairs, and subrogation recoveries
Assist attorneys with case documentation and case management
Processed payments for claims and vendors
Review estimates and determined if repairs should be completed.
Consulted police and hospital records when needed.
Provide exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the claim.
Expedite claims settlements with successful negotiation strategies and effective communication skills.
Participate in ongoing professional development opportunities such as industry conferences, workshops and webinars to stay current with industry trends and advancements.
Senior Claim Adjuster
Melton Truck Lines LLC
04.2012 - 08.2021
Managed and handled all investigations regarding all aspects of commercial liability claims and heavy equipment, it also incorporated cargo, property, and bodily injury claims from its initiation to closing
Determined liability, negotiated with claimants and their attorneys
Managed reserves and settlement within authority
Managed and hired defense attorneys and legal expenses
Assisted in mediations, prepared files for litigation
Handled BI cases, evaluated, and negotiated from basic to moderate
Daily claim process was to work new claims as they came in, assisting with a tow to our drivers, hazmat team or field adjusters to the scene, protecting the scene and insuring witness information
Accessing the accident to preserve essential data as quickly as possible for claim development
Reviewed police reports, medical records, property damage estimates and managed subrogation claims
Handled claims in a timely manner within statues and regulations.
Provided exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the entire claims process.
Implemented cost-saving measures by effectively negotiating settlement amounts within authorized limits while ensuring fair compensation for policyholders'' losses.
Achieved high accuracy rates in claims evaluation by consistently applying knowledge of policy coverage, liability assessment, and damage valuation.
Expedited claims settlements with successful negotiation strategies and effective communication skills.
Mentored junior adjusters on effective time management and organizational skills, leading to improved work quality and job satisfaction
Participated in ongoing professional development opportunities such as industry conferences, workshops and webinars to stay current with industry trends and advancements.
Managed a diverse caseload of property and casualty claims while maintaining strict adherence to state regulations and internal guidelines.
Verified insurance claims and determined fair amount for settlement.
Substantiated legitimate claims and denied unjustified claims.
Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
Analyzed information gathered by investigation and reported findings and recommendations.
Marketing Associate
Melton Truck Lines LLC
03.2011 - 04.2012
Managed the marketing plan, communications calendar
Managed creative agency timelines deliveries, created agendas, edited and produced presentations and spreadsheets for internal and external communications
Coordinated and supported the overall business development
Managed partner contact database and tracked all communications with new prices for line hauls
Tracked and managed contracts
Researched and developed new opportunities and helped negotiate new terms with customer.
Supported the design process of various promotional materials including brochures, flyers, banners, and advertisements.
Collaborated with sales team to drive revenue growth, implementing data-driven marketing tactics.
Developed compelling presentations for internal stakeholders and external clients, showcasing marketing successes.
Created eye-catching visual assets for print and digital campaigns that resonated with target audiences.
Farmers Bilingual CSR
Farmers Insurance Group
05.2007 - 03.2011
Supporting agency operations, administrative responsibilities, marketing, maintaining control of documents following up on work in a timely manner, preparing outgoing and reviewing incoming correspondence, include office management .Customer policy support in office and in telephone, and sales.
Participated in ongoing training sessions to stay current on industry trends and developments, ensuring optimal performance as a Bilingual CSR.
Enhanced customer satisfaction by providing timely and accurate responses to inquiries in both English and Spanish.
Improved overall efficiency by translating company documents and communications for non-English speaking staff members.
Delivered outstanding service by adapting communication styles according to each client''s cultural preferences and language requirements.
Claim Adjuster
State Farm Insurance
02.2005 - 03.2006
Processed single auto claims
Investigate, determine liability, confirm coverage, establish damages and negotiate the settlement of claims within an assigned territory
Work closely with policyholders, claimants, agents, and auto body shop professionals.
Bilingual Activity Analyst
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Monitor suspicious activity on accounts for fraudulent use, internal and, external.
Bilingual Collections
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Outgoing and incoming bill collector
Collect on accounts that ranged from 30 days delinquent to charge off
Mentor for new hires and migrated employees
Fraud Support Unit
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Investigated fraud cases and prepared documentation for prosecution for the Fraud Dept
Provided exceptional customer service to internal and external customers.
Bilingual Fraud Representative
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Responsible for reviewing, monitoring, and controlling activity on Potential fraud on bank card accounts
Responsible for limit amounts on potential loss to the company
Resolving fraudulent activity internal and external
Resolved balances, trainer to new hires
Bilingual Floor Supervisor
Data Exchange
05.2000 - 10.2001
Supervisor to phone representatives for questions and assistance, monitored customers service reps to ensure quality assurance
Assisted branch manager producing reports and researching accounts trained new hires for positions
Project coordinator, lead project and research, and performed lead responsibilities
Mentored new hires in company policies, job responsibilities, and expectations, ensuring successful integration into the team.
Resolved conflicts among staff members diplomatically, maintaining a harmonious working environment conducive to productivity.
Boosted sales through effective merchandising strategies and attention to product placement on the floor.
Enhanced customer satisfaction by effectively managing floor operations and addressing concerns promptly.
Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
Monitored employee adherence to company guidelines regarding dress code, punctuality, and workplace conduct for consistency across the team.
Oversaw employee performance, corrected problems, and increased efficiency to maintain productivity targets.
Met with management to discuss work plans and develop enhancements and strategies to achieve operational objectives.
Optimized employee performance by conducting regular evaluations and providing constructive feedback.
Bilingual CDN Developer
Viagrafix
05.1999 - 07.2000
Translated scripts of learning tutorials from English to Spanish, assisted customers with inbound phone calls such as trouble shooting when needed
Developed learning tutorials for office software, edited audio works, ensured quality control qualifications, mentor for new hires.
Adapted quickly to new technologies and programming languages, enhancing overall team productivity.
Collaborated with cross-functional teams to ensure seamless integration of new features.
Education
Associates - Business Management
Cerritos Jr. College
05.1999
High School Diploma -
Lynwood High School
01.1997
Skills
Bilingual (English, Spanish)
Extensive claim adjusting experience in transportation and supply chain industries also property and casualty and BI claims Customer service oriented
Good computer skills and proficient with Word, Excel and experience in transportation and supply
Excellent client services and relations skills
Strong time management skills
Strong leadership and communication skills
Ample experience with (AS400, EIG, Salesforce)
Proficient in Word and Outlook
Professionalism and Integrity
Team Leadership Qualities
Attention to Detail Focus
Continuing Education Commitment
Claims files management processes
Claims Processing
Certification
Property and casualty Oklahoma adjuster license
Timeline
Senior Claim Adjuster
John Christner Trucking, LLC
08.2021 - Current
Senior Claim Adjuster
Melton Truck Lines LLC
04.2012 - 08.2021
Marketing Associate
Melton Truck Lines LLC
03.2011 - 04.2012
Farmers Bilingual CSR
Farmers Insurance Group
05.2007 - 03.2011
Claim Adjuster
State Farm Insurance
02.2005 - 03.2006
Bilingual Activity Analyst
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Bilingual Collections
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Fraud Support Unit
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Bilingual Fraud Representative
Metris Companies (Direct Merchants Bank)
10.2001 - 02.2005
Bilingual Floor Supervisor
Data Exchange
05.2000 - 10.2001
Bilingual CDN Developer
Viagrafix
05.1999 - 07.2000
Associates - Business Management
Cerritos Jr. College
High School Diploma -
Lynwood High School
Property and casualty Oklahoma adjuster license
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