Blanca Flores
Mission,TX
Summary
Dynamic Claims Adjuster with drive and experience providing a superior level of customer service to clients. Bringing forth the ability to properly investigate a situation and resolve claims quickly in accordance with company and regulatory guidelines. Demonstrating consistent execution of best claim practices and a commitment to industry and company ethics.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Liability Claims Adjuster
Assurance America
McAllen, TX
05.2024 - Current
- Managed complex liability claims, ensuring thorough investigations and timely resolutions.
- Evaluated claim documentation and evidence to assess liability and damages accurately.
- Collaborated with legal teams to strategize on dispute resolutions and settlement negotiations.
- Mentored junior adjusters, enhancing team knowledge and improving claims handling efficiency.
- Directed claims negotiations within allowable limits and supported successful litigations for advanced issues.
Liability Claims Adjuster
Kemper
McAllen, TX
03.2022 - 04.2024
- Investigate, evaluate, and settle insurance claims.
- Determine whether the insurance policy covers the loss claimed.
- Decide the appropriate amount the insurance company should pay.
- Ensure that claims are not fraudulent.
- Answer inbound calls regarding open and closed claims.
- Assist coworkers with claim questions.
- Directed claims negotiations within allowable limits and supported successful litigations for advanced issues.
Customer Service Representative
Workforce Solutions
Edinburg, TX
01.2021 - 03.2022
- Assisted customers with a warm and professional attitude
- Assisted customers with questions
- Interacted with customers through live chat
- Handled emails, inbound calls, and outbound calls
- Booked appointments
- Managed customer accounts
- Answered basic unemployment insurance questions
Office Coordinator/admin. Assistant
PREMEIANT INC
01.2019 - 01.2020
- Oversee the work of office employees to ensure they meet deadlines and company standards
- Answering phone calls and emails from company staff and office clients
- Interviewing and training new office employees
- Maintained employee files organized and up to date
Customer Care Representative
MAXIMUS
01.2017 - 01.2019
- Provided state benefit information to client
- Assisted Texas client apply for state benefits over the phone
- Hear and process client complaints
- Performed content for peers to follow different call flows
Sales Representative
CONVERGYS
01.2015 - 01.2016
- Listen to and resolve customer complaints regarding services, products, or personnel
- Provide staff with assistance in of advertising products or services
- Provide clients with estimates of the costs
- Recommend products to customers, based on customers' needs and interests.
HR Assistant
Petal Pusher
Dallas, TX
01.2012 - 01.2015
- Perform administrative work, including scheduling, maintaining files and sorting mail for the Human Resources department
- Enter employment data into computer database
- Assist HR supervisors with the hiring process, including submitting job postings online and scheduling candidate interviews
- Track and update hourly employee leaves of absence
- Coordinate logistics for new hire orientations and employee training sessions
Education
Medical Assistant Certificate - Health
Kaplan College
McAllen, TX04.2015
High School Diploma -
Sharyland High School
Mission, TX06.2013
Skills
- Bilingual
- Fluent in English and Spanish
- Proficient with MS word, Excel, and PowerPoint
- 40wpm Typing Speed rate, Content Writing, can operate basic office equipment, Filing and Documentation
- Administrative Experience
- Interviewing
- Human Resources
- Payroll
- Employee Orientation
- Live Chat
- Cold Calling
- Recruiting
- Assertiveness
- Goal orientation
Certification
- Texas Claims Adjuster License
- 2022 to 2024
Languages
Spanish - Expert
Timeline
Liability Claims Adjuster
Assurance America
05.2024 - Current
Liability Claims Adjuster
Kemper
03.2022 - 04.2024
Customer Service Representative
Workforce Solutions
01.2021 - 03.2022
Office Coordinator/admin. Assistant
PREMEIANT INC
01.2019 - 01.2020
Customer Care Representative
MAXIMUS
01.2017 - 01.2019
Sales Representative
CONVERGYS
01.2015 - 01.2016
HR Assistant
Petal Pusher
01.2012 - 01.2015
Medical Assistant Certificate - Health
Kaplan College
High School Diploma -
Sharyland High School
Section name
Authorized to work in the US for any employer