Catalina Sierra
Claims Adjuster
Coconut Creek,FL
Summary
Experienced Insurance Professional with a Passion for Growth.
I am a dedicated insurance professional with a history of rapid career advancement at Policy Services Company, LLC. I started as a First Notice of Loss (FNOL) Customer Service Representative and, within a year, earned a promotion to FNOL Team Leader, leading and mentoring my team for over four years. I then transitioned to a Litigation Processor, gaining valuable experience in handling complex claims for nearly a year. From there, I advanced to a Liability Adjuster role, where I strengthened my analytical skills, attention to detail, and ability to manage high-exposure claims. Most recently, I have served as a Coverage Adjuster, developing a deep understanding of policy interpretation and coverage determinations. I am passionate about helping others, continuously improving processes, and making a positive impact within my team and the broader organization.
Overview
8
8
years of professional experience
1
1
Certification
2
2
Languages
Work History
Coverage Adjuster
Policy Services Company, LLC
11.2024 - Current
- Reviewing insurance policies to confirm coverage and determine liability for claims
- Conducting detailed investigations to gather facts, assess damage, and verify the extent of coverage
- Communicating with policyholders, claimants, and other stakeholders to gather necessary information and resolve coverage issues
- Analyzing complex claims to identify potential coverage gaps, exclusions, and limits
- Making prompt and accurate coverage determinations to ensure fair outcomes for all parties
- Documenting claim findings and decisions clearly and comprehensively to support future reference and compliance
- Collaborating with litigation teams to resolve disputed claims and minimize company exposure
Liability Claims Adjuster
Policy Services Company, LLC
10.2023 - 11.2024
- Conducting thorough investigations to determine liability, including interviewing witnesses, reviewing accident reports, and analyzing evidence
- Collaborating with policyholders, claimants, and legal representatives to negotiate fair and timely settlements
- Making well-informed coverage determinations based on policy language and applicable regulations
- Drafting detailed reports to document findings and support claims decisions
- Managing a diverse caseload with varying degrees of complexity, ensuring timely and efficient claims resolution
- Mitigating company exposure by identifying potential fraud, subrogation opportunities, and coverage defenses
- Maintaining compliance with company protocols, industry standards, and state regulations
Litigation Processor
Policy Services Company, LLC
12.2022 - 10.2023
- Reviewing and organizing legal documents, pleadings, and correspondence to ensure accurate case records
- Maintaining detailed and accurate litigation files, tracking key case milestones and deadlines
- Assisting in the preparation of discovery responses, settlement agreements, and other critical case documents
- Conducting file reviews to identify potential litigation risks and ensure compliance with company protocol
FNOL Team Lead
Policy Services Company, LLC
05.2018 - 12.2022
- Leading and mentoring a team of FNOL representatives, providing training, guidance, and support to improve performance and customer satisfaction
- Monitoring call quality and performance metrics, implementing coaching strategies to enhance team effectiveness
- Acting as a point of escalation for complex or challenging claims, ensuring swift resolution and positive customer experiences
- Collaborating with management to streamline workflows and improve departmental efficiency
- Maintaining a strong focus on customer care, setting the standard for empathetic and accurate service
Skills
- Claims investigation
- Microsoft office
- Analytical Thinking & Research
- Coverage evaluation
- Training and Development
- Time management & Organization
- Claims Handling & Policy Compliance
- Workflow Optimization & System Implementation
Accomplishments
- Achieved rapid career advancement, progressing from FNOL Representative to Liability Claims Adjuster through consistent high performance and expanded responsibilities
- Developed cross-functional expertise across FNOL, litigation processing, coverage analysis, and liability investigations
- Recognized for analytical decision-making, attention to detail, and strong communication in complex and high-exposure claims
- Trusted to handle increasingly complex caseloads while maintaining compliance with state regulations and company protocols
Certification
2023-10 Florida 6-20 All Lines Adjuster License
Timeline
Coverage Adjuster
Policy Services Company, LLC
11.2024 - Current
Liability Claims Adjuster
Policy Services Company, LLC
10.2023 - 11.2024
Litigation Processor
Policy Services Company, LLC
12.2022 - 10.2023
FNOL Team Lead
Policy Services Company, LLC
05.2018 - 12.2022