Cherie Vallejo
Las Vegas ,NV
Summary
Strategic, big picture insurance leader offering extensive technical expertise across insurance concepts, policy interpretation, multi-line casualty products, underwriting guidelines, and statutory environments. Combines analytical and data processing capabilities with natural rapport and relationship building, translating complex data, statutory rules, AI applications, and loss analytics into digestible, actionable business insights. Proven communicator and consultative partner who leads through influence, conducting regular formal presentations to C-suite executives, senior VPs, school district administrators, and Fortune 500 corporate partners. Former CSAA Claims Advisor who bridges the gap between frontline claim costs, ALAE, loss containment, coverage limits, actuarial financial modeling, and enterprise product and regulatory strategy.
Overview
1
1
Certification
19
19
years of professional experience
Work History
Workers' Compensation Claims Supervisor
CORVEL CORPORATION
01.2026 - Current
- Lead, mentor, and direct a remote team of claims professionals, reinforcing behavioral coaching, diary compliance, client SLAs, and reserving guidelines.
- Direct claim resolution strategies for complex, high-exposure, and litigated matters, evaluating coverage, compensability, loss exposure, and structured settlements.
- Managed partnerships and performance evaluations for defense counsel, independent adjusters, medical management teams, and employer stakeholders, effectively controlling loss costs and allocated loss adjustment expense (ALAE).
- Conduct recurring formal presentations and strategic meetings for senior client executives and risk leadership, utilizing CareMC, AI-driven claim tools, Tableau, and Power BI dashboards to translate complex loss trends, venue cost variations, and reserve developments into digestible business recommendations.
- Developed and implemented structured peer-coverage and workload balancing matrix, enhancing diary compliance and ensuring uninterrupted file progression across team operations.
- Conducted comprehensive file audits and quality assurance reviews.
- Direct operational governance, workflow optimization, and service delivery across a national portfolio of over 140 enterprise accounts, partnering directly with household brands including Nike, ExxonMobil, The Cheesecake Factory, Dell, Tiffany & Co., Tractor Supply Co., Fox Corporation, Keurig Dr Pepper, Copart, and CoreCivic.
Auto Claims Team Manager
KEMPER INSURANCE
01.2025 - 01.2026
- Led a team of 10 claims adjusters handling complex, non-standard personal auto claims across California's highly regulated jurisdiction.
- Investigated and resolved Department of Insurance (DOI) complaints and escalated customer concerns, clarifying operational and language ambiguities to minimize compliance risks.
- Oversaw liability evaluations, complex coverage determinations, and reserve adequacy for escalated litigation files, ensuring adherence to regulatory standards.
- Directed talent acquisition, onboarding, structured coaching, and performance management, leading to multiple team promotions and increased operational capacity.
- Designed internal Power BI, Guidewire, and Excel tracking dashboards to enhance real-time visibility into diary management, backlog reduction, cycle times, and operational performance trends.
- Coordinated with body shops, appraisal vendors, tow yards, Copart, and IAA to manage inspections and valuation reviews for efficient total loss processing.
Claims Manager - Risk Management (Workers' Compensation)
CLARK COUNTY SCHOOL DISTRICT
01.2024 - 01.2025
- Governed the self-insured casualty, liability, and workers' compensation risk program for the 5th largest school district in the United States, managing internal examiners and directing Third-Party Administrator (TPA) performance.
- Communicated critical risk, claims, and safety information across organizational levels, establishing rapport and delivering tailored updates from frontline school-site employees to senior district executives.
- Collaborated with executive leadership, defense attorneys, and HR to develop litigation strategies, medical management protocols, and frameworks for return-to-work and ADA accommodations.
- Granted reserve and settlement authority for high-exposure, litigated, and catastrophic claims, ensuring financial defensibility and effective risk control for diverse employee groups (transportation, police services, administration, educators).
- Conducted rigorous TPA audits to ensure statutory compliance, quality benchmarks, and best practice adherence, enhancing financial accuracy.
- Communicated critical risk and claims information across organizational levels, establishing rapport with frontline school-site employees and senior district executives.
Workers' Compensation Claims Specialist
TRAVELERS INSURANCE
01.2021 - 01.2024
- Oversaw complete claim lifecycles for complex casualty and litigated files, ensuring thorough management of catastrophic injuries and fatalities.
- Collaborated with internal actuarial teams to formulate accurate case reserves, sharing frontline claims data, venue trends, and exposure assessments to uphold financial governance and compliance.
- Partnered directly with internal actuarial teams to formulate accurate case reserves, sharing frontline claims data, venue trends, and exposure assessments to ensure strict financial governance and compliance.
- Delivered executive claim reviews and strategic liability updates to insureds, account managers, and corporate stakeholders, translating complex technical and legal nuances into accessible summaries.
- Developed standard operating procedures (SOPs) and led onboarding programs for specialists, mentoring new team members to enhance team competency and regulatory adherence.
Claims Advisor / Team Lead
CSAA INSURANCE GROUP (AAA)
01.2018 - 01.2021
- Led multi-state claims operations across 21 jurisdictions, overseeing bodily injury, property damage, and total loss investigations.
- Led escalations for litigated claims and complex coverage disputes, partnering with corporate legal counsel to facilitate resolution through negotiation and structured settlement strategies.
- Managed appraisal workflows, total loss ACV valuations, salvage disposition, and vehicle repair processes, ensuring accuracy in claims processing using CCC ONE and ISO ClaimSearch.
- Led escalations for litigated claims and complex coverage disputes, partnering with corporate legal counsel to negotiate resolutions and implement structured settlement strategies.
- Conducted file reviews and quality audits, and coached team members on investigation techniques and negotiation tactics to enhance customer service initiatives.
Licensed Property & Casualty Producer / Team Lead
AMERIPRIZE FINANCIAL
01.2016 - 01.2018
- Led team of insurance professionals in delivering personal auto, homeowners, and umbrella policies through Costco Insurance Program (CONNECT), ensuring compliance with strict underwriting parameters.
- Advised high-net-worth clients on layered risk protection and excess umbrella liability, translating complex insurance terms into straightforward explanations to align coverage with individual exposure profiles.
- Evaluated complex risk eligibility using carrier guidelines, CLUE reports, MVRs, and CoreLogic/FireLine wildfire exposure data to ensure accurate policy offerings.
- Built strong client relationships while collaborating with carrier underwriting specialists to resolve eligibility exceptions and interpret policy wording for borderline risks.
Virtual Customer Experience Advocate & Team Mentor
HULU
01.2015 - 01.2017
- Supervised and mentored virtual customer experience specialists, analyzing contact metrics to improve first-contact resolution and service quality.
- Developed and delivered training curriculum for new onboarding classes, utilizing data insights to enhance operational workflows.
- Assisted customers with inquiries regarding streaming accounts, resolving technical issues through effective troubleshooting protocols and support tools.
Customer Service Professional & Operational Lead
TIME WARNER CABLE
01.2008 - 01.2013
- Analyzed contact center quality metrics and performance data to identify operational trends, resulting in targeted service improvement initiatives.
- Collaborated with HR and department management to streamline employee onboarding and training processes, enhancing new hire readiness.
- Developed departmental workflows and compliance procedures ensuring adherence to California labor and service standards.
Education
Healthcare Management
Southern New Hampshire University
March Mountain High School
Skills
- Claims processes
- Operational oversight
- Claims oversight
- Regulatory compliance
- Compliance oversight
- Client engagement
- Data analytics
- Strategic analysis
- Policy interpretation
- Cross-functional alignment
- Client engagement
- Dispute mediation
- Strategic initiatives
- Technical data translation
- Operational support
- Project evaluation
- Performance assessment
- Analytical thinking
- Analytical thinking
- Project evaluation
- Platforms & Analytics Tools: Tableau, Power BI, Origami Risk, CareMC, AI-Driven Claim Tools, Guidewire, Workday, CCC ONE, ISO ClaimSearch, CoreLogic / FireLine, CLUE Reports
Certification
- Active Nevada Claims Adjuster License
- Property & Casualty Producer License (Previously Held)
Personal Information
Title: INSURANCE OPERATIONS, REGULATORY & PRODUCT STRATEGY
Timeline
Workers' Compensation Claims Supervisor
CORVEL CORPORATION
01.2026 - Current
Auto Claims Team Manager
KEMPER INSURANCE
01.2025 - 01.2026
Claims Manager - Risk Management (Workers' Compensation)
CLARK COUNTY SCHOOL DISTRICT
01.2024 - 01.2025
Workers' Compensation Claims Specialist
TRAVELERS INSURANCE
01.2021 - 01.2024
Claims Advisor / Team Lead
CSAA INSURANCE GROUP (AAA)
01.2018 - 01.2021
Licensed Property & Casualty Producer / Team Lead
AMERIPRIZE FINANCIAL
01.2016 - 01.2018
Virtual Customer Experience Advocate & Team Mentor
HULU
01.2015 - 01.2017
Customer Service Professional & Operational Lead
TIME WARNER CABLE
01.2008 - 01.2013
Healthcare Management
Southern New Hampshire University
March Mountain High School