Clarisa Gardea-Sanchez
Tampa,FL
Summary
Highly dedicated and detail-oriented claims professional with a growth mindset, offering superior customer experience and prompt claims handling, seeking to be beneficial to your team.
Overview
10
10
years of professional experience
Work History
Claims Generalist Associate FTW
Progressive
Riverview, FL
07.2023 - Current
- Manages claims workload, prioritizing newly assigned claims and holistic handling.
- Gathers detailed statements from insureds and other relevant parties to ensure clear coverage and liability.
- Consistently closes claims timely producing an excellent close ratio.
- Proactively and independently identifies suspicious factors on new policy, policy change, and prior hail claims.
- Answers inbound calls and returns voicemails, texts and emails promptly.
- Accurately reviews and adheres to state requirements.
- Efficiently handles total loss claims resulting in a consistent low amount of pending total loss exposures.
- Maintains accurate and clear documentation of all claim activity within ClaimPro.
- Utilizes Referral Hub to determine the best method of inspection and repair.
- Assists colleagues with difficult cases and remains available as a mentor to new members of the organization.
Centralized Claims Unit, Auto Adjuster
Progressive
Riverview, FL
06.2018 - 07.2023
- Effectively managed a claims workload to ensure all newly assigned claims are resolved timely and within customer expectations.
- Gathered statements from customers, claimants, witnesses and all other relevant parties.
- Asked appropriate questions and interpret information to accurately determine liability and coverage.
- Efficiently navigated through claims systems including ClaimsPro, Referral Hub and PD Suite.
- Identified risks and exposures timely.
- Answered inbound calls and returned voicemails, texts and emails promptly.
- Worked claims to the furthest point before exiting and moving on.
- Reviewed and applied feedback when given by management.
- Shared successful tips and strategies with peers during group discussions.
Member solutions specialist
USAA
Tampa, FL
02.2016 - 06.2018
- Servicing eligible military members and their families with new and existing; auto, homeowners, umbrella, and valuable personal property policies.
- Received specialized training for many states including North Carolina, Massachusetts, New York, and Pennsylvania to remain compliant with state regulations.
- Reached top 25% performance with products issued per 100 calls, member satisfaction, and adherence.
- Deepened member relationship by asking eccentric open-ended questions to better understand their needs, which assisted in new issues as well as product referrals, e.g. boat, health, and life insurance.
- Carefully underwrote each policy to insure an acceptable risk.
- Responsible for directing team meetings, and relaying all new information to fellow team members.
Humana Retention Representative
Health Plan Services
Tampa, FL
06.2015 - 02.2016
- Licensed agent working with a variety of; grandfathered, transitional, and current Affordable Care Act compliant members.
- Helping members also understand upcoming renewals, premium increases, and benefit summaries.
- Writing new business Working on special projects including making outbound calls to members informing them of any policy changes.
- Provided members with quotes on available plans, resulting in issuing many new policies.
- Read disclosures and set proper expectations with providing accurate time frames.
Sales and Service representative
Convergys
Tampa, Fl
12.2014 - 06.2015
- Receiving inbound calls centered around helping customers and ensuring they are completely satisfied with their service.
- Working with a variety of different systems in order to complete plan changes, SIM card updates, phone activations, and account information changes.
- Transitioning into sales by building rapport with each customer. In doing so, this would effectively help in closing multiple sales per day.
Education
High School Diploma -
Brandon High School
2013
Skills
- Proficient in Microsoft Word, Power Point, and excel
- Strong written and verbal communication skills
- Adaptable problem solver
- Ability to make independent judgments and decisions
- Effectively collaborates with management and peers
- Detail oriented and organized
- Excellent in time management
Timeline
Claims Generalist Associate FTW
Progressive
07.2023 - Current
Centralized Claims Unit, Auto Adjuster
Progressive
06.2018 - 07.2023
Member solutions specialist
USAA
02.2016 - 06.2018
Humana Retention Representative
Health Plan Services
06.2015 - 02.2016
Sales and Service representative
Convergys
12.2014 - 06.2015
High School Diploma -
Brandon High School
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