Cornelia Cavazos

This was a contractor job through Hiregenics and I worked for USAA Insurance in San Antonio, Texas. My job entailed the reading of auto and property claims and provide the Advocates with high quality written researches and timelines of claim files which would be used to respond to the Department of Insurance, Better Business Bureau of the Office of the CEO when a complainant submitted a written grievance to the company. I also prepared case files which included the gathering all documentation within the claim, payments, adjuster's notes and any communications. The case files would be submitted to the Department of Insurance for their review.

I was a Claims Manager at USAA managing a group of highly skilled auto and property adjusters. My management experience included working as a entry level manager in auto claims, to managing first part injury claims, to managing third party injury claims and finally as an International Claims Manager managing adjusters in auto and property in different locations within the United States and Guam.

Some of my responsibilities included:

• Streamlined communication between adjusters and clients, expediting claim resolution times.
• Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
• Enhanced customer satisfaction with timely and accurate claims resolutions.
• Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
• Managed a team of adjusters, providing coaching and performance feedback for improved productivity.
• Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
• Improved claims processing efficiency by implementing streamlined workflow procedures.
• Negotiated settlements with claimants, achieving fair outcomes while controlling costs.
• Developed training materials to ensure consistent handling of claims across the department.
• Reduced claim disputes by enforcing strict adherence to policy terms and conditions.
• Determined proper course of action for claims processing.
• Analyzed claims data, identifying trends and areas for improvement in processes and policies.
• Maintained compliance with industry regulations during all stages of the claims process.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.