Cynthia Ybarra
Quinlan,TX
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle injuury claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with brokers to gain details for processing claims.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Progressive
02.2022 - Current
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Prepared summaries of damage, payments, and policy coverage.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Answered customer questions regarding deductibles.
Claims Adjuster
Geico
10.2014 - 01.2022
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Education
No Degree - Criminal Justice
Paris Junior Colleg
Greenville, TXHigh School Diploma -
Ford High School
Quinlan, TX08.2009
Skills
- Underwriting Knowledge
- Risk Assessment
- Legal Proceedings Knowledge
- Insurance Policy Coverage Knowledge
- Familiar With Fraud Statutes
- Casualty and Property Loss
- Policy Investigations
- Claims Processing
- Accident Scene Investigations
- Policy Interpretation
- Highly Motivated
- Legal Compliance
- Claims Investigation
- Regulatory Compliance
- Report Writing
- Texas Claims Adjuster License
- Quality Control
- Coverage Assessments
- Risk Management
- Time Management
- Technical Knowledge
- Customer Service
- Active Listening
- Teamwork Abilities
- Organizational Skills
- Empathy and Compassion
- Problem Solving
- Training and Development
- Attention to Detail
- Fraud Detection
- Ethical Conduct
- Critical Thinking
- Professionalism
- Conflict Resolution
- Stress Management
- Computer Proficiency
- Decision Making
- Liability Determination
- Client Interviewing
- Settlement Negotiations
- File and Record Management
- Team Collaboration
- Investigation Management
- Settlement Negotiation
Certification
Texas adjuster license
Affiliations
- Reading
- Biking
- Running
Timeline
Claims Adjuster
Progressive
02.2022 - Current
Claims Adjuster
Geico
10.2014 - 01.2022
No Degree - Criminal Justice
Paris Junior Colleg
High School Diploma -
Ford High School