Daniel Apaez
Summary
Detail-oriented Casualty Adjuster with a strong background in evaluating insurance claims and determining liability. Skilled in negotiating settlements and efficiently managing complex cases. Known for analytical thinking and effective communication skills, ensuring accurate and timely resolution of claims. Proven track record of delivering high-quality results in a fast-paced environment.
Overview
5
5
years of professional experience
Work History
Prime Casualty Adjuster
Auto Club
05.2024 - Current
- Conduct detailed investigations into incidents involving injury or property damage
- Interview claimants, insured parties, and witnesses
- Review police reports, medical records, and legal documents
- Assess legal liability based on facts, damages, experts, and data.
- Assess the extent of injuries, treatment costs, lost wages, and pain and suffering
- Negotiate settlements within policy limits
- Write summary reports, settlement recommendations, and diary notes
- Maintain accurate, detailed claim files with all supporting documentation
- Mediation
Relief Claim Representative
Auto Club
03.2024 - 04.2024
- Assist adjusters who are out for extensive period.
- Resolve any issues that include settlements, liability, and payments.
ER Prime Adjuster
Auto Club
07.2021 - 04.2024
- Investigation Claims
- Interview claimants, witnesses, and involved parties.
- Review police reports and photographs.
- Assess liability and negligence based on evidence and applicable laws.
- Maintain detailed claim files with all supporting evidence and correspondence.
Correspondence/Phone Support
BlueShield Insurance
11.2020 - 06.2021
- Responds to and resolves various customer inquiries via telephone and correspondence, and resolves claims problems within established production and quality standards.
- Answers incoming calls and written requests for information from members or providers promptly and accurately.
- Composes routine and non-routine correspondence to answer member inquiries that require a written response.
- Coordinates with other departments to ensure timely and appropriate responses.
- Expedites and resolves complex issues and initiates claim adjustments.
- Educates others on the Blue Shield product, providing accurate information and updates to policies and procedures, improving overall customer satisfaction...
Education
Associates in Applied Science - Administration of Justice
Rio Honda College
Masters - Public Administration
Cal State San Bernardino
06-2026
Bachelors - Criminal Justice
Cal State Los Angeles
01.2021
High School Diploma - undefined
Azusa High
06.2013
Skills
- Analytical Thinking and Strong Communication
- Analytical Thinking
- Investigation
- Negotiating
- Communication
- Time Management and Organization
- Knowledge of Insurance and Policy Coverage
- Documentation and Reporting
Awards
2025 1st Quarter Unit Pillar Award
Groups
- Escalara
- IES Super User
Timeline
Prime Casualty Adjuster
Auto Club
05.2024 - Current
Relief Claim Representative
Auto Club
03.2024 - 04.2024
ER Prime Adjuster
Auto Club
07.2021 - 04.2024
Correspondence/Phone Support
BlueShield Insurance
11.2020 - 06.2021
Bachelors - Criminal Justice
Cal State Los Angeles
High School Diploma - undefined
Azusa High
Associates in Applied Science - Administration of Justice
Rio Honda College
Masters - Public Administration
Cal State San Bernardino
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