Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Daniela Lopez Galvan

Aubrey,TX

Summary

Bilingual (English/Spanish) Casualty Claims Adjuster with 5+ years of experience handling high-volume first- and third-party claims in fast-paced environments. Skilled in investigating liability, interpreting policy language, and negotiating settlements with both represented and unrepresented parties. Recognized for accuracy, efficiency, and strong communication skills when managing complex claims. Licensed in Texas, Louisiana, Oklahoma, and Florida.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Casualty Claims Adjuster

AmWins Specialty Auto
Plano, Texas
04.2022 - Current
  • Managed daily caseload of emails, voicemails, and calls to ensure timely responses.
  • Investigated first- and third-party casualty claims, assessing coverage and liability.
  • Handled complex auto bodily injury claims with precision and attention to detail.
  • Interpreted policy language to verify coverage and identify exclusions effectively.
  • Communicated with policyholders and external customers to gather essential information.
  • Review and evaluate bodily injury demands; negotiate and settle representative and unrepresented claims, often within the same month.
  • Documented claim files using specialized software to maintain compliance and efficiency.

Administrative Claim Specialist/Claims Adjuster

Seaharbor Insurance LLC Formerly known as DMA
Plano, TX
09.2021 - 04.2022
  • Managed claim setup, assignment, and reserving alongside administrative tasks.
  • Investigated property damage and bodily injury claims by reviewing reports to assess liability.
  • Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
  • Negotiated settlements with claimants and legal representatives for efficient claim resolution.
  • Maintained detailed records of claims activities using internal management systems.

Claim Specialist

DMA Claims Services
Irving, TX
06.2021 - 09.2021
  • Executed thorough investigations of first-party auto and casualty claims to ensure accurate coverage analysis and liability determination.
  • Interpreted policy language to verify coverage, exclusions, and applicable limits.
  • Maintained detailed claim files.

Customer Service Representative - REMOTE

Navient Corporation. Pioneer Credit Recovery, Inc
Irving, TX
06.2020 - 07.2021
  • Supported claimants with unemployment benefits and account resolution, managing 55 to 80 calls daily.
  • Facilitated escalations to claims examiners and guided customers through Department of Labor processes.
  • Trained new staff on customer service protocols and software usage for seamless operations.
  • Delivered bilingual support to non-English-speaking clients, improving accessibility for all users.

Administrative Claim Specialist

DMA Claims Services
Irving, TX
06.2019 - 12.2019
  • Provided updates and information on pending claims to clients effectively.
  • Answered incoming calls, returned voicemail messages, and managed email correspondence.
  • Assisted claims adjusters in gathering brief statements from clients.
  • Guided customers on claim processes and submission of necessary documentation.
  • Facilitated communication by translating for adjusters during recorded statements.
  • Verified checks and coordinated with finance department for reissue to correct addresses.
  • Documented claim outcomes and maintained detailed records in the system.

Insurance Representative

PRIMERA CAPITAL INSURANCE & TAX
Tomball, TX
10.2018 - 06.2019
  • Quoted and matched customers with auto, home, and renters’ insurance policies while cross-selling Commercial General Liability products.
  • Processed payments and managed high-volume phone inquiries while ensuring accurate customer records.
  • Assisted clients in tax preparation, IRS payments, and policy updates to enhance service delivery.
  • Provided bilingual support, translating documents and completing immigration-related forms such as Green Card renewals and DACA paperwork.
  • Delivered comprehensive administrative services including notary services, COI issuance, and utility bill processing.
  • Educated clients on policy options and coverage details effectively.

Education

All Lines Adjuster License -

The Adjuster School
Katy, TX
07.2021

Flight Attendant -

JET BLUE UNIVERSITY
Orlando, FL
09.2012

GED -

LONESTAR COLLEGE
Tomball, TX
01.2010

Skills

  • Claims Expertise: Casualty claims handling, coverage analysis, liability determination, first- & third-party investigations
  • Negotiation & Resolution: Bodily injury evaluation, settlements, comparative negligence, decision-making under deadlines
  • Communication: Exceptional customer service, bilingual (English/Spanish), fluent translator, active listener
  • Technical Proficiency: Microsoft Outlook & Office Suite, claims management software, documentation & reporting

Certification

Casualty claims adjuster licensed in Texas, Louisiana, Oklahoma, and Florida.

General lines agent P&C Licensed in Texas.

Licensed Texas Notary Public

Languages

Spanish
Native/ Bilingual

Timeline

Casualty Claims Adjuster

AmWins Specialty Auto
04.2022 - Current

Administrative Claim Specialist/Claims Adjuster

Seaharbor Insurance LLC Formerly known as DMA
09.2021 - 04.2022

Claim Specialist

DMA Claims Services
06.2021 - 09.2021

Customer Service Representative - REMOTE

Navient Corporation. Pioneer Credit Recovery, Inc
06.2020 - 07.2021

Administrative Claim Specialist

DMA Claims Services
06.2019 - 12.2019

Insurance Representative

PRIMERA CAPITAL INSURANCE & TAX
10.2018 - 06.2019

All Lines Adjuster License -

The Adjuster School

Flight Attendant -

JET BLUE UNIVERSITY

GED -

LONESTAR COLLEGE

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