David Benavides II
San Antonio,TX
Summary
Professional insurance claims specialist with deep expertise in evaluating and managing total loss claims. Known for strong analytical skills, effective communication, and proactive approach to problem-solving. Highly collaborative team member, adaptable to changing circumstances, and focused on delivering results. Skilled in negotiation, claims investigation, and customer service, consistently ensuring fair and accurate settlements.
Experienced with handling total loss claims efficiently and thoroughly. Utilizes advanced negotiation skills and policy interpretation to ensure fair settlements. Track record of effective communication and collaboration with clients and stakeholders, ensuring smooth and satisfactory claim resolutions.
Overview
18
18
years of professional experience
Work History
Total Loss Claims Adjuster
Liberty Mutual
09.2022 - Current
- Maintained compliance with state regulations by staying current on industry changes and applying them to claim evaluations.
- Reduced processing time for claims by streamlining the evaluation process and ensuring accurate documentation.
- Facilitated a positive work environment by actively engaging in team meetings and contributing to collaborative discussions on claim handling strategies.
- Conducted thorough investigations to verify coverage and accurately determine liability in complex cases.
- Leveraged strong analytical skills to assess vehicle damages accurately and determine appropriate settlement amounts based on market values.
- Assisted in training new adjusters, sharing best practices for effective total loss claims management.
- Maximized recoveries from at-fault parties through diligent subrogation efforts, contributing to the company''s financial success.
- Developed expertise in various insurance policies, enabling accurate interpretation of coverage details for diverse clients.
- Ensured consistency across departmental procedures by documenting processes and providing feedback on areas for improvement.
- Served as a liaison between policyholders, repair facilities, and other stakeholders to expedite claim resolution while maintaining open lines of communication.
- Proactively identified potential issues in the claims process, implementing solutions to minimize delays and ensure a smooth experience for customers.
- Enhanced customer satisfaction by efficiently managing total loss claims and providing timely resolutions.
- Upheld the integrity of the claims process by consistently adhering to ethical guidelines and maintaining confidentiality when dealing with sensitive client information.
- Provided exceptional customer service, addressing policyholder concerns and answering questions regarding claim status.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Successfully negotiated settlements with claimants and insurers.
- Created detailed assessments of damages to property and vehicles.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
Non Injury Claims Adjuster
USAA
01.2015 - 09.2022
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Answered customer questions regarding deductibles.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
- Provided exceptional customer service, addressing concerns, and answering questions promptly.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Investigated and assessed damage to property and reviewed property damage estimates.
Caremark Representative
CVS Caremark
10.2014 - 12.2014
- Handling a high volume of calls, making sure that when members called in they were provided excellent customer service and making sure that the correct prescriptions were filled and billed correctly
- Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
- Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
Phone Banker II
Wells Fargo
10.2013 - 08.2014
- Navigated multiple banking systems simultaneously to access account information, process transactions, and update client records accurately.
- Maintained high call quality standards with clear communication and active listening skills for optimal client experiences.
- Improved efficiency by assisting with the implementation of new processes that streamlined workflows within the phone banking team.
- Handled sensitive personal and financial information with discretion, ensuring the privacy of clients at all times.
- Retained valuable clientele by skillfully resolving complaints or concerns regarding account management or service delivery discrepancies.
- Increased customer satisfaction by promptly addressing inquiries and resolving issues in a timely manner.
Business Banker
Citibank
07.2011 - 10.2013
- Provided expert guidance on business financing options, helping clients secure necessary capital for growth.
- Coordinated with various departments to ensure seamless delivery of banking services across all channels.
- Fostered a positive work environment by actively participating in team meetings and sharing ideas for process improvements.
- Maintained comprehensive knowledge of banking products and services, ensuring accurate and informed recommendations for clients.
Assistant Store Manager
Gamestop
09.2007 - 11.2011
- Managed cash registers efficiently, ensuring accurate transactions, balancing drawers daily, and minimizing discrepancies.
- Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
- Enhanced store appearance for increased sales by maintaining cleanliness and implementing strategic merchandise displays.
- Rotated merchandise and displays to feature new products and promotions.
- Assisted the Store Manager in analyzing sales data to identify trends and make informed decisions for improving overall store performance.
- Walked through store areas to identify and proactively resolve issues negatively impacting operations.
- Mentored new employees on company policies, procedures, and best practices to ensure their success within the organization.
- Supervised and evaluated staff to help improve skills, achieve daily objectives, and attain advancement.
- Fostered a positive work culture by promoting teamwork and recognizing individual achievements among staff members regularly.
- Processed payments for credit and debit cards and returned proper change for cash transactions.
- Created and maintained safe and secure work environments for employees.
- Developed a loyal customer base through personalized interactions, increasing repeat business in-store visits.
- Responded to customer concerns, working with manager to significantly raise customer satisfaction ratings.
- Streamlined inventory management with regular audits, accurate ordering, and efficient stock organization.
- Resolved escalated customer issues effectively leading to improved customer satisfaction rates.
- Provided weekly work schedules to employees to accommodate business demands and vacation requests.
- Interviewed, hired, and trained staff associates and equipped to comply with company policies and procedures.
- Coached sales associates in product specifications, sales incentives, and selling techniques, significantly increasing customer satisfaction ratings.
Education
Bachelor of Science - Psychology, Criminal Justice
Texas A&M San Antonio
12-2024
Associate's - Psychology
Palo Alto College
01.2008
Skills
- Management
- Multitasking and organization
- Caseload management
- Texas claims adjuster license
- Sales
- Communication
- Leadership
- Claims investigation
- Total loss evaluation
- Customer service
- Problem-solving
- Highly motivated
- Attention to detail
Timeline
Total Loss Claims Adjuster
Liberty Mutual
09.2022 - Current
Non Injury Claims Adjuster
USAA
01.2015 - 09.2022
Caremark Representative
CVS Caremark
10.2014 - 12.2014
Phone Banker II
Wells Fargo
10.2013 - 08.2014
Business Banker
Citibank
07.2011 - 10.2013
Assistant Store Manager
Gamestop
09.2007 - 11.2011
Associate's - Psychology
Palo Alto College
Bachelor of Science - Psychology, Criminal Justice
Texas A&M San Antonio
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