Davidson Balmonte
Las Vegas,NV
Summary
I am an Auto Liability Adjuster with experience in servicing Non-Standard and Standard auto claims management and resolution. I bring several years of experience in various professional fields as well in-line with communicating with various types of customers/clients and peers. I listen well, communicate clearly, as well as investigate claims thoroughly letting those that I assist have confidence in the resolution of their claims in a timely manner.
Overview
10
10
years of professional experience
Work History
Auto Claims Advisor
CSAA Insurance Group
Henderson, Nevada
01.2023 - Current
- Researched applicable laws related to automobile accidents or losses.
- Assessed damages to vehicles and property resulting from a variety of incidents.
- Interviewed claimants, witnesses, police officers, medical professionals and other parties involved in the claim.
- Determined liability based on facts gathered from investigations.
- Reviewed previous claims for possible fraud or misrepresentation of facts.
- Communicated effectively with policyholders, explaining claim processes and decisions clearly.
Auto Liability Adjuster
KEMPER
Henderson, NV
09.2021 - 01.2023
- Answered, screened, and managed an inventory of claims.
- Displayed professional telephone etiquette, effectively handling difficult and challenging calls.
- Provided quality customer service to assigned policyholder and claimants throughout the claims process to deliver timely service.
- Ensured compliance with specific state regulations, policy provisions, and standard operating procedures.
- Reviewed policy and coverages.
- Obtained statements from policyholders and claimants, along with their affiliated parties.
- Obtained and reviewed videos, photos as evidence, and reports related to losses.
- Send appropriate correspondence and communications with customers and repair facilities.
- Investigated losses and identified coverage issues
- Discussed liability decisions with both parties and their respective attorneys (if represented)
- Analyzed information gathered by investigations and reported findings and recommendations.
- Provided appropriate liability decisions.
- Arranged, handled and distributed payments for repairs, towing, rental, total losses, and negotiated storage
- Investigated liability claims and determined coverage based on policy language and applicable law.
- Maintained contact with clients throughout the life cycle of a claim in order to keep them informed of its progress.
- Identified potential responsible parties, conducted interviews, gathered evidence, and evaluated damages.
Customer Support Specialist
EMPLOYERS
Henderson , NV
06.2014 - 09.2021
- Upheld high standards of customer service by responding to inquiries, needs and problems from workers compensation policy holders, insurance agents, medical providers, lawyers, lien claimants and injured workers.
- Informed policyholders about their policy, billing procedures, processing of payments, existing employee claims, and reporting new claims.
- Assisted medical providers regarding medical bills, authorization requests, and overall workers compensation claims details.
- De-escalated problematic caller concerns, maintaining a professional, calm, and friendly interaction
- Supported operational and technical improvements and resolution of problems to deliver top-notch caller experience.
- Participated in several projects which retained policy holders and retained/increases revenue.
Education
Bachelor of Science - Business Management
University of Phoenix
Ontario, CA01.2006
Skills
- Customer excellence in service and support
- Problem-solving abilities
- Claims inventory management
- Data evaluation
- Policy analysis
- Fraud Investigation
- Investigation management
- Interviewing techniques
- Claims file management processes
- Claims resolution
- Report writing
Timeline
Auto Claims Advisor
CSAA Insurance Group
01.2023 - Current
Auto Liability Adjuster
KEMPER
09.2021 - 01.2023
Customer Support Specialist
EMPLOYERS
06.2014 - 09.2021
Bachelor of Science - Business Management
University of Phoenix