Diana Valencia
Williamson,GA
Summary
Experienced insurance professional with 25-year career in all aspects of multi line adjusting, Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care. 100% customer satisfaction recipient.
Overview
13
13
years of professional experience
Work History
Claim Adjuster
Mutual Of Enumclaw Insurance
Remote
02.2020 - Current
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement
- Negotiated and settled claims according to information presented through reports, research and data verification
- Identified and obtained evidence to ascertain claim value
- Completed required investigations on referred files within established timeframes
- Obtained necessary information to complete proper evaluation of injury claims
- Communicated with personnel and legal counsel on claims involving litigation
- Decreased loss ratios through fair and timely claim processing
- Reduced loss ratios through fair and prompt processing of claims.
Multi Line Sr. Claim Adjuster
Pekin Insurance
Phoenix, AZ
05.2016 - 02.2020
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement
- Negotiated and settled claims according to information presented through reports, research and data verification
- Investigated claims, conducted field audits, determined losses and reported findings
- Obtained necessary information to complete proper evaluation of injury claims
- Gathered information from various third parties to determine claim acceptability
- Drafted statement of loss to summarize damages, payments and underlying policy coverage
- Communicated with personnel and legal counsel on claims involving litigation
- Decreased loss ratios through fair and timely claim processing
- Reduced loss ratios through fair and prompt processing of claims
- Interviewed claimants, medical specialists and employers to determine pertinent claim information.
Sr. Claim Adjuster
National Lloyds
Waco, TX
05.2011 - 05.2016
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement
- Negotiated and settled claims according to information presented through reports, research and data verification
- Investigated claims, conducted field audits, determined losses and reported findings
- Identified and obtained evidence to ascertain claim value
- Investigated questionable claims to determine payment authorization
- Drafted statement of loss to summarize damages, payments and underlying policy coverage
- Communicated with personnel and legal counsel on claims involving litigation
- Decreased loss ratios through fair and timely claim processing
- Reduced loss ratios through fair and prompt processing of claims
- Interviewed claimants, medical specialists and employers to determine pertinent claim information.
Education
Associate of Arts - Psychology
City University
Seattle WASkills
- Automobile Appraisals
- Legal Documentation and Reporting
- Vehicle Damage Assessment
- Property Damage Assessment
- Bodily injury claim handling, negotiation and settlement
- 1st ( PIP) and 3rd party medical handling
- Staff Development
- Strong interpersonal skills
- Medical Terminology
- Property adjusting
- Policy investigations
- Claims Processing
- Quality Control
- Claims investigations
- Litigation resolution
- Policy Interpretation
- Coverage assessments
- Claims Investigation
- Xactimate proficient
Affiliations
- Certified crisis counseling
- Stephen Minister
- leader of grief support group
- volunteer hospice sitter
Languages
Spanish
Native/ Bilingual
Timeline
Claim Adjuster
Mutual Of Enumclaw Insurance
02.2020 - Current
Multi Line Sr. Claim Adjuster
Pekin Insurance
05.2016 - 02.2020
Sr. Claim Adjuster
National Lloyds
05.2011 - 05.2016
Associate of Arts - Psychology
City University
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