Elizabeth Rosales
Mesquite,TX
Summary
Responsible Senior Claims Adjuster with fortes in investigating and processing both property damage and collision insurance claims for policyholder's and claimants. Exceptional investigation and interviewing skills. Specialties include examining photographs and statements and consulting records for information. Outstanding verbal and written communication characteristics.
Overview
17
17
years of professional experience
Work History
Senior Claims Adjuster
Confie Seguros Holding II Co
Irving, TX
09.2010 - Current
- Consulted police and hospital records when needed
- Examined photographs and statements
- Interviewed claimants and witnesses to gather factual information
- Investigated and processed collision, uninsured and property damage insurance claims for policyholder's and claimants
- Evaluated all evidence with ultimate goal of creating positive outcomes for client’s claims
- Reviewed new files to determine current status of injury claim and to develop plan of action
- Maintained contact with claimants and attorneys to determine treatment status
- Mentor 10 + entry-level adjusters
Insurance Claims Adjuster
Gainsco Inc.
Dallas, TX
07.2009 - 07.2010
- Evaluated all evidence with ultimate goal of creating positive outcomes for client’s claims
- Collaborated with claims department and industry anti-fraud organizations to resolve claims
- Answered customer questions regarding deductibles
- Documented all investigation activity and presented reports to management
- Substantiated legitimate claims and denied unjustified claims
- Investigated claims involving potential and suspected fraudulent activities
- Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
- Complied with company and insurance client’s guidelines in claims processes, estimate writing and the closing of claims
- Developed exceptional attendance record with special attention to punctuality and preparation to work upon arrival
Customer Service Specialist
State Farm
Dallas, TX
07.2008 - 07.2009
- Evaluated account and service histories to identify trends, using data to mitigate future issues
- Retained accounts by addressing potential cancellations and offering catered solutions to maintain account status
- Offered internal and external customers first-rate customer service to maximize satisfaction and business success
- Maintained customer happiness with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Increased efficiency and team productivity by promoting adherence to operational best practices and company policies
- Created and reviewed invoices to maintain accuracy while working with customers to answer questions and address payment issues
- Developed working relationships with internal and external customers while assisting with account management duties
- Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service
- Delivered superior client services, fostering strong rapport, retention and satisfaction
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints
- Met and exceeded productivity targets by handling every interaction with top-notch customer service
- Managed approximately 30 incoming class, faxes and emails per day from customers
Education
Bachelor of Science - Criminal Science
University of North Texas
Denton TX2004
Associate of Science - Criminal Justice
Cedar Valley College
Lancaster, TX2002
Skills
Timeline
Senior Claims Adjuster
Confie Seguros Holding II Co
09.2010 - Current
Insurance Claims Adjuster
Gainsco Inc.
07.2009 - 07.2010
Customer Service Specialist
State Farm
07.2008 - 07.2009
Bachelor of Science - Criminal Science
University of North Texas
Associate of Science - Criminal Justice
Cedar Valley College
Accomplishments
- Maintained a consistent closing ratio of 100%.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Languages
Spanish
Native or Bilingual
Certification
All Lines Adjuster License
Interests
Reading, hiking and spending time with family and friends
Quote
The way to get started is to quit talking and begin doing.
Walt Disney
Work Preference
Work Type
Full TimeWork Location
RemoteHybridImportant To Me
Work-life balanceCareer advancementFlexible work hoursHealthcare benefitsWork from home optionPaid time offPaid sick leave401k match4-day work weekSimilar Profiles
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