Gino Sanchez
Hope Mills,NC
Summary
Accomplished Senior Claims Specialist with a proven track record at Seguros Equinoccial, enhancing customer satisfaction and maximizing cost savings through expert claims management and strategic negotiation. Skilled in investigative abilities and teamwork, adept at fostering professional relationships and driving efficient claims resolution.
Overview
12
12
years of professional experience
Work History
Senior Claims Specialist
Seguros Equinoccial
12.2015 - 04.2024
- Mitigated potential losses by identifying fraudulent claims and coordinating with the fraud investigation unit.
- Assisted claimants and agents throughout entire submission process, guiding them regarding proper documentation requirements needed substantiate requests while also clarifying expectations concerning how long investigations might take before final decisions made about whether approve deny payouts proposed based findings obtained during case evaluations conducted teams assigned analyst like myself.
- Maximized cost savings through strategic negotiation tactics during settlement regarding property or correct depreciation of goods or opposing counsel parties involved in disputes or litigation proceedings related to assigned claims cases.
- Improved customer satisfaction by consistently resolving complex claims in a timely and professional manner.
- Negotiated successful outcomes for clients by leveraging strong analytical skills and knowledge of insurance policies.
- Collaborated with legal counsel to successfully negotiate favorable settlements for disputed claims cases.
- Optimized resource allocation by effectively managing caseloads and prioritizing high-impact assignments.
- Identified opportunities for cost savings through careful review of vendor contracts and invoice discrepancies related to claims services engagements.
- Enhanced overall team performance by providing mentorship, guidance, and training to junior claims analysts.
- Negotiated favorable claim settlements by utilizing strong communication and persuasion skills.
Auto Claims Manager
MAPFRE Insurance
06.2015 - 12.2015
- Accomplished multiple tasks within established timeframes.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Cross-trained existing employees to maximize team agility and performance.
- Developed and maintained relationships with customers and suppliers through account development.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Coordinated with repair shops and rental agencies for prompt vehicle assistance to clients during the claim process.
- Managed multiple claims simultaneously while maintaining organization and attention to detail.
- Assisted clients in understanding their policy coverage, fostering trust and confidence in the company.
- Identified fraudulent claims through thorough analysis, protecting company resources from unnecessary payouts.
- Contributed to team success by sharing knowledge and supporting colleagues as needed during peak periods or absences.
- Negotiated with claimants to settle claims.
Property Claims Analyst
Ecuaprimas Brokerage
08.2014 - 06.2015
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
- Reduced claims processing time by implementing efficient workflow strategies and prioritizing tasks.
- Improved customer satisfaction rates by addressing claimant concerns promptly and providing clear explanations of policy coverage.
- Negotiated settlements with claimants, balancing the interests of both insurance company and insured party while maintaining professional relationships.
- Requesting documentation for the respective notification to the insurer.
- Negotiating the best compensation agreement for the policyholders under my care.
- Reporting to management on the progress of claims and my dealings with various insurers.
- Maintaining good business relationships with clients, insurers, adjusters, and various strategic partners.
Auto Claims Associate
Seguros Unidos
11.2011 - 07.2014
- Enhanced customer satisfaction by efficiently managing and resolving auto claims in a timely manner.
- Coordinated appraisals of vehicle damages by working closely with repair shops and third-party adjusters, ensuring accurate assessments for reimbursement purposes.
- Reduced turnaround time for claim resolution through proactive follow-ups with involved parties, including medical providers and law enforcement officials.
- Prevented potential fraudulent activity by meticulously examining documentation for inconsistencies or discrepancies during the claims process.
- Managed a high volume of daily claims while maintaining accuracy and organization, leading to increased productivity levels.
- Negotiated fair settlements with claimants, ensuring all parties involved were satisfied with the outcome.
- Utilized strong negotiation skills when working with attorneys on disputed cases, achieving favorable outcomes for the company and claimants.
- Managed workload and priorities to meet claims processing meet deadlines.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Education
Chartered Property Casualty Underwriter - Insurance And Risk Management
The Institutes Knowledge Group
Online12.2024
Business Administration Risk And Insurance - Insurance And Risk Management
Tecnologico Espiritu Santo
Ecuador, Guayaquil10.2019
Certificate in Property, General And Financial Ins - Insurance
Instituto Nacional De Seguros Fasecolda
Colombia09.2019
Fire Insurance, Engineering Risks, Catastrophic Rk - Insurance And Risk Management
Escuela De Seguros De Chile
Chile08.2019
Skills
- Claims Management Expertise
- Insurance policy knowledge
- Investigative abilities
- Legal Compliance
- Claims Investigation
- Claims analysis
- Teamwork and Collaboration
- Attention to Detail
- Problem-solving abilities
- Critical Thinking
- Claims adjustment
- Coverage Determination
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Senior Claims Specialist
Seguros Equinoccial
12.2015 - 04.2024
Auto Claims Manager
MAPFRE Insurance
06.2015 - 12.2015
Property Claims Analyst
Ecuaprimas Brokerage
08.2014 - 06.2015
Auto Claims Associate
Seguros Unidos
11.2011 - 07.2014
Chartered Property Casualty Underwriter - Insurance And Risk Management
The Institutes Knowledge Group
Business Administration Risk And Insurance - Insurance And Risk Management
Tecnologico Espiritu Santo
Certificate in Property, General And Financial Ins - Insurance
Instituto Nacional De Seguros Fasecolda
Fire Insurance, Engineering Risks, Catastrophic Rk - Insurance And Risk Management
Escuela De Seguros De Chile
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