Giovannah Verdugo
Tucson,Az.
Summary
Highly-motivated and enthusiastic Claims Professional with 7 years of experience adept at processing and managing complex claims. Proven expertise in accurately assessing and evaluating bodily injury claims, negotiating settlements, and ensuring timely resolution. Strong analytical and interpersonal skills, coupled with a commitment to maintaining compliance with industry regulations.
Overview
9
9
years of professional experience
Work History
Injury Adjuster
Root Insurance
06.2024 - Current
- Oversaw negotiations for first and third party injury settlements with represented and unrepresented parties in accordance with state laws and insurance policies.
- Actively sought out new sources of information which could be used to support a claim decision.
- Effectively managed an average workload of 160 feature exposures.
- Maintained meticulous records and documentation for all cases.
- Developed and proposed strategies for resolving complex cases quickly and efficiently.
- Utilized claim-handling software to document, evaluate, and manage claim files efficiently.
- Participated in training and mentoring new injury adjusters, sharing knowledge and expertise.
- Assisted in fraud detection and prevention efforts by identifying suspicious claim activities.
- Conducted thorough coverage analyses, including drafting disclaimers and reservation of rights letters.
- Enhanced expertise in meticulously reviewing and assessing auto claims for liability determination, proficiently conducting recorded interviews, interpreting police reports and analyzing damage photos.
- Communicated with personnel and legal counsel on claims involving pre-litigation and/or friendly suits.
- Managed and reviewed CounselLink invoices for timely and accurate payments for rendered legal services.
Claims Specialist Supervisor
GEICO
04.2022 - 10.2023
- Responsible for supervising direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures.
- Established and enforced clear goals to keep employees working collaboratively.
- Reviewed completed work to verify consistency, quality and conformance.
- Evaluated employee performance through periodic reviews and documented results accordingly.
- Provided guidance and direction to subordinates regarding job duties and responsibilities.
- Analyzed key performance indicators to identify effective strategies.
- Assisted with liability and coverage investigation, established appropriate expense reserves, and resolve complex issues.
- Collected, compiled, and analyzed data or the claims department, identifying opportunities for improvement.
Claims Litigation Examiner
GEICO
11.2020 - 04.2022
- Managed a diverse range of claims, including serious injury, litigation, high-profile cases, and catastrophic injury cases, handling exposures up to $300,000.00, along with all litigation claims, irrespective of policy limits.
- Provided comprehensive oversight for both litigated and non-litigated bodily injury claims.
- Successfully teamed with in house defense counsel to discuss strategy, retain experts to opine and attend mediation or trials.
- Drafted correspondence intended for claimants or their representatives, detailing settlement offers or denial decisions.
- Negotiated settlements for personal injury, third-party liability, and property damage cases with various stakeholders.
- Reviewed police reports, medical treatment records, medical bills, and physical property damage to determine extent of liability owed.
- Successfully navigated mediations and/or arbitrations when necessary, securing favorable outcomes.
- Proficiently analyzed depositions to inform claims management strategies.
- Maintained a high level of knowledge regarding state-specific laws governing bodily injury claims.
- Monitored accruing legal expenses, ensuring timely reporting and resolution through staff counsel when feasible.
Bodily Injury Claims Specialist
GEICO
01.2020 - 11.2020
- Handled complex liability and coverage files for represented parties.
- Communicate efficiently while negotiating soft tissue bodily injury and uninsured motorist bodily injury claims with represented, unrepresented claimants and plaintiff counsel.
- Respond to various written and telephonic inquiries.
- Maintained a pending diary of claims and work files towards resolution.
- Worked closely with Special Investigation Unit and helped aid in resolution or denials of minimal impact injury claims.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Maintained confidentiality of sensitive customer information at all times.
Claims Service Representative I & II
GEICO
09.2018 - 01.2020
- Maintained responsibility of pending diary of claim files and followed up to provide claim updates and schedule repair appointments for auto damages.
- Drafted statements of loss to summarize payments, underlying policy coverages and damages.
- Identified potential fraud cases by analyzing patterns of suspicious activity.
- Processed claims for payment or forwarded to appropriate personnel for further investigation.
- Examined claims, records and procedures to grant approval of coverage.
- Educated customers on their coverage options and limitations.
- Monitored progress of outstanding claims to ensure timely resolution.
Pandora Specialist/ Jewelry Repair Liaison
Jared Galleria Of Jewelry
TUCSON, ARIZONA
10.2016 - 05.2018
- .Inspected jewelry for blemishes and defects
- Displayed exceptional customer service to ensure customer satisfaction.
- Maintain Pandora displays to ensure company’s standards are met.
- Collaborated with team members to assists guests with jewelry needs.
- Handled customer questions, complaints, and issues.
- Manage daily deposits, and maintain integrity and paper trails with repairs and merchandise sales.
- Assist management with product inventory control.
- Calculated and maintain profit margins for repair department.
- Perform to meet sales goals, warranty, and credit goals.
Education
Bachelor’s Degree - Business Marketing
University of Phoenix
Legal Principles Claims Specialist Certified -
The American Educational Institute
Auto Claims Law Associate Certified -
The American Educational Institute
White And Yellow Belt Certified -
Lean Six Sigma
Skills
- Excellent Written and Verbal Communication
- Teamwork and Collaboration
- Injury Claims Negotiations and Processing
- Litigation Resolution
- Liability Management
- Procedure and Process Implementation
- Performance Monitoring
- Critical Thinking
- Risk Assessment
- Data Analysis
- Complex Coverage Issues
- Detail Oriented
References
References available upon request.
Timeline
Injury Adjuster
Root Insurance
06.2024 - Current
Claims Specialist Supervisor
GEICO
04.2022 - 10.2023
Claims Litigation Examiner
GEICO
11.2020 - 04.2022
Bodily Injury Claims Specialist
GEICO
01.2020 - 11.2020
Claims Service Representative I & II
GEICO
09.2018 - 01.2020
Pandora Specialist/ Jewelry Repair Liaison
Jared Galleria Of Jewelry
10.2016 - 05.2018
Bachelor’s Degree - Business Marketing
University of Phoenix
Legal Principles Claims Specialist Certified -
The American Educational Institute
Auto Claims Law Associate Certified -
The American Educational Institute
White And Yellow Belt Certified -
Lean Six Sigma
Similar Profiles
Tyler PowellTyler Powell
Auto Damage Appraiser at Root InsuranceAuto Damage Appraiser at Root Insurance
Michael AhernMichael Ahern
Complex Injury Claims Manager at Root InsuranceComplex Injury Claims Manager at Root Insurance
Quantis WoulardQuantis Woulard
Bodily Injury Claims Adjuster at Root InsuranceBodily Injury Claims Adjuster at Root Insurance
Tracy MintzTracy Mintz
Senior Customer Service Specialist at Root InsuranceSenior Customer Service Specialist at Root Insurance
KENNETH L. CROSSKENNETH L. CROSS
MATERIAL EXPEDITER at 309th Aerospace Maintenance And Regeneration GroupMATERIAL EXPEDITER at 309th Aerospace Maintenance And Regeneration Group