Gloria Sierra

• Answer and field questions from insurers, medical providers, and attorneys’ offices to resolve problems and concerns timely
• Reviews policy coverages and documents/processes involving moderate to complex personal injury protection claims with minimal managerial assistance
• Address diaries, digital or physical correspondence, emails, and voicemails
• Handled all incoming phone calls, emails from Spanish and English-speaking customers as well assisted with English speaking overflow calls
• Researched claims and incident information to deliver solutions and resolve problems.
• Examined photographs and statements.

-Ranked #1 PIP claims adjuster from January 2023 to present.

• Evaluate and investigate policy coverage, liability and damages
• Establish reserves for all potential exposures appropriately, documents rationale and claim summary notes
• Maintain appropriate dairies for open claims following company guidelines, summarizes documents and enters claim system notes
• Determine a reasonable range of value to negotiate fairly in accordance with business unit best practice
• Draft precise and accurate settlement agreements in compliance with state law that also provides protection to policy holders and insurance carriers

-Internal Promotion to Bilingual PIP/ Meday examiner.

• Processed claims documents and coded each claim correctly
• Assisted customers on setting up new medical and property damage claims
• Establish reserves for all potential exposures and adjust as appropriately needed.
• Address diaries, correspondence, emails, and voicemails with a quick turnaround rate

-Recognized as associate of the year on numerous times

-Internal Promotion to Body Injury Medical examiner.