Guillermo Caracheo
Brownsville,TX
Summary
Analytical Claims Specialist with proven experience investigating and resolving property, collision, commercial, and injury claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Specialist III
INSHUR
10.2022 - Current
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Utilized claim handling software to document and manage claim files efficiently.
- Negotiated settlement of claims with claimants and attorneys to ensure fair outcomes.
- Interacted with clients, attorneys, contractors and other parties involved in a claim process.
- Third-Party Administrator
Liability Adjuster
Pronto Insurance
Brownsville, TX
06.2018 - 12.2022
- Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
- Reduced loss ratios through fair and prompt processing of claims.
- Investigated and evaluated property insurance claims to determine coverage and liability.
- Be familiar with insurance policies and endorsements to ensure coverage is applicable.
Bodily Injury Adjuster
Fred Loya Insurance Company
Edingburg, TX
01.2022 - 06.2022
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Coordinated with medical professionals to assess injury claims and determine compensation.
- Discussed current cases and issues in claim committee meetings.
- Identified and obtained evidence to ascertain claim value.
- Evaluate timed injury demands from plaintiff attorneys, and respond before deadlines.
Education
Associate of Arts - Business
Texas Southmost College
Brownsville, TX12-2033
Skills
- Complex claims consulting
- Coverage assessments
- Settlement determinations
- Settlement coordination
- Claims
- Documentation review
- Bilingual (Spanish)
Certification
- Texas Adjuster License
- New York Adjuster License
- Oklahoma Adjuster License
- New Mexico Adjuster License
- Texas Private Investigator License (Unarmed)
Languages
Spanish
Native/ Bilingual
Timeline
Claims Specialist III
INSHUR
10.2022 - Current
Bodily Injury Adjuster
Fred Loya Insurance Company
01.2022 - 06.2022
Liability Adjuster
Pronto Insurance
06.2018 - 12.2022
Associate of Arts - Business
Texas Southmost College
Similar Profiles
Cassandra AlexanderCassandra Alexander
Claims Adjuster at Genoteq Claims/InshurClaims Adjuster at Genoteq Claims/Inshur
Patrick H Young IIPatrick H Young II
Director of US Markets at INSHUR IncDirector of US Markets at INSHUR Inc
Lillian SaldanaLillian Saldana
Case Manager at Southwest Key ProgramsCase Manager at Southwest Key Programs