Service-oriented Senior Claim Specialist driven to provide excellent customer service while furthering the mission of your company. Over 8 years of managing property damage and injury claims, with specialized focus to the states of California, Colorado, Arizona and Nevada.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Injury Adjuster
Xceedance
05.2025 - Current
Maintained strong relationships with policyholders, and colleagues by consistently demonstrating professionalism, empathy, and clear communication skills.
Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
Assisted insureds in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
Assist in a customer phone que to efficiently provide prompt customer service and claim handling.
Currently assist in training new injury adjusters on system processes and claim handling.
Senior Claim Specialist
American National Property And Casualty
07.2022 - Current
Negotiate an extensive case load of first- and third-party injury claims
Perform evaluations of time-limit demands presented by attorney and nonattorney represented claimants
Conduct recorded interviews of claimants, insureds, and witnesses
Carefully review coverage situations of varying levels
Review large injury exposures with in-house counsel to gather input on resolution
Strictly adhere to statutes and regulations primarily in assigned west coast states
Claim Specialist-Low Velocity Impact
American National Property And Casualty
07.2017 - 07.2022
Effectively communicated with diverse groups, such as attorneys, medical providers, lienholders, insureds, and claimants
Resolved escalated complaints by providing prompt customer service
Worked closely with engineers, special investigations unit, and defense counsel to complete evaluations for minor impact injuries
Navigate in house systems such as ISO, to review background of claims history
Maintained organized detailed claim files
Assisted the Large Loss/Commercial loss team with property damage claims
Participated in the focus group for developing the application for customers to view claims process.
Assisted in creating California Compliance templates to assist adjusters with learning and maintaining proper adherence to the California Fair Claim Practices Act.
Developed and executed the Negotiation’s Training Presentation with a team of injury specialists.