Joey Saucedo
Huntington Park,CA
Overview
30
30
years of professional experience
Work History
Claims Adjuster
Kemper Insurance
Cerritos, CA
10.2010 - Current
- Collaborated with policyholders to gather necessary documentation for claims processing.
- Analyzed reports to determine claim validity and adherence to company policies.
- Reviewed and interpreted insurance policies to assess coverage in various scenarios.
- Conducted investigations into claims, including interviews with involved parties and witnesses.
- Maintained accurate records of all claims activities in the company's database system.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
- Maintained accurate documentation of all claim activity within designated system.
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
Claims Adjuster
Explorer Insurance
Santa Clarita, CA
02.2010 - 10.2010
- Evaluated insurance claims for accuracy and compliance with company policies.
- Investigated claims by collecting statements and supporting documentation from clients.
- Communicated effectively with policyholders to explain claim processes and requirements.
- Reviewed estimates from repair shops to determine the validity of property damage claims.
- Resolved disputes by negotiating fair settlements between policyholders and service providers.
Claims Adjuster
21st Century Insurance
Long Beach, CA
02.1995 - 05.2009
- Collaborated with policyholders to gather necessary documentation for claims processing.
- Analyzed reports to determine claim validity and adherence to company policies.
- Reviewed and interpreted insurance policies to assess coverage in various scenarios.
- Conducted investigations into claims, including interviews with involved parties and witnesses.
- Maintained accurate records of all claims activities in the company's database system.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
- Maintained accurate documentation of all claim activity within designated system.
- Reviewed medical records, police reports and other documents related to claim investigations.
- Gathered information from various third parties to determine claim acceptability.
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
- Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
Education
Associate of Arts - Business
East Los Angeles College
Monterey Park, CA05-1995
Skills
- Claims investigation
- Claims negotiation
- Policy interpretation
- Document management
- Risk assessment
- Customer service
- Data analysis
- Regulatory compliance
- Effective communication
- Attention to detail
- Problem solving
- Organizational skills
- Time management
- Conflict resolution
Languages
Spanish
Professional
Timeline
Claims Adjuster
Kemper Insurance
10.2010 - Current
Claims Adjuster
Explorer Insurance
02.2010 - 10.2010
Claims Adjuster
21st Century Insurance
02.1995 - 05.2009
Associate of Arts - Business
East Los Angeles College
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