Experienced and motivated Claims Professional seeking position in casualty and/or general liability claims. Achieved efficient resolution of claims through critical thinking and effective negotiation techniques, while maintaining a focus on collaboration and adapting to changing environments. Have taken over 40 claims through trial in career with only 2 adverse outcomes, showing sound decision-making while protecting policy holders. Consistently delivers high-quality outcomes by integrating a business-oriented approach and reaching proper strategic approach with counsel.
Work History
Complex Casualty Claims Specialist
4 Years 7 Months
EMC Insurance | 12.2021 - 07.2026
Evaluated and processed high-exposure Commercial General Liability claims, ensuring compliance with company policies and regulatory standards.
Evaluated and processed casualty claims, ensuring compliance with company policies and regulatory standards.
Analyzed claim data to identify trends, enhancing accuracy of assessments and decision-making processes.
Presented cases above my authority to upper management with recommendations for reserve/settlement authority, along with a recommended resolution strategy.
Personally attended mediations and trials where required and needed.
General Liability Claims Examiner III
3 Years 10 Months
AmTrust Financial Services | 02.2018 - 12.2021
Investigate, analyze and negotiate highly complex and severe injury claims in all states I am licensed to adjust claims
Recognize coverage issues and bring to the attention of the supervisor.
Keep claims records updated and systematically review files to resolve claims within specified guidelines.
Work with defense counsel to formulate the most efficient resolution plans and associated litigation budgets and follow-through to stay on plan/budget
Attended mediations and trials to support case resolution.
Claims Team Manager
1 Year 11 Months
Kemper Insurance Companies | 02.2016 - 01.2018
Developed and implemented training programs to enhance staff skills and performance.
Led team of 6 adjusters in managing CA non-standard book of business for Alliance United, ensuring compliance and effective claims handling.
Casualty Team Manager
4 Years 9 Months
Hallmark Insurance Company | 03.2011 - 12.2015
Handled several responsibilities while helping lead the turnaround of a challenged Claims department. Managed subrogation process by recognizing and referring claims to vendor partners, and handled 100+ litigated Homeowner claims (including mediation) related to Hidalgo County hail losses. Recruited and interviewed candidates for employment, negotiated vendor contracts, and addressed DOI inquiries and complaints.
Led cross-functional teams to enhance operational efficiency and service delivery.
Developed training programs to improve team performance and customer satisfaction.
Streamlined processes to reduce turnaround times for claims processing.
Technical Claims Specialist
2 Years 11 Months
Liberty Mutual Insurance Company | 01.2008 - 12.2010
Investigated large personal lines losses ($250,000 and higher) for subrogation potential.
Collaborated with claims personnel and legal counsel to enhance case development and attended mediations and trials.
Analyzed complex claims to determine coverage and eligibility for policyholders.
Collaborated with internal teams to streamline claim processing workflows and enhance customer satisfaction.
Various Claims Roles
17 Years 9 Months
Safeco Insurance Companies | 03.1993 - 12.2010
Multi-Line Claims Adjuster
Examining Adjuster
Subrogation Manager
Unit Manager (Auto)
Large Loss Analyst/Recovery Management-collaborated with Claims personnel to assess subrogation potential and seeking maximum recovery. Also created national attorney network.
Education
Bachelor of Science - Business Administration, Entrepreneurial Management
California State University, Fullerton | Fullerton, CA
Skills
Solid understanding of insurance policies and their applications
Claims expertise
Experienced in both claims handling as well as claims management
Litigation strategy
Skilled in written and verbal correspondenceknows audience
Advanced Settlement Negotiation
Skilled in written and verbal correspondence knows audience
Timeline
Complex Casualty Claims Specialist
EMC Insurance
12.2021 - 07.2026Read More
General Liability Claims Examiner III
AmTrust Financial Services
02.2018 - 12.2021Read More
Claims Team Manager
Kemper Insurance Companies
02.2016 - 01.2018Read More
Casualty Team Manager
Hallmark Insurance Company
03.2011 - 12.2015Read More
Technical Claims Specialist
Liberty Mutual Insurance Company
01.2008 - 12.2010Read More
Various Claims Roles
Safeco Insurance Companies
03.1993 - 12.2010Read More
California State University, Fullerton
Bachelor of Science from Business Administration, Entrepreneurial Management