Jorge Gonzalez
San Diego, CA
Summary
At Liberty Mutual Insurance, I excelled as a Sr. Claims Specialist II, leveraging my claims management expertise and problem-solving abilities to streamline processes and enhance customer satisfaction. My adeptness in legal compliance and insurance policy coverage, coupled with a self-motivated approach, significantly improved claims resolution efficiency.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Sr. Claims Specialist II
Liberty Mutual Insurance
San Diego
02.2014 - Current
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Maintained an up-to-date knowledge of industry standards and best practices related to insurance claims processing.
- Resolved customer inquiries in a timely manner, while maintaining high levels of customer service.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Establish an appropriate working team (Home Office Legal, Defense Counsel, and Home Office Claims) based on the allegations established in the suit.
Education
Bachelor of Arts - Economics
San Diego State University
San Diego, CA05-2006
Associate of Arts - Business Administration
Southwestern College
Chula Vista, CA05-2002
Skills
- Claims management expertise
- Investigative tools
- Legal compliance
- Self motivation
- Settlement negotiations
- Insurance policy coverage expertise
- Medical records review
- Problem-solving abilities
Certification
- Texas License
Languages
Spanish
First Language
Timeline
Sr. Claims Specialist II
Liberty Mutual Insurance
02.2014 - Current
Bachelor of Arts - Economics
San Diego State University
Associate of Arts - Business Administration
Southwestern College