Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jose De Anda

Buckeye,AZ

Summary

Experienced Customer Service Representative fluent in English and Spanish language. Professional employee dedicated to providing excellent service to current and new customers. Comfortable working in fast-paced environment attending to customer service needs including incoming calls, product questions, issue resolution and order processing.

Overview

14
14
years of professional experience

Work History

Sr Bilingual APD Total Loss Desk Adjuster

American Family Insurance
09.2017 - Current
  • Applied comprehensive knowledge of insurance contracts, endorsements, state laws, regulations, customer philosophy, automotive repair, total loss handling methods, and parts to settle claims within approved limits.
  • Recognized and appropriately handled salvage issues, customer disputes, and NICB indicators.
  • Obtained and requested motor vehicle, Carfax, and Accurint reports to support claim evaluations.
  • Created, reviewed, and updated vehicle evaluations to determine actual cash value for 1st and 3rd party customers, bringing claims to resolution.
  • Delivered a remarkable customer experience by assisting and handling claims involving property total losses.
  • Applied claims settlement procedures to process claims, initiate claim payments, and close files as assigned by Management, Claim Specialists, and/or electronic assignments.
  • Assisted claim specialists with internal collaboration and interfacing with external vendors, securing releases, and other duties on property claims.
  • Utilized various electronic resources for efficient claim handling.
  • Followed established procedures to review, handle, and settle routine property and/or material damage claims.
  • Assisted claim specialists in recognizing and properly handling salvage issues.
  • Communicated claim information with team members, business partners, and external customers through telephone, written correspondence, in-person meetings, or other electronic media.
  • Recognized and referred total loss claims beyond the scope of authority.
  • Arranged rental car and towing services for customers.
    Reviewed written or computerized estimates in loss settlements.
  • Informed agents as needed during the claims process.
    Organized and processed assigned work and large volumes of claims using appropriate procedures.
    Researched, resolved, and settled tasks within approved limits and/or as directed.
  • Recognized potential NICB indicators and took appropriate action.
  • Explained policy terms to customers as appropriate.
  • Opened applicable causes of loss and completed claim re-assignments to the appropriate Auto segment.
  • Managed the email queue for claim specialists to ensure timely processing.

Claim Associate -Total Loss

State Farm
12.2015 - 08.2017
  • Negotiated total loss claim settlements.
  • Assisted adjusters in adapting to changes in responsibilities and corporate culture.
  • Investigated and analyzed auto claims.
  • Coordinated with local body shops to assign repairs and secured rental vehicles for customers during the restoration process.
  • Identified suspicious claims and escalated issues to the Special Investigations Unit for further analysis.
    Appraised vehicle actual cash value.
  • Managed a consistently heavy claims workload through exemplary organizational, time management, and collaboration skills.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Directed claims negotiations within allowable limits and supported successful litigations for advanced issues.
  • Conducted thorough collision investigations to identify and classify damages for customer claims.
    Evaluated original investigation reports and documents to resolve secondary concerns.
  • Identified insurance coverage limitations through thorough examinations of claims documentation and related records.
  • Analyzed information gathered by appraisers and reported findings and recommendations.
    Approved payment of claims within specified monetary limits.
  • Corresponded with witnesses, claimants, specialists, and agents to compile incident information.
    Calculated total loss payments.

Claim Associate - Auto

State Farm
01.2015 - 12.2015
  • Processed a high volume of low-complexity claims calls, ensuring efficient and accurate handling.
  • Conducted thorough liability investigations to resolve property damage issues.
  • Explained and applied applicable coverages on policies to customers.
  • Managed both inbound and outbound calls within a fast-paced call center environment.
  • Supported customers through personalized, caring, and straightforward interactions.
  • Proactively investigated claims to ensure timely and accurate resolution.
  • Applied policy coverage accurately and effectively.
  • Maintained detailed and accurate documentation of claim files.

Claim Associate - Initial Loss Reporting (ILR)

State Farm
05.2013 - 01.2015

Job Duties:

  • Captured new auto and fire loss reports to initiate claims, ensuring accurate and efficient processing.
  • Set proper customer expectations regarding the claims process, repair options, and explained and arranged loss mitigation options.
  • Worked collaboratively in a team environment to handle a high volume of claims and telephone calls.
  • Utilized State Farm claims systems and other technologies to perform job duties effectively.
  • Maintained direct contact with current and potential customers, contributing to the success of State Farm through excellent customer service.
  • Received claims in the new Initial Loss Reporting (ILR) area and ensured prompt routing to other claim handling teams.
  • Supported the mission and values of State Farm by providing "Good Neighbor" service throughout the claim handling process.
  • Communicated with customers and associates via telephone, mobile app, click-to-chat, and internet reporting.
  • Gathered and documented loss information accurately to facilitate the claims process.

Operations Picker

Macy's Logistics and Operations
05.2010 - 05.2013
  • Efficiently processed customer online orders, ensuring timely and accurate transportation to the delivery platform while adhering to company standards for safety, security, productivity, and daily deadlines.
  • Collected order notes to accurately fulfill deliveries.
  • Retrieved ordered items from storage shelves or rooms using barcodes, serial numbers, and other identifiers.
  • Securely shrink-wrapped items before packaging them in envelopes or boxes.
  • Operated handling equipment in compliance with industrial safety regulations.
  • Loaded delivery vehicles with prepared orders.
  • Updated stock inventory after each item retrieval to maintain accurate records.
  • Managed stock control, including item replenishment and storage.
  • Performed general warehouse duties as required to support overall operations.

Education

Everest College - Alhambra
Alhambra, CA

University of Phoenix
Phoenix, AZ

Skills

  • Bilingual in Spanish and English
  • Microsoft Office
  • Advanced oral and written communication skills
  • Advanced computer skills
  • Problem-solving abilities
  • Multitasking Abilities
  • Critical Thinking
  • Customer service and support
  • Adaptability and Flexibility
  • Coaching and Mentoring

Timeline

Sr Bilingual APD Total Loss Desk Adjuster

American Family Insurance
09.2017 - Current

Claim Associate -Total Loss

State Farm
12.2015 - 08.2017

Claim Associate - Auto

State Farm
01.2015 - 12.2015

Claim Associate - Initial Loss Reporting (ILR)

State Farm
05.2013 - 01.2015

Operations Picker

Macy's Logistics and Operations
05.2010 - 05.2013

Everest College - Alhambra

University of Phoenix
Jose De Anda