Juan Miguel Huertas
Orlando,FL
Summary
Licensed insurance professional with a strong background in designing and implementing impactful claims training programs, seeking an opportunity to bring my expertise in training and employee development to a forward-thinking company. Dedicated to using my training skills to be a valuable asset, driving team performance and operational excellence in a new organization. Skilled in creating tailored, compliance-focused training that supports both team growth and business objectives.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Claims Trainer/Reinspector
Frontline Insurance
Lake Mary, FL
05.2022 - Current
- Enhanced claims performance by implementing and promoting optimized claim handling procedures.
- Developed, implemented, and evaluated comprehensive claims training programs, ensuring procedural compliance and high performance.
- Created and delivered PowerPoint presentations and other training materials for effective knowledge transfer.
- Trained CAT adjusters during catastrophic events to ensure swift, compliant claim handling under high-demand conditions.
- Collected, analyzed, and communicated data-driven insights across all management levels to support business objectives and process improvement.
- Delivered training through various formats (team exercises, discussions, videos, role-playing, lectures, Q&A sessions) to suit diverse learning styles.
- Supported QA audits and compliance, ensuring claim handling standards and department guidelines were consistently met.
- Contributed to the re-inspection process, providing targeted feedback and training to address identified improvement opportunities.
- Created detailed workflows and job aids, including videos, to guide new hires and assist current employees in daily operations.
Claims Supervisor/Trainer/Project Management
Pharos Claim Services
Orlando, FL
04.2017 - 04.2022
- Monitored individual performance to meet quality and performance objectives, ensuring adherence to departmental standards and procedures.
- Developed professional development plans to enhance employee efficiency, providing training on good faith claims handling practices.
- Conducted detailed evaluations of claim files, addressed coverage issues, and approved payments within authority levels.
- Reviewed denial letters, ensuring accuracy and clarity, while maintaining compliance with departmental guidelines.
- Interacted with policyholders, claimants, public adjusters, and attorneys to facilitate successful claim settlements and foster positive relationships.
Field Claims Adjuster / Sinkhole / Supervisor
Universal P&C Insurance
Ft. Lauderdale, FL
03.2012 - 04.2017
- Responsible for completion of claims handling process from open date to close date within seven days
- Responsible for contacting attorneys when the suit is filed and attempting to resolve claims or litigate including following up with defense or plaintiff attorneys as needed to provide status updated and claims resolution
- Managed a team of eight via monitoring of work assigned vs
- Completed, as well as conducting training and performance evaluations
- Responsible for handling claims as assigned, as well as handling all outgoing checks and expense reimbursement checks
Senior Administrative Assistant/Claims Adjuster
People's Trust Insurance
Boca Raton, FL
11.2011 - 03.2012
- Handle FNOL calls averaging 15-25 calls a day, as well as log and document all calls
- Handle all outgoing checks and expense reimbursement checks; handle customer letters, develop, and review with adjusters
Education
Property Technical Certificate -
The Institutes
01.2020
Associate of Science - Business Management
Brown Mackie College
Miramar, FL01.2015
Skills
- Organizational and Records Management: Strong skills in organizing and maintaining records with accuracy and efficiency
- Communication & Training: Excellent written and verbal communication skills; experienced in training delivery, using varied instructional techniques (team exercises, videos, role-playing) to meet diverse learning needs
- Calm Under Pressure: Proven ability to remain calm and maintain focus in high-stress, high-demand situations, including catastrophe response
- Technical Proficiency: Proficient in Microsoft Office (Word, Excel, PowerPoint) for documentation, data analysis, reporting, and training presentations
- Claims expertise: Skilled in claims processing and management, with hands-on experience in file evaluation, issue resolution, and ensuring compliance
- Performance and Quality Assurance: Experienced in monitoring individual performance, conducting QA audits, and providing constructive feedback to uphold quality and compliance standards
Certification
620 Adjuster All Lines
References
Available upon request.
Languages
- English
- Spanish
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Claims Trainer/Reinspector
Frontline Insurance
05.2022 - Current
Claims Supervisor/Trainer/Project Management
Pharos Claim Services
04.2017 - 04.2022
Field Claims Adjuster / Sinkhole / Supervisor
Universal P&C Insurance
03.2012 - 04.2017
Senior Administrative Assistant/Claims Adjuster
People's Trust Insurance
11.2011 - 03.2012
Property Technical Certificate -
The Institutes
Associate of Science - Business Management
Brown Mackie College
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