Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Judith Guandique Rodriguez

Fredericksburg,VA

Summary

Dynamic Claims Adjuster with Progressive, skilled in policy interpretation and decision-making. Proven track record in managing total loss claims and enhancing customer satisfaction through effective communication. Recognized for streamlining processes and fostering team collaboration, resulting in improved claims resolution efficiency. Committed to delivering exceptional service and maximizing client benefits.

Overview

10
10
years of professional experience

Work History

Claims Adjuster

Progressive
02.2024 - Current

-Process total loss claims/paperwork in a timely fashion

-Speak with tow yards/ shops and lienholder to coordinate vehicle payments and pickups.

-Manage time and resources to make sound claims adjusting decisions.
-Investigate and determine insurance policy coverage and the extent of liability concerning loss or damages involving personal auto claims, using discretion and independent judgment.
-Determine the most effective and efficient sequence of activities to make timely contact with all relevant parties and ensure that conditions are set for a timely and accurate assessment of damages, including the movement of vehicles to the appropriate location for inspection and repair.
-Collect and document information from customers, agents and witnesses, review police reports, medical information, and other data when appropriate.
-Interpret personal auto policies and analyze information gathered to determine course of action.
-Investigate facts of loss and ensure that coverage and liability decisions are consistent with the report of the accident.
-Recognize applicable exposure and endorsements and refer if appropriate.
-Identify potential fraud and refer for investigation.
-Proactively communicate, update and respond timely to customer concerns.
-Collaborate on property damage with other claims adjuster(s) as to liability, coverage and damage resolution as needed.
-Make decisions about subrogation referrals.
-Negotiate with customers and claimant carriers to ensure coverage and liability are assigned.
-Manage claims inventory workload, including claims paperwork, diaries, and communication (hard copy, electronic mail and phone communications); issue payments as appropriate.
-Monitor and make decisions related to rental, including availability and length of rental period.
-Identify, negotiate and resolve claims including total losses.

Optical Supervisor

Visionworks
09.2015 - 07.2024
  • Managed vendor relationships effectively resulting in favorable terms for product supply and delivery.
  • Evaluated insurance coverage for patients, maximizing benefits while minimizing out-of-pocket expenses.
  • Monitored industry trends and competitor offerings to inform strategic decisions related to product selection and pricing.
  • Increased sales of eyewear products by developing tailored marketing initiatives and engaging with customers.
  • Conducted thorough trainings for new hires, fostering a supportive environment that encouraged professional growth.
  • Improved customer retention rates by building strong relationships through exceptional service and follow-up care.
  • Streamlined workflow for the optical department, implementing effective organization and communication strategies.
  • Managed inventory effectively, ordering supplies as needed and minimizing waste to reduce costs.
  • Assisted optometrists during eye examinations, gathering pertinent information to support accurate diagnoses.
  • Resolved customer complaints professionally, addressing concerns in a timely manner to maintain client satisfaction levels.
  • Educated patients on proper lens care techniques, prolonging the life of their eyewear investments.
  • Provided personalized frame recommendations based on facial features, lifestyle needs, and budget considerations.

Education

Riverbend High School
Fredericksburg

Skills

  • Claims processing
  • Team collaboration
  • Decision-making
  • Advanced oral and written communication skills
  • Policy interpretation
  • Policy investigations
  • Total loss claims handling

Languages

Spanish
Native or Bilingual

Timeline

Claims Adjuster

Progressive
02.2024 - Current

Optical Supervisor

Visionworks
09.2015 - 07.2024

Riverbend High School