Summary
Overview
Work History
Education
Skills
Personal Information
Certification
Accomplishments
Timeline
Generic

JUSTIN RAMIREZ

San Antonio,TX

Summary

Claims Operations Leader with 10+ years of progressive insurance claims experience and 6+ years of leadership within national catastrophe operations. Proven ability to lead large-scale claims organizations, provide performance oversight for 200+ independent catastrophe adjusters, and develop nationwide training initiatives preparing 300+ adjusters for high-volume catastrophe deployments. Consistently achieved 98%+ customer satisfaction while driving operational performance, quality, compliance, and customer outcomes. Experienced in workforce strategy, talent development, process improvement, change management, and cross-functional leadership, with a track record of developing high-performing teams and strengthening operational effectiveness across complex claims environments.

Overview

1
1
Certification
12
12
years of professional experience

Work History

National Outside Auto Catastrophe Adjuster II

Allstate Insurance
01.2024 - Current
National Catastrophe Adjuster Team Lead | Allstate Insurance

Jan 2024 – Present

  • Manage 50+ complex catastrophe claims weekly across multiple states while maintaining high standards for claim accuracy, customer service, cycle time, quality, and regulatory compliance.
  • Directed a team of 10+ adjusters, offering technical guidance, claim-handling support, and real-time coaching during high-volume catastrophe events.
  • Train and onboard new adjusters, developing technical proficiency, system knowledge, field inspection capabilities, and adherence to claims processes and best practices.
  • Assist with the hiring and selection process, including candidate evaluation, onboarding, and integration of new team members.
  • Coaching and mentoring newer adjusters on claim handling, technical development, and career progression, helping them pursue specialized roles and expand their expertise.
  • Act as a technical resource and subject-matter expert, assisting peers with complex claims, troubleshooting, and best practices.
  • Conduct field and virtual inspections utilizing CCC ONE, Mitchell, Audatex, and Xactimate to accurately assess vehicle damage and repair needs.
  • Evaluate liability, coverage, damages, and repair estimates to ensure accurate, compliant, and timely claim resolutions.
  • Collaborate with repair facilities, appraisers, rental vendors, policyholders, and internal stakeholders to expedite complex claim resolutions and improve customer outcomes.
  • Achieved Adjuster of the Year recognition for exceptional performance, leadership, and contributions to the organization.

Auto Property Catastrophe Manager

Crawford & Company
01.2017 - 08.2023
  • Directed catastrophe claims operations supporting multiple national insurance carriers during large-scale catastrophe events.
  • Provided leadership, coaching, and performance oversight for more than 200 independent catastrophe adjusters across FNOL, Auto Property, Estimatics, Total Loss, and CAT operations.
  • Directed the catastrophe training and onboarding program, planned and delivered nationwide training initiatives that prepared more than 300 independent adjusters for catastrophe deployments.
  • Maintained 98%+ customer satisfaction while balancing production goals, regulatory compliance, operational efficiency, and quality standards.
  • Oversaw catastrophe operations averaging 50 claims per week while consistently meeting service-level agreements and client expectations.
  • Functioned as the primary escalation resource for complex claims, delivering technical claim guidance.
  • Developed KPI dashboards and operational reporting using advanced Microsoft Excel to support leadership decision-making.
  • Partnered with carrier leadership to improve workflows, reduce cycle times, and enhance operational performance.
  • Built a culture of accountability, collaboration, continuous improvement, and professional development.

Independent Auto Property Adjuster

01.2015 - 01.2017
  • Managed end-to-end auto property claims for State Farm policyholders from initial inspection through final settlement.
  • Conducted field inspections, damage assessments, and prepared accurate repair estimates using CCC ONE.
  • Evaluated liability, coverage, and policy provisions to determine appropriate claim outcomes and ensure compliant resolutions.
  • Communicated directly with policyholders, repair facilities, and third-party vendors to coordinate repairs and resolve claim-related issues.
  • Handled high-volume claim assignments in a fast-paced environment while maintaining accuracy, compliance, and strong customer service standards.
  • Ensured all claims were properly documented in accordance with carrier guidelines and regulatory requirements.
  • Supported catastrophe and non-catastrophe assignments as needed, adapting quickly to changing workloads and field conditions.

Education

Associate of Science - Business Administration And Management

University of Texas At San Antonio
San Antonio, TX
01-2012

High School Diploma -

Smithson Valley High School
01-2010

Skills

  • Claims Operations Leadership
  • Catastrophe Operations
  • Auto Property Claims
  • Total Loss Claims
  • Quality Claims Escalation Management
  • Leadership & Team Development
  • Workforce Planning
  • Performance Management
  • Coaching & Mentoring
  • Talent Development
  • Cross-Functional Collaboration
  • Training & Development
  • Operational Strategy
  • Process Improvement
  • Operational Analytics
  • SLA Management
  • Customer Experience
  • Microsoft Excel (Advanced)
  • Xactimate
  • CCC ONE
  • Mitchell
  • Audatex
  • Claims Analytics

Personal Information

Title: CLAIMS OPERATIONS LEADER

Certification

  • CPCU - Chartered Property Casualty Underwriter (In progress)
  • AINS - Associate in General Insurance - The Institues

Accomplishments

  • Adjuster of the Quarter, Allstate, Q2 2025
  • Adjuster of the Year, Allstate, Q4 2025

Timeline

National Outside Auto Catastrophe Adjuster II

Allstate Insurance
01.2024 - Current

Auto Property Catastrophe Manager

Crawford & Company
01.2017 - 08.2023

Independent Auto Property Adjuster

01.2015 - 01.2017

Associate of Science - Business Administration And Management

University of Texas At San Antonio

High School Diploma -

Smithson Valley High School
JUSTIN RAMIREZ