Overview
Work History
Education
Skills
Locations
Timeline
Generic

Lourdes C Rodriguez Gaston

Kissimmee

Overview

19
19
years of professional experience

Work History

Claims Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
Kissimmee
01.2011 - 01.2018
  • Reduce loss ratios through fair and prompt processing of claims
  • Obtain relevant evidence and information from claimants, medical specialists and employers, to identify suspicious claims
  • Complete field investigation interviews, recommend settlement offers and negotiate payment arrangements
  • Meet with injured parties and/or their legal representatives to negotiate final settlements for their claims
  • Analyze files that can be settled and managed by attorneys, thus reducing cost of litigations
  • Mediate litigated claims
  • Hire, mentor, develop and coaching of claims team staff

Acting Claims Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
Orlando
01.2010 - 01.2011
  • Identified inefficiencies and made recommendations for process improvements
  • Mentored, coached and trained twelve team staff members
  • Built and maintained effective accounts receivable and cash flow monitoring systems and established adequate reserves
  • Oversaw the overall transitioning of personnel and resources from multiple company’s branch offices in Tampa, and assumed supervision of all adjusters in the remaining branches

Operations Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
Tampa
01.2004 - 01.2010
  • Successfully created Training and Standard Operating Procedures manuals targeted at resolving even the most complex customer issues
  • Identified inefficiencies and made recommendations for process improvements
  • Developed, implemented and monitored programs to maximize customer satisfaction

Platform Official

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
San Juan
11.2002 - 01.2004
  • Worked as part of the Executive President Assistance’s Team that oversaw the monitoring of all company branches
  • Prepared statistics to measure the branches performance and objectives

Operations Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
Guayama
10.1998 - 10.2002
  • Oversaw overall branch operations
  • Worked with team of seven staff employees on corrective actions, identifying weaknesses and promoting their strengths while maintaining a positive environment of encouragement and following our high standards of operation
  • Recommended and implemented programs, policies and strategies to increase productivity, improve quality and customer satisfaction

Education

BBA - Business Administration

Universidad de Puerto Rico
San Juan, Puerto Rico
01.1990

Skills

  • Strong litigation resolution skills
  • Insurance fraud expertise
  • Develops executes and communicates business objectives
  • Innovative approach to problem solving
  • Claims file management processes
  • Gathers information processes and distributes key reports to management
  • Superior customer relations skills
  • Supervisory training and development of team members
  • Operational leadership excellence
  • Awareness of internal/external business issues
  • Excellent written and verbal communication skills
  • Self starter
  • Highly motivated strategic thinker
  • Florida Property and Casualty Insurance License

Locations

  • Kissimmee, Kissimmee, FL
  • Orlando, Orlando, FL
  • Tampa, Tampa, FL
  • San Juan, San Juan, PR
  • Guayama, Guayama, PR

Timeline

Claims Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
01.2011 - 01.2018

Acting Claims Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
01.2010 - 01.2011

Operations Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
01.2004 - 01.2010

Platform Official

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
11.2002 - 01.2004

Operations Supervisor

COOPERATIVA DE SEGUROS MULTIPLES DE PUERTO RICO
10.1998 - 10.2002

BBA - Business Administration

Universidad de Puerto Rico
Lourdes C Rodriguez Gaston