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