Luis Enrique Pineda
Mexico,CDMX
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Manager LatinAmerica
Odyssey Re
05.2023 - Current
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
- Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
- Determined proper course of action for claims processing in Latin America including Brazil and Carribean.
- Determine proper course of action of claim for Global Direct and Facultative in all over the world. Including US and Canada.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Documented and communicated timely claims information while supporting accurate outcomes.
Deputy Director Claims
Zurich Insurance
07.2018 - 04.2023
- Determined agenda, developed plans and oversaw implementation of programs and updates.
- Improved coordination and communications across organization to increase operational efficiency.
- Contributed to short- and long-term strategic planning and identified potential new markets, lines of business and funding opportunities.
- Liaised with legal counsel to address legal issues, contract review and governing instruments.
- Negotiated and administered vendor contracts in strict compliance with corporate policy and procedures.
- Participated in risk assessment analysis for all new lines of business and for continuation of existing lines of business.
- Developed thought leadership around specific topics and emerging practice areas in support of budget, financial and operational goals.
Casualty Claims Manager
Munich Re
01.2018 - 06.2019
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
- Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
- Determined proper course of action for claims processing for Mexico and Central America.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Researched claims and incident information to deliver solutions and resolve problems.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Examined claims forms and other records to determine insurance coverage.
- Documented and communicated timely claims information while supporting accurate outcomes.
Claims Operations Specialist
Swiss Re
05.2017 - 12.2017
- Generated, posted and attached information to claim files.
- Checked documentation for accuracy and validity on updated systems.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Claims Handler
Chubb Mexico
06.2016 - 05.2017
- Examined claims forms and other records to determine insurance coverage.
- Analyzed information gathered by investigations to report findings and recommendations.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Investigated and assessed damage to property and reviewed property damage estimates.
Claims Handler
Zurich Insurance
07.2014 - 06.2016
- Examined claims forms and other records to determine insurance coverage.
- Analyzed information gathered by investigations to report findings and recommendations.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Followed up on potentially fraudulent claims initiated by claims representatives.
Education
Law - Law
Universidad Del Valle De Mexico
Mexico06.2013
Skills
- Customer Expectations Management
- Litigation Management
- Claims Understanding
- Legal Proceedings Knowledge
- Expense Control
- Property, Liability, Financial Lines and Engineering Claims
- Investigate Property Damage
Certification
Leadership Program - Tecnologico de Monterrey
Mentoring Program LATAM
Languages
Spanish
Native or Bilingual
English
Professional Working
Portuguese
Elementary
Timeline
Claims Manager LatinAmerica
Odyssey Re
05.2023 - Current
Deputy Director Claims
Zurich Insurance
07.2018 - 04.2023
Casualty Claims Manager
Munich Re
01.2018 - 06.2019
Claims Operations Specialist
Swiss Re
05.2017 - 12.2017
Claims Handler
Chubb Mexico
06.2016 - 05.2017
Claims Handler
Zurich Insurance
07.2014 - 06.2016
Law - Law
Universidad Del Valle De Mexico
Leadership Program - Tecnologico de Monterrey
Mentoring Program LATAM
Similar Profiles
Víctor Hugo Casas GarcíaVíctor Hugo Casas García
Reinsurance Accounting Supervisor at Odyssey ReReinsurance Accounting Supervisor at Odyssey Re
Nuran WeidmannNuran Weidmann
Sr. Export Manager at Odyssey International Services, Inc.Sr. Export Manager at Odyssey International Services, Inc.
Jeanneth M. MoraJeanneth M. Mora
BUSINESS EDUCATION TEACHER 6-12TH at ODYSSEY CHARTER JR/SR HIGH SCHOOLBUSINESS EDUCATION TEACHER 6-12TH at ODYSSEY CHARTER JR/SR HIGH SCHOOL
Melissa TorresMelissa Torres
Visual Merchandising Regional Manager at Louis VuittonVisual Merchandising Regional Manager at Louis Vuitton
ASHUTOSH SINHAASHUTOSH SINHA
REGIONAL RPA TECHNICAL LEADER / PRACTICE LEADER at Marsh & McLennanREGIONAL RPA TECHNICAL LEADER / PRACTICE LEADER at Marsh & McLennan