MANUEL AREVALO
Gallagher Bassett
Fullerton,CA
7
years of professional experience
Work History
Senior Claims Adjuster
1 Year 1 Month- Facilitated training and coaching sessions for team members on best practices in communication, negotiation, and problem-solving to strengthen overall service delivery.
- Recognized for exemplary customer service leadership, maintaining high Net Promoter Scores (NPS) and contributing to client retention and account growth.
- Maintained quarterly audit scores above 95% in compliance with state and industry regulations.
- Drove a culture of accountability and continuous improvement, leveraging client feedback to enhance service workflows and reduce resolution cycle times.
- Led comprehensive investigations for complex claims, ensuring accurate assessments and timely resolutions.
Senior Claims Adjuster
3 Years 3 Months- Calculated and rated both temporary total disability and permanent partial disability for over 10 workers compensation accounts by analyzing medical reports and litigation documents.
- Participated in over 85 telephonic and/or onsite File Reviews. Respond to the inquiries verbal and written, with a customer centric approach while meeting customer expectations for continued renewal of policies.
- Conducted investigations, including, but not limited to assessing policy coverage, contacting insureds, claimants, attorneys, and other parties in a timely manner to determine compensability.
Claims Representative
2 Years 7 Months- Processed over 130 workers compensation claims per quarter to determine compensability and benefits due on long term indemnity claims, while ensuring reserve budget accuracy.
- Proposed and effectively negotiated over 25 settlements between $40,000.00 - $80,000.00 while generating costs savings for the client.
- Maintained quarterly audit scores above 95% in compliance with state and industry regulations.
- Demonstrated a customer-first approach, balancing empathy with efficiency in resolving high-impact issues while protecting client relationships and company reputation.
Education
Bachelor of Arts - Business Administration, Finance
Skills
Preliminary experience using estimating software
RIB Candy & Planswift.
Developed knowledge of labor code regulations
offsets
and deductions to enhance mitigation risk.
Excellent oral and written communication
including ability to work in a team environment.
PC literate
including Microsoft Office products.
Detailed oriented with strong analytical skills in reviewing contractor's financials inclusive of balance sheets
income statements
and cash flow statements.
Bilingual in Spanish
Timeline
Senior Claims Adjuster
Gallagher Bassett
07.2025 - CurrentRead More
Senior Claims Adjuster
Travelers Insurance
03.2022 - 06.2025Read More
Claims Representative
Sedgwick
07.2019 - 02.2022Read More
California State University Of Fullerton
Bachelor of Arts from Business Administration, Finance
Read More