CLAIM EXAMINER & ADJUSTER
Overview
Work History
Skills
Certification
Section name
Timeline

Maricela Bravo

GEICO
Pasadena,Tx
1
Certification
12
years of professional experience

Detail-oriented Claims Examiner bringing forth top-notch experience in claims examination, in-depth knowledge of claims processes and insurance policies, and expertise in analyzing complex general liability claims. Adept at investigating, evaluating, and resolving commercial liability claims, utilizing strong analytical skills to make decisions, and liaising with various parties to bring claims to resolution. Well-positioned to leverage experience and competencies in claim administration, litigation management, and settlement negotiations to enhance claim decision-making processes and optimize customer service quality.

Work History

LITIGATION ADJUSTER

10 Years 5 Months
GEICO | 01.2016 - Current
  • Trained and coached new hires on proper handling and evaluation of injury claims, litigation adjusting procedures, and compliance with company’s standards and state-specific policies and regulations.
  • Consistently delivered excellent results amid ever-changing litigation adjusting processes by following up with new laws and court rulings across various states.
  • Boosted customer service quality by answering questions on deductibles, negotiating bodily injury settlement agreements, and resolving disputes.
  • Conducted activity checks and reviews by verifying insurance claims and reviewing police reports, medical treatment records, and physical property damage to determine liability extents and fair amount for settlement.
  • Served as contact person on claims and provided answers to questions posed by insured and attorneys.

BODILY INJURY CLAIMS ADJUSTER

11 Months
GEICO | 02.2015 - 01.2016
  • Gathered and documented information and details on injury events by interviewing policyholders, witnesses, and third parties, and efficiently communicating claim activity to support claim file.
  • Maintained professional-client relationships by communicating claim activity and processing with claimant and client.
  • Negotiated terms and handled settlements and adjustments with attorneys, claimants, and co-defenders.
  • Trained other claims staff members on proper handling and evaluation of injury claims.

CLAIMS ADJUSTER

1 Year 1 Month
GEICO | 01.2014 - 02.2015
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Boosted operational efficiency by training claims staff members on proper handling and evaluation of injury claims.
  • Cultivated and strengthened relationships with customers by resolving issues and educating them on deductibles.

Skills

Litigation Management
Settlement Negotiation
Claims Evaluations
Customer Satisfaction
Claims Procedures
Customer Experience
Team Coaching & Mentoring
Claims Adjudication
Litigation Resolution
Liability Assessment
Compliance Enforcement
Claims Recovery

Certification

Licensed/handled for: FL, TX, OK, CO, VA, OR, NY, CA, AZ, LA, WA, MD, NV, IL, NJ, NV,CT

Section name

  • Excellent communication, research, presentation, analytical, organizational, interpersonal, and negotiation skills.
  • Proficient in Microsoft Office products (Word, Excel, PowerPoint, Outlook)
  • Extensive knowledge of claims process, bodily injury settlements, accepted industry standards and practices

Timeline

LITIGATION ADJUSTER

GEICO
01.2016 - CurrentRead More

BODILY INJURY CLAIMS ADJUSTER

GEICO
02.2015 - 01.2016Read More

CLAIMS ADJUSTER

GEICO
01.2014 - 02.2015Read More
Maricela Bravo