Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic
Marjorie Rosales

Marjorie Rosales

Riverview,FL

Summary

Senior Claims Adjuster with over 11+ years of experience handling complex auto and commercial claims. Expert in evaluating, negotiating and resolving high-valued claims with accuracy and efficiency. known for deep understanding of policy coverage and risk assessment.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Senior Commercial Claims Adjuster

National General Insurance Company
05.2022 - Current
  • Investigate complex auto and commercial claims involving coverage, liability, and damages.
  • Analyze policies and endorsements; draft RORs, coverage denials and liability denials.
  • Evaluate bodily injury claims and negotiate settlements.
  • Draft demand responses, CRN responses, and releases.

Claims Examiner

GEICO
11.2020 - 05.2022


  • Processed complex insurance claims/litigations, ensuring timely resolution and customer satisfaction.
  • Reviewed discovery, deposition and medical records/bills.
  • Coordinated settlement conferences, and worked wit defense counsel.
  • respond to demands, proposal for settlements, CRN's. for BI and UM/UIM claims.

Telephone Claims Representative II

GEICO
03.2016 - 11.2020
  • Investigated BI, UM/UIM, and property damage claims.
  • Negotiated settlements and prepared liability and coverage letters.
  • Respond to LOR's/demands/CRN's

Telephone Claims Representative I

GEICO
01.2013 - 03.2016
  • Analyzed customer information to ensure accurate claim submissions and resolutions.
  • Take First notice of loss/recorded statements/schedule inspections and repairs.
  • Schedule EUO's and IME's.
  • Process non-complex claims.

Education

Bachelor’s Degree -

Barry University
01.2007

Skills

  • Complex & High-Exposure Claims
  • Commercial & Auto Liability
  • Bodily Injury
  • UM/UIM
  • Coverage Analysis
  • Litigation Management
  • Demand Evaluation & Negotiation
  • Reserves & Authority
  • CRN Responses
  • Coverage & Denial Letters
  • Policy interpretation

Certification

FL-620 license

Languages

Creole
Native or Bilingual

Timeline

Senior Commercial Claims Adjuster

National General Insurance Company
05.2022 - Current

Claims Examiner

GEICO
11.2020 - 05.2022

Telephone Claims Representative II

GEICO
03.2016 - 11.2020

Telephone Claims Representative I

GEICO
01.2013 - 03.2016

Bachelor’s Degree -

Barry University