Senior-level Investigator with diverse experience in different types of claims. Offering great leadership and organizational skills.
Overview
13
13
years of professional experience
Work History
Senior Claims Investigator
Digistream Investigations
07.2019 - Current
Demonstrated adaptability by handling various types of claims including: liability, sexual abuse, harassment and workers compensation
Completed in person and telephonic claim interviews to collect information while noting discrepancies and red flags.
Collected documentation and evidence related to claim
Collaborated with attorneys as needed on claims
Expedited claims investigations by prioritizing caseloads based on complexity and urgency of cases.
Streamlined communication between departments by maintaining detailed records of case findings, conclusions, and recommendations.
Documented findings and prepared detailed reports.
Maintained company''s compliance with industry regulations by adhering to strict guidelines during the course of all investigations.
Assisted in training new employees on best practices for claims investigation, improving overall team performance levels.
Managed high-pressure situations effectively while meeting tight deadlines in order to achieve successful claim outcomes.
Completed informative presentations in Spanish for companies and their employees about workers compensation interviews and their purpose
Claims Investigator
Argus West, Inc.
07.2016 - 06.2019
Conduct full level investigations and employer level investigations in English and Spanish
Enhanced claim resolution efficiency by conducting thorough investigations and promptly addressing discrepancies.
Increased team productivity through effective collaboration and sharing of investigation insights with colleagues.
Conducted interviews with witnesses and claimants.
Minimized litigation risks for the company by conducting impartial investigations that followed established protocols.
Documented findings and prepared detailed reports.
Carefully documented statements, observations, and evidentiary materials.
Workflow Assistant
DigiStream Investigations
03.2014 - 07.2016
Reviewed and edited reports for accuracy, grammar and clarity
Entered incoming cases and updated as needed
Contributed to a positive work environment with strong interpersonal skills and proactive teamwork attitude.
Assisted manager with projects as needed
Answered incoming phone calls to process requests, transfer calls, or relay messages to appropriate personnel.
Developed and implemented strategies to streamline office operations.
Followed detailed directions from management to complete daily paperwork and computer data entry.
Legal Assistant
Bremer, Whyte, Brown And O'meara Law Firm
01.2011 - 02.2014
Facilitated timely resolution of legal matters by preparing and organizing essential documents.
Maintained strict confidentiality, protecting sensitive client information as required by legal ethics and regulations.
Provided valuable training and support to junior staff members as needed, fostering a collaborative work culture that promoted professional growth for all team members.
Organized documents to manage paper and electronic filing systems of clients.
Handled office scheduling and made notes for deadlines, motions, and other important dates.
Worked alongside attorneys, administrative assistants, and fellow legal assistants on complex cases and legal processes.
Education
Bachelor of Science - Criminal Justice
Westwood College
Anaheim, CA
12.2011
Skills
Claim Investigations
Report Preparation
Bilingual in Spanish
Interpersonal Communications
Volunteer Experience
School on Wheels, Inc.- 01/2011 to 03/2012: Tutored assigned students one hour on a weekly basis, Provided academic assistance with homework, projects, areas of difficulty, Logged all tutoring hours weekly via online tracking system, Reported to Coordinator regarding students progress
Orange County Human Trafficking Task Force- 07/2018 to Present: Creating birthday baskets for human trafficking victims, Attend meetings every few months regarding human trafficking laws or volunteer opportunities for awareness events.
References
Paul de bono, General Manager, Argus West Investigations, (714) 751-9930
MADAI LOPEZ, District Loss Prevention Manager, Marshalls, 714-471-5658
Languages
Spanish
Professional Working
Timeline
Senior Claims Investigator
Digistream Investigations
07.2019 - Current
Claims Investigator
Argus West, Inc.
07.2016 - 06.2019
Workflow Assistant
DigiStream Investigations
03.2014 - 07.2016
Legal Assistant
Bremer, Whyte, Brown And O'meara Law Firm
01.2011 - 02.2014
Bachelor of Science - Criminal Justice
Westwood College
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