Summary
Overview
Work History
Education
Skills
Volunteer Experience
References
Languages
Timeline
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Melissa Gutierrez

Buena Park,CA

Summary

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
Melissa Gutierrez