Miranda Zermeno
Dallas,TX
Summary
Highly skilled and organized claims adjuster with over six years of progressive experience of handling auto and property claims. Currently, excelling as a Complex Subrogation Adjuster, specializing in intricate recoveries. Skilled in investigation, complex analysis, and negotiation. Proven leader adept at mentoring teams, process and quality assurance. Seeking a Supervisor Subrogation role to leverage expertise in claims management and drive team for optimal recovery outcomes.
Overview
11
11
years of professional experience
Work History
Subrogation Adjuster III
AmTrust Financial Services, Inc.
07.2023 - Current
- Conduct a detailed and comprehensive investigations into high-value and intricate subrogation claims. This involves analyzing complex accident scenarios, interpreting various insurance polices and review extensive documentation to determine liability accurately.
- Engaging in advanced negotiations with third parties, legal representatives, and other insurers to secure optimal recovery settlements.
- Provide expert guidance on best practices, complex case handling and effective investigative techniques. By fostering a collaborative and supportive environment.
Subrogation Adjuster II
AmTrust Financial Services, Inc
07.2022 - Current
- Prepare and process legal documents and papers such as subrogation demands, supports, releases, legal correspondence to clients, opposing party, and court officials.
- Assist in-house counsel in investigating the cause & origin, and collect additional information to strength of the case we have against the opposing party.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Drafts and prepares comprehensive reports providing information on the cause of accident and the extent and cost of property damage or casualty losses.
- Monitors case progress until settlement is achieved.
Subrogation Adjuster I
AmTrust Financial Services, Inc
11.2021 - 07.2022
- Negotiated settlements and agreements between parties by providing mutual support and driving resolutions.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Gathered information about disputes by interviewing individuals, witnesses and other involved parties.
- Determined extent of liability by reviewing evidence, laws and administrative or judicial precedents.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Home & Commercial Claim Specialst
State Farm
06.2020 - 10.2021
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Coordinated vendor services, including emergency repair, cleaning companies and contractors, to optimize handling of customer claims.
- Conducted detailed bill reviews to implement sound litigation management and expense control.
- Created master spreadsheet to record procedures, denials and approvals.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Demonstrated leadership by making improvements to work processes and helping to train others.
- Exceeded customer satisfaction by finding creative solutions to problems.
Auto Claim Associate
State Farm
08.2018 - 06.2020
- Researched and verified insurance policy coverage.
- Evaluated extent of damage and documented findings.
- Explained complex regulations and policy guidelines to clarify claims process for insured parties.
- Documented vehicle damage and condition by taking meticulous notes and photographs.
- Conducted inspections on damaged vehicles and generated accurate estimated costs for repair work.
- Provided policyholders with advice regarding vehicle repairs and body shop procedures to maximize customer satisfaction.
- Evaluated claims for possible fraud, contacting appropriate department for assistance and further investigation.
- Coordinated direct repair assignments with local body shops and rental vehicles during restoration processes.
Visual Merchandising Manager
American Apparel
06.2013 - 04.2017
- Created window and in-store displays for retail businesses and managed store overall appearance to market products effectively, deliver visual appeal and stimulate sales.
- Inspired and trained team members in both creative and logistical aspects of visual merchandising, equipping colleagues to design and implement innovative displays.
- Drove and tracked schedules for visual displays and spearheaded new system for systematically updating, refreshing or renewing designs and displays.
- Placed prices and descriptive signage to enhance displays and promote items.
- Created retail displays to highlight particular products and drive sales according to corporate strategy.
- Configured and arranged up-to-date advertising and marketing displays, creatively placed merchandise on counters or tables to promote visibility and sales.
- Monitored and reordered inventory items to fulfill displays and executed design changes to align with available inventory.
- Taught sales staff to properly coordinate clothing racks and counter displays to maximize promotional effectiveness.
Education
Certificate - Google Project Management
Coursea
Coursea01.2024
Full Stack Web Developer Bootcamp - Full-Stack Web Developer
Southern Methodist University
Dallas, TX01.2022
Associate of Arts - Interior Design
El Centro Community
05.2019
Bachelor of Science - Interior Design
The University of Texas At Arlington
Arlington, TX08.2018
High School Diploma -
Skyline High School
Dallas, TX05.2013
Skills
- Team leadership and Mentorship
- Advance Claim Investigation
- Strategic Recovery Management
- Process Improvement
- Analytical and Problem-Solving
- Communication and Negations
- Legal and Regulatory Compliance
- Performance Management
- Technical Proficiency in project management, computer programming, Microsoft programs
Timeline
Subrogation Adjuster III
AmTrust Financial Services, Inc.
07.2023 - Current
Subrogation Adjuster II
AmTrust Financial Services, Inc
07.2022 - Current
Subrogation Adjuster I
AmTrust Financial Services, Inc
11.2021 - 07.2022
Home & Commercial Claim Specialst
State Farm
06.2020 - 10.2021
Auto Claim Associate
State Farm
08.2018 - 06.2020
Visual Merchandising Manager
American Apparel
06.2013 - 04.2017
Certificate - Google Project Management
Coursea
Full Stack Web Developer Bootcamp - Full-Stack Web Developer
Southern Methodist University
Associate of Arts - Interior Design
El Centro Community
Bachelor of Science - Interior Design
The University of Texas At Arlington
High School Diploma -
Skyline High School