Nichelle Sandoval
San Antonio,TX
Summary
Results-driven Senior Inside Auto Claims Adjuster with extensive experience in resolving complex auto claims through thorough investigations and policy analysis. Proven ability to streamline processes that enhance operational efficiency and improve customer satisfaction ratings. Exceptional negotiation skills and strong analytical capabilities enable favorable settlements while ensuring compliance with all regulatory standards. Expertise in vehicle repair procedures, cost estimations, and damage assessments supports effective claim management and successful resolution outcomes.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Senior Auto Adjuster Complex
USAA
San Antonio, TX
03.2022 - Current
- Evaluated claims based on industry experience and resources to decide approval.
- Ensure adherence to State guidelines in evaluating auto claims.
- Organized benefits administration and managed applicable deductibles.
- Collected details of loss to support claims resolution through effective communication channels.
- Conducted damage assessments and meticulously logged results.
- Researched and verified insurance policy coverage.
- Facilitated total loss payouts promptly.
- Coordinated direct repair assignments with local body shops and rental vehicles during restoration processes.
- Assessed salvage value for vehicles declared total losses.
- Assessed claims to identify potential fraud.
- Assessed liability based on investigation findings.
- Investigated auto insurance claims for validity and accuracy.
Claim Specialist
The Hartford Insurance Group
San Antonio, TX
09.2012 - 03.2022
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Promptly responded to customer inquiries and resolved complaints to promote loyalty.
- De-escalated customer issues with proven conflict mediation and problem-solving abilities.
- Documented conversations with customers to track requests, problems and solutions.
- Researched resolutions, contacted necessary departments and responded back to customer back phone, mail or fax as follow up.
- Kept customer and system account information accurate and current to support timely resolutions for concerns.
- Reviewed customer account information to determine current issues and potential solutions.
- Interacted with customers to provide and process information in response to inquiries, concerns and requests about services and products.
- Built client rapport, accurately processing repair invoices and claims while troubleshooting financial discrepancies through completion.
- Corresponded with service department team members to build and implement successful solutions to customer problems.
- Surpassed quality target by working through scripted response plans and applying personal knowledge base to resolve concerns.
- Maintained high satisfaction score by consistently resolving first-call issues.
- Exceeded company productivity standards on consistent basis.
- Ranked in top level for customer satisfaction among team members.
- Experience with all lines of business (Workman Compensation, General Liability, Commercial Auto, Commercial Property, Personal Property, Short Term disability)
Education
Associate of Arts - Business Administration
Cisco Junior College
Cisco, TXAssociate of Arts - Business Administration
Northwest Vista College
San Antonio, TXAssociate of Applied Science - Court Reporting
San Antonio College
San Antonio, TXSkills
- Damage Mitigation
- Policy Interpretation
- Claims Assessment
- Fraud Detection Knowledge
- Damage Assessment
- iCar training
- Evaluating Legal Responsibility
- Comprehensive Vehicle Inspections
- Proficient in Guidewire and ALR portal
- Data evaluation
- Conflict mediation
- Contract negotiation expertise
- Customer relations
- Quality control
- System implementation
- Report creation
- Customer Outreach Communication
- Business development understanding
- Collaborative Engagement
- Effective Listening
- Computer Skills
- Dependable Professional
- Effective Time Management
- Data Management
- Conflict Resolution
- Analytical Problem Solving
- Friendly, positive attitude
- Interpersonal Communication
Affiliations
- Little League Youth Baseball Coach
- Little League Volunteer
- Animal Care Services Volunteer
Certification
Texas Insurance Adjuster License 2022-Current
Languages
English
Professional
Accomplishments
- Delivering the Difference Diamond Award
- Member Customer Satisfaction award
Timeline
Senior Auto Adjuster Complex
USAA
03.2022 - Current
Claim Specialist
The Hartford Insurance Group
09.2012 - 03.2022
Associate of Arts - Business Administration
Cisco Junior College
Associate of Arts - Business Administration
Northwest Vista College
Associate of Applied Science - Court Reporting
San Antonio College
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