Nicholas Yanez
San Antonio,TX
Summary
Self-motivated individual with strong communication, investigation, and observational skills over 10+ years. Ability to work effectively in a high-pressure, fast paced, and deadline driven environment. Looking to provide experience, adaptability, and skills to the work force.
Overview
15
15
years of professional experience
Work History
Non- Injury Claims Service Manager
Allcat Claims LLC
11.2022 - 02.2024
- Interview and hired potential candidates to fill adjuster role
- Built, managed, and trained a team of 10-12 non injury adjusters to handle the day-to-day operations
- Required to provide solutions to questions from adjusters utilizing skills of critical and logical thinking
- Set expectations on all metrics, goals and KPI’s to adhere to for monthly reporting
- Set reoccurring monthly 1 on 1 coaching/review touch points team members to discuss current quality, any challenges and set proper future expectations
- Review of payments prior to authorization by adjuster to determine accuracy for payee
- Review state to state guidelines of approval for coverage and liability decisions
- Thoroughly document claim of all gathered questions, comments, findings, and investigation details
- Monitored analytics for call handling in ring central to identify areas of improvement/ adjustments in call scheduling and handling by adjuster
- Respond timely to all management escalations from the floor level to Department of insurance and CEO membership relations level
- Responses to these types of escalations required careful observation of items in questions and examination of all documentation and records on file
- Provided weekly huddles with the team for check points on metric reviews, and top priorities for the day as well to identify key challenges on the floor and quick round table of each individual focus for the day/week
- Quality reviews complete on call handling, file documentation, liability assessment, payments, and timely contact
- Completed payroll biweekly and managed time and attendance.
- Weekly meetings with director of operations on current KPI’s, team moral, and collaboration on upcoming projects for business advancement and additional initiatives that may go into practice in the coming months.
Total Loss Claims Service Manager
Allcat Claims LLC
08.2021 - 11.2022
- Interview potential candidates to fill adjuster role
- Associate manager and I built a team of 45 employees to assist in claims support
- Trained employees on task handling
- Review state to state guidelines of approval for coverage and payment accuracy
- Thoroughly document claim file of findings, comments, and investigation details
- Required to provide solutions to questions from adjusters utilizing skills of critical and logical thinking
- Created time study to propose increase in tasks/objectives per hour to complete to support client’s volume and need of work
- Set reoccurring monthly 1 on 1 coaching/review touch points team members to discuss current quality, any challenges and set proper future expectations
- Worked with TDI to have global licensing completed for team level and monitored licensed states for team to work in
- Collaborated in part of creation for quality review data to hold team accountable on all set metrics at the floor level
- Created monthly billing report and quality review data to client
- Reported daily and weekly volume received and complete by team to director or operations
- Provide daily huddles to provide encouragement, metric reviews, and top priorities for day
- Completed payroll biweekly and managed time and attendance for team.
- Cross-trained existing employees to maximize team agility and performance.
Direct Repair Partner Associate
Allcat Claims LLC
12.2019 - 08.2021
- Responded to approximately 55-60 emails, voicemail, and inbound calls daily.
- Assist repair shop with payment status, issuing of payment, status of estimates and or supplements
- Provide shop with information on coverage issues, appearance allowance approvals, and deductible waiver criteria
- Documented file of findings, comments, and following steps to be completed for claim file
- Review state to state guidelines of approval for coverage and payment issuing
- Assisted management team in building reports for floor level
- Examined current reporting detail to determine possible practices to be utilized to increase overall quality and production at the floor level
- Collaborated with management on detailed findings of areas of improvement on current tasks required to be completed in daily/ weekly/ and monthly needs.
- Strengthened professional relationships through active participation in industry conferences and events.
Trainer/Head Trainer
Ultra Body Fitness
03.2018 - 12.2019
- Initially was part- time for early mornings and late nights from March through December of 2018 until took on position full time in December of 2018
- Subject to oversight of trainer’s techniques and coaching with clientele
- Responsible for training new staff on computer software and scheduling for clientele
- Teach and organize group training classes of 8-15 clients
- Develop client coaching programs in Weight-loss, Muscular Endurance, Strength Development and Power
- Gather data on body measurements, weight, and assessments to develop and set baseline goals for clients
- Coordinate weekly touch points with trainers for status updates on client progress and any challenges that can be assisted on
- Provided modified coaching techniques for different levels of client experience
- Schedule client meetings for any comments and or concerns of progress status and reassessments
- Schedule clients for 1 on 1 training sessions
- Provided dietary information and guidance to assist client with meeting goal and expectations
- Complete payroll for training team for weekly pay to be provided.
Total Loss Adjuster
Allstate Insurance Company
06.2016 - 12.2018
- Investigate to determine applicable coverage can be awarded for the loss
- Review estimated report from field adjusters to confirm repair-ability threshold cost has been exceeded
- Review and examine documentation and records on file for claim status and next appropriate steps
- Managed approximately 30 outbound calls to customers, claimants, and attorneys to gather information, go over findings and next steps to resolve claim files.
- Properly determine vehicle value with customer/claimant based on vehicle year, make, model, and options all while utilizing our vehicle evaluation software
- Determine/Verify vehicle location and make arrangement with customer to have vehicle moved to a storage free location if required
- Contacted body shops, storage yards, and towing facilities regarding vehicle charges, locations, and negotiations on fees and charges if applicable.
- Mailed and emailed all information to customers for legal documentation required to be sent as well as expectation provided
- Set up payment options for customers as well as released funds electronically or through mail service once customer and or claimant agreed with settlement amount
- Document all findings and correspondence with all parties involved on the claim file for documentation and investigational purposes.
- Supported colleagues during periods of high claim volume by assuming additional caseloads when needed.
General Merchandise Associate
HEB Grocery Company
06.2009 - 05.2016
- Review warehouse inventory checklist and required duties set by management
- Walk and review store floor for item replenishment
- Rotate product on store floor for customer view and purchase
- Create and print price tags for sales floor
- Update/rotate main sale signage on sales floor
- Rotate product on sales floor as well as restock product
- Lifting on occasion 50lbs +
- Unload Semi trailer with product for sales floor
- End of day shift required scanning all products with low stock to determine if reorder should apply.
Education
Bachelors Degree - Health and Human Performance: Exercise Science
University Of Texas At Rio Grande Valley
Brownsville, TX12.2015
High School Diploma -
Rio Hondo High School
Rio Hondo, TX05.2009
NASM
NASM
Property And Casualty Adjuster License
Skills
- Strong Communication Skills (Verbal and Written)
- Physical strength and endurance for heavy lifting
- Physical agility for high intensity training
- Analytical and problem-solving Skills
- Insurance Negotiation Skills
- Accounts Payable and Data Entry Skills
- Computer Skills (Knowledgeable in Microsoft Word, Excel, PowerPoint, Teams, and Mac OSX)
- Team Leadership
- Multitasking and Organization
- Problem-Solving
- Additional Skills to include conflict resolution, attention to detail, collaboration, and strategic planning
References
- Charles Medina, Allstate Insurance Company, Bodily Injury Claims Manager, 210-643-2815
- Olga Demikhova, Tru Fit Athletics Gym, HEAD TRAINER, 408-479-4994
- Michael Murphy, Allcat Claims Services LLC, DIRECTOR OF OPERATIONS, 210-216-1865
- Cherie Bracher, Allcat Claims Services LLC, VICE PRESIDENT OF OPERATIONS, 512-689-7791
- Chris Zuniga, Allcat Claims Services LLC, CLAIMS SERVICE MANAGER, 210-730-2887
Timeline
Non- Injury Claims Service Manager
Allcat Claims LLC
11.2022 - 02.2024
Total Loss Claims Service Manager
Allcat Claims LLC
08.2021 - 11.2022
Direct Repair Partner Associate
Allcat Claims LLC
12.2019 - 08.2021
Trainer/Head Trainer
Ultra Body Fitness
03.2018 - 12.2019
Total Loss Adjuster
Allstate Insurance Company
06.2016 - 12.2018
General Merchandise Associate
HEB Grocery Company
06.2009 - 05.2016
Bachelors Degree - Health and Human Performance: Exercise Science
University Of Texas At Rio Grande Valley
High School Diploma -
Rio Hondo High School
NASM
NASM
Property And Casualty Adjuster License
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