Results-driven auto adjuster with 12 years of experience in insurance claims and case management. Skilled in file auditing, claims investigation, and risk assessment. Consistently reduces claim resolution times and increases customer satisfaction. Dedicated to implementing innovative strategies to improve operational efficiency and cultivate strong relationships with clients and stakeholders.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Commercial Auto Adjuster GL/LI/BI/LIT
Interstate Claims Management
Arlington, TX
04.2021 - 04.2025
Investigated complex insurance claims for accuracy, ensuring timely settlements and upholding client trust.
Analyzed claim data to identify potential fraud, effectively reducing financial losses and enhancing detection protocols.
Collaborated with medical professionals to assess injury severity and determine appropriate compensation.
Negotiated fair and equitable settlements with claimants, attorneys, and third parties.
Assisted in preparing claim files for litigation, collaborating with defense counsel and internal teams to support resolution of liability disputes.
Maintained detailed and compliant documentation for all claims, supporting accurate investigations and regulatory adherence.
Managed high-volume caseloads of up to 200 active claims, consistently processing up to 6 new claims per day.
Handled a diverse claim mix: 80% General Liability/Property Damage and 20% Bodily Injury/Litigation.
Communicated effectively with first-party, third-party clients, and TPAs via phone, email, and written correspondence to ensure claim resolution and client satisfaction.
Claims Associate
State Farm
04.2023 - 10.2023
Determine Liability, issue payments, process Subrogation, and ensure fraud prevention. Processed claims settlements with precision, leading to expedited resolutions and enhanced customer trust.
Investigated claims thoroughly, identifying discrepancies to minimize fraud and ensure fair outcomes for all parties.
Collaborated with clients to gather necessary documentation, fostering clear communication and improving overall satisfaction.
Maintained comprehensive records of claims activities, ensuring compliance with regulations and enhancing operational efficiency.
Educated clients on policy details and claims processes, empowering them to make informed decisions and reinforcing loyalty.
Financial Counselor
Parkland Hospital
05.2016 - 10.2022
Collected claim details, guided clients on policy use, and verified coverage for informed decisions.
Provided financial product options, increasing client enrollments and fund conversions.
Assisted clients with updates, ensuring seamless insurance verification and policy application.
Streamlined the claims process by implementing a new verification system, leading to faster claim resolutions and improved client satisfaction.
Enhanced client communication strategies, fostering trust and leading to noticeable increases in client retention rates.
CAT ADJUSTER – Claims Examiner
FEMA COVID-19
12.2020 - 04.2021
Evaluated and resolved property loss claims, ensuring accurate payment assessments.
Communicated effectively with clients, maintaining high standards of professionalism.
Educated clients on claims processes, enhancing their understanding and satisfaction.
Collaborated with insurance adjusters and legal professionals to expedite claims resolution.
Claims Representative
State Farm
Irving, TX, USA
08.2013 - 05.2016
Perform critical analysis of initial evidence, provide valuation and fault analysis, and negotiate loss valuation.
Negotiate in loss valuation to faulted party and repair shop with a 3% escalation.
Empathize with parties to ensure smooth process implementation and speed with a 2% escalation rate of all claims.
Conducted thorough investigations on claims to identify discrepancies, resulting in substantial improvements in fraud detection and loss mitigation.
Implemented streamlined processes for claims management, reducing processing times and increasing overall efficiency across the department.
Demonstrated empathy towards clients during claims discussions, ensuring clear communication and maintaining positive customer relationships.
Conducted detailed investigations on claims, identifying discrepancies that led to noticeable gains in fraud detection and loss mitigation.
Education
Bachelor of Science - undefined
Eastfield College
Mesquite, TX
09.2025
High School Diploma - undefined
Poteet High School
Mesquite, TX
05.2012
Skills
MS Word
MS Excel
Xactimate
Quickbooks
SmartSheet
Risk Assessment
Claims Management
Negotiation
Customer Service
File Auditing
Liability Assessment
Insurance
Claims Investigation
Certification
Estimatics Certification at State Farm
Policy Certification at State Farm
Auto Certification at State Farm
Additional information
Professional Licenses
Adjuster License, Current in all states excluding Louisiana (In process of renewing)
TWIA
LCPIC
NFIB
Professional Development
Actively pursuing continued education in the medical field, alongside enhancing technical skills and professional development within the insurance adjusting industry to deliver comprehensive, informed, and efficient claims handling.
<ul><li>Company Overview: Group Company of PUIG, Spain</li><li>Team Leadership & Process Excellence: Organised the transformation of the Finance & Accounts function, establishing performance-driven goals, and embedding a culture of accountability and continuous improvement. Drove operational efficiency through process redesigns, SOP implementation and optimal resource deployment, leading to measurable improvements in turnaround time and accuracy.</li><li>Strategic Partnering with CXOs: Acted as a key advisor to the CEO, CFO, and other CXOs on business planning, pricing strategies, and business model pivots to support scale-up and profitability. Contributed to investor communications with data-backed insights to enhance stakeholder confidence and secure strategic funding.</li><li>Cross-Functional & Global Stakeholder Management: Functioned as the strategic finance business partner to cross-functional heads and the PUIG global finance team, aligning local execution with global financial strategies and compliance requirements.</li><li>ERP Transformation & System Automation: Led end-to-end ERP reimplementation to address system gaps, enforce role-based controls, and automate core finance processes—resulting in enhanced data accuracy, faster reporting and improved internal controls.</li><li>Costing, Inventory & Profitability Optimization: Designed and implemented plant-level costing models to ensure accurate COGS determination. Improved inventory management across pricing, consumption tracking, and aging analysis—enabling better working capital control and cost efficiency.</li><li>Manufacturing Finance & Statutory Compliance: Supervised end-to-end accounting for manufacturing operations and ensured full statutory compliance.</li><li>Financial Reporting, MIS & Profitability Analytics: Delivered accurate and timely monthly MIS reports, including P&L, Balance Sheet and KPI dashboards with deep-dive variance analysis across stores, business verticals, and geographies. Supported board-level decision-making through insightful presentations on financial health and business performance.</li><li>Budgeting, Forecasting & Business Planning: Led the Annual Operating Plan (AOP) and rolling forecasts, ensuring alignment with strategic objectives and market dynamics. Monitored key financial metrics to enable business decisions and proactive cost management.</li><li>Statutory, Internal & Tax Audit Management: Finalized standalone and consolidated financials under Ind AS and IFRS, ensured timely group reporting and compliance with international standards. Delivered clean and timely closures of statutory, tax, and internal audits in coordination with Big 4 auditors. Strengthened audit readiness through pre-audit diagnostics and rectification of recurring control gaps.</li><li>Regulatory Compliance & Risk Management: Ensured end-to-end compliance which includes ROC, RBI, FEMA, Income Tax, GST, Transfer Pricing, DTAA, and Customs. Reviewed cross-border contracts and transactions to ensure arm’s length pricing, accurate TDS application, and proper documentation under Transfer Pricing regulations.</li><li>Commercial Negotiation & Contract Governance: Led commercial negotiations and structured deals with vendors and franchisees. Reviewed key business contracts to ensure financial viability, risk protection, and compliance with regulatory standards.</li><li>Treasury & External Commercial Borrowing (ECB): Managed fund planning and liquidity management including ECB drawdowns, bank negotiations, and interest optimization. Improved working capital cycles through proactive cash flow forecasting and receivables control.</li><li>Internal Controls & Governance Framework: Led organization-wide reviews of internal control systems, identified process gaps, and redesigned or implemented over 40 SOPs and IFCs. Established a governance structure for financial discipline, risk mitigation, and policy compliance across departments.</li></ul> at Kama Ayurveda Pvt. Ltd. & PUIG India Pvt. Ltd.<ul><li>Company Overview: Group Company of PUIG, Spain</li><li>Team Leadership & Process Excellence: Organised the transformation of the Finance & Accounts function, establishing performance-driven goals, and embedding a culture of accountability and continuous improvement. Drove operational efficiency through process redesigns, SOP implementation and optimal resource deployment, leading to measurable improvements in turnaround time and accuracy.</li><li>Strategic Partnering with CXOs: Acted as a key advisor to the CEO, CFO, and other CXOs on business planning, pricing strategies, and business model pivots to support scale-up and profitability. Contributed to investor communications with data-backed insights to enhance stakeholder confidence and secure strategic funding.</li><li>Cross-Functional & Global Stakeholder Management: Functioned as the strategic finance business partner to cross-functional heads and the PUIG global finance team, aligning local execution with global financial strategies and compliance requirements.</li><li>ERP Transformation & System Automation: Led end-to-end ERP reimplementation to address system gaps, enforce role-based controls, and automate core finance processes—resulting in enhanced data accuracy, faster reporting and improved internal controls.</li><li>Costing, Inventory & Profitability Optimization: Designed and implemented plant-level costing models to ensure accurate COGS determination. Improved inventory management across pricing, consumption tracking, and aging analysis—enabling better working capital control and cost efficiency.</li><li>Manufacturing Finance & Statutory Compliance: Supervised end-to-end accounting for manufacturing operations and ensured full statutory compliance.</li><li>Financial Reporting, MIS & Profitability Analytics: Delivered accurate and timely monthly MIS reports, including P&L, Balance Sheet and KPI dashboards with deep-dive variance analysis across stores, business verticals, and geographies. Supported board-level decision-making through insightful presentations on financial health and business performance.</li><li>Budgeting, Forecasting & Business Planning: Led the Annual Operating Plan (AOP) and rolling forecasts, ensuring alignment with strategic objectives and market dynamics. Monitored key financial metrics to enable business decisions and proactive cost management.</li><li>Statutory, Internal & Tax Audit Management: Finalized standalone and consolidated financials under Ind AS and IFRS, ensured timely group reporting and compliance with international standards. Delivered clean and timely closures of statutory, tax, and internal audits in coordination with Big 4 auditors. Strengthened audit readiness through pre-audit diagnostics and rectification of recurring control gaps.</li><li>Regulatory Compliance & Risk Management: Ensured end-to-end compliance which includes ROC, RBI, FEMA, Income Tax, GST, Transfer Pricing, DTAA, and Customs. Reviewed cross-border contracts and transactions to ensure arm’s length pricing, accurate TDS application, and proper documentation under Transfer Pricing regulations.</li><li>Commercial Negotiation & Contract Governance: Led commercial negotiations and structured deals with vendors and franchisees. Reviewed key business contracts to ensure financial viability, risk protection, and compliance with regulatory standards.</li><li>Treasury & External Commercial Borrowing (ECB): Managed fund planning and liquidity management including ECB drawdowns, bank negotiations, and interest optimization. Improved working capital cycles through proactive cash flow forecasting and receivables control.</li><li>Internal Controls & Governance Framework: Led organization-wide reviews of internal control systems, identified process gaps, and redesigned or implemented over 40 SOPs and IFCs. Established a governance structure for financial discipline, risk mitigation, and policy compliance across departments.</li></ul> at Kama Ayurveda Pvt. Ltd. & PUIG India Pvt. Ltd.
<ul>
<li>Responsible for coordinating and managing bi-weekly production schedule meetings.</li>
<li>Developed production schedules to optimize workflow and resource allocation.</li>
<li>Analyzed inventory levels to ensure timely material availability for production.</li>
<li>Prepared reports on production status, material usage, and capacity planning needs.</li>
<li>Coordinated with production teammates to determine scheduling and conflict resolutions.</li>
<li>Developed and maintained production schedules to meet customer demands.</li>
<li>Coordinated with other departments such as engineering, purchasing, and warehouse to ensure smooth operations.</li>
<li>Compiled data on spreadsheets to devise forecasts for production planning by gathering input from production staff and leaders.</li>
</ul> at Kelvion Thermal Solutions<ul>
<li>Responsible for coordinating and managing bi-weekly production schedule meetings.</li>
<li>Developed production schedules to optimize workflow and resource allocation.</li>
<li>Analyzed inventory levels to ensure timely material availability for production.</li>
<li>Prepared reports on production status, material usage, and capacity planning needs.</li>
<li>Coordinated with production teammates to determine scheduling and conflict resolutions.</li>
<li>Developed and maintained production schedules to meet customer demands.</li>
<li>Coordinated with other departments such as engineering, purchasing, and warehouse to ensure smooth operations.</li>
<li>Compiled data on spreadsheets to devise forecasts for production planning by gathering input from production staff and leaders.</li>
</ul> at Kelvion Thermal Solutions