Nicolas Moreno
Dallas
Summary
Detail-oriented adjuster and auto damage appraiser with the drive and dedication to meet and exceed the expectations of my customers and employer while adhering to a high level of integrity and ethical standards. Bringing the ability to solve complex claims with efficiency and accuracy while setting ambitious goals to ensure top performance all while ensuring the respect and caring of others.
Overview
1
1
Certification
15
15
years of professional experience
Work History
Total Loss Adjuster
Aspire General Insurance
12.2024 - Current
- Facilitated settlements with vehicle owners and lien holders to expedite claim resolution.
- Created and reviewed vehicle valuation reports ensuring complete accuracy with vehicle details.
- Identified unrelated damages and potential coverage concerns to ensure accurate claim handling.
- Handled disputes with professionalism, enhancing customer satisfaction and trust.
- Oversaw charge management to maintain compliance with policy coverage and state regulations.
Vendor Manager
Alacrity Solutions
06.2021 - 09.2023
- Managed vendor performance to enhance productivity and improve vendor ratings, contributing to top team rankings.
- Calibrated with team managers to ensure success of firm metrics.
- Created claim procedure manuals and training materials for all adjusters ensuring complete compliance with carrier guidelines.
- Collaborated with team managers to align on firm metrics and drive team success.
- Developed claim procedure manuals and training materials for adjusters to ensure compliance with carrier guidelines.
Independent Claims Adjuster & Auto Damage Appraiser
08.2017 - 06.2023
- Auto Desk Adjuster: Analyzed coverage, policy provisions, and exclusions applying appropriate coverage determinations.
- Investigated and determined auto liability claims and coverage discrepancies.
- Appraised and settled total loss claims, resolving disputes and coordinating salvage sales to meet customer needs.
- Created estimates within CCC One and Audatex.
- Identified and reviewed prior damage with customers and applied betterment when applicable.
- Referred suspected fraudulent claims to SIU for further investigation.
- Identified total loss claims in accordance with carrier guidelines and state statutes.
- Appraised vehicles, obtained salvage bids, and settled total loss claims including any dispute and appraisal clause reviews.
- Managed repair process to ensure timely vehicle repairs and adequate rental coverage, enhancing customer experience.
- Reviewed DRP estimates for accuracy and provided coaching when needed.
- Property Desk Adjuster: Investigated claims to determine coverage including handling recorded statements.
- Created detailed estimates using ClaimsX for virtual handling. using ClaimsX for virtual handling, and Xactimate.
- Managed inventory of up to 60 claims, ensuring timely handling and fostering customer satisfaction.
Insurance Claims Specialist
United Healthcare, CGI
11.2011 - 08.2017
- Adjusted medical, dental, and vision claims, ensuring accuracy for carrier.
- Confirmed insurance benefits and submitted claims from provider offices, facilitating timely reimbursement.
- Handled appeals to resolve issues.
- Processed appeals for denied claims.
Education
High School -
St. Anthony CHS
San Antonio, TXSkills
- Total loss evaluation
- Loss Assessment
- Vehicle Appraisal
- Claims Processing
- Audatex
- CCC One
Certification
17920382, AR, AZ, FL, ME, MN, SC, TX, VT, WA, SC
Timeline
Total Loss Adjuster
Aspire General Insurance
12.2024 - Current
Vendor Manager
Alacrity Solutions
06.2021 - 09.2023
Independent Claims Adjuster & Auto Damage Appraiser
08.2017 - 06.2023
Insurance Claims Specialist
United Healthcare, CGI
11.2011 - 08.2017
High School -
St. Anthony CHS