Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Oscar Valerio

Summary

Well-experienced, highly skilled, and analytical property claims adjuster with comprehensive background in evaluating, negotiating, and settling complex claims. Equipped with extraordinary leadership skills, coupled with the ability to resolve claims issues, evaluate risks, and implement necessary risk management control strategies. Known as an effective, hardworking, disciplined, analytical, Effective in working within a fast-paced environment independently or as part of a team.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Independent Adjuster- Valerio Adjusting

Self-employed
05.2023 - Current


  • Negotiated settlement of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
  • Conducted prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin and extent of loss.
  • Handled claims for numerous Insurance carriers per applicable guidelines and best practices.
  • Traveled to on-site locations of loss on scheduled or sudden notice, addressing phone-recorded statements, securing photos and measurements and documenting scope of property damage.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Prepared summaries of damage, payments, and policy coverage.
  • Examined claims forms and other records to determine insurance coverage.
  • Answered customer questions regarding deductibles.
  • Verified insurance claims and determined fair amount for settlement.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Resolved complex, severe exposure claims using high service oriented file handling.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Analyzed information gathered by investigation and reported findings and recommendations.


Team Lead/Field Manager

Wardlaw Claims Services
10.2021 - 05.2023
  • Coordinated and scheduled field personnel to cover operations throughout assigned regional area (Ohio, Indiana, and Illinois)
  • Identified and communicated customer needs to field adjusters.
  • Monitored field adjusters performance to identify opportunities for improvement and develop solutions to increase productivity and accuracy.
  • Trained personnel in Symbility and enforced client guidelines.
  • Assisted in organizing and overseeing assignments to maximize efficiency and quick turnaround.
  • Assisted with integration and launching of CoreLogic (Symbility) with large client.
  • Performed ride-along with field adjusters in order to assist in developing their skillsets.

Property Claims Supervisor

Erie Insurance
05.2018 - 10.2021
  • Recruited, interviewed, hired new property field adjusters for the Kentucky branch.
  • Complied with established internal controls and policies.
  • Maintained claims data and ensured that all metrics were achieved.
  • Oversaw day to day operations for all property claims.
  • Worked closely with liability units and subrogation departments.
  • Worked closely with Attorneys, examiners, and other peers.
  • Handled field inspections as needed, due to heavy influx of claims.
  • Granted/rejected authority and/or authority request upon full file reviews.

Property Catastrophe Adjuster

Erie Insurance
03.2017 - 05.2018
  • Handled property Catastrophe claims throughout Erie's footprint.
  • Handled local (Kentucky) property claims throughout the state, as needed.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Conducted thorough investigation to arrive at fair settlement.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Assisted/mentored new field adjusters.
  • Worked closely and reported to Erie Kentucky Branch VP and Erie Catastrophe Team VP.

Claims Adjuster- All Lines

Kentucky Farm Bureau Insurance
12.2013 - 03.2017
  • Handled/investigated/settled property, auto, liability, bodily injury, UIM, UM claims.
  • Collected evidence to support contested claims in court.
  • Prepared summaries of damage, payments, and policy coverage.
  • Reviewed demand packets presented by attorneys and determined liability exposures.
  • Negotiated/settled with 3rd party attorneys.
  • Verified insurance claims and determined fair amount for settlement.
  • Handled Arbitration claims accordingly.
  • Handled property Catastrophe claims throughout Kentucky as needed.

Independent Property Adjuster

Multiple IA Firms
02.2009 - 12.2013
  • Handled field property claims for numerous insurance carriers.
  • Handled daily and catastrophe claims throughout the country.
  • Carriers: State Farm, Progressive, AAA, American Family, Metlife, Hannover, Church Mutual, Chubb, Safety, Liberty Mutual, etc.

Project Manager

Carlon Roofing & Sheet Metal
01.2008 - 02.2009
  • Developed and implemented project plans and budgets to ensure successful execution.
  • Monitored project performance to identify areas of improvement and make adjustments.
  • Monitored project progress, identified risks and took corrective action as needed.
  • Managed projects from procurement to commission.
  • Maintained open communication by presenting regular updates on project status to customers.
  • Developed and initiated projects, managed costs, and monitored performance.
  • Planned, designed, and scheduled phases for large projects.

Project Manager & Lead Asbestos/Lead Inspector

AIMS Group- Consulting Engineers
10.2005 - 12.2008
  • Project Manager for various government project to include replacement of all roofing systems and lightning protection at Louis Armstrong International Airport (Kenner, LA)
  • Lead/Asbestos inspector to include analysis of all damaged structures throughout St. Bernard Parish, LA due to Hurricane Katrina as well as government agency buildings.

Customer Service Representative

Medical Services Company (MSC)
02.2004 - 10.2005
  • Customer service representative handling workers compensation related medical equipment.
  • Successfully communicated with medical equipment vendors, suppliers, and nurse case management.
  • Communicated with claimants and coordinated delivery of all approved medical equipment.

Helicopter Aircrewman/SAR Swimmer/Combat Crewman

United States Navy
02.1999 - 02.2004
  • Rank: Petty Officer Second Class (E-5)
  • Naval Aircrewman (Search & Rescue Swimmer, Combat Search & Rescue crewman, door gunner, EMT-I)
  • AW- Aviation Warfare Systems Operator (Locate, track, destroy submarines).
  • Lead Petty Officer for the following departments:

- Aviation Logs & Records.

- Naval Training & Operating Procedures Standardization (NATOPS) Department- Trained and qualified all squadron aircrewman via written, oral, flight testing to ensure competency)

- Squadron Lead Safety Petty Officer (Oversaw all squadron safety procedures and protocols) for all departments.

  • Received various awards and medals to include Air Medal for various combat missions in Iraq and in support of Iraqi Freedom.

Education

Associate of Science - Business Administration

Universidad Fermin Toro
Venezuela
12.1998

High School Diploma -

Christiansen Academy
Venezuela
05.1997

Skills

  • Extensive experience in handling property claims (ie- Wind, hail, BUSD, Fire, Business Interruption, Equipment breakdown, etc)
  • Extensive experience handling Residential and Commercial claims
  • Exceptional knowledge of insurance policies and endorsements
  • Highly versed with State statutes, regulations, and case law
  • Amazing ability to negotiate fair settlements with 1st and 3rd party claimants
  • Immense ability to handle multiple claims and meet deadlines
  • Highly proficient in Symbility
  • Well versed in Xactimate & Xactanalisys
  • Proficient with multiple claims databases to include Guidewire, Filetrac, ClickClaims, and Enterprise claims system
  • HAAG Certified Roof Inspector (Active)
  • Bilingual (English and Spanish)
  • Customer Service Oriented and team player

Certification

  • HAAG Engineering- Certified Roof Inspector (Residential)
  • Associate In Claims (AIC)


Languages

Spanish
Native or Bilingual

Timeline

Independent Adjuster- Valerio Adjusting

Self-employed
05.2023 - Current

Team Lead/Field Manager

Wardlaw Claims Services
10.2021 - 05.2023

Property Claims Supervisor

Erie Insurance
05.2018 - 10.2021

Property Catastrophe Adjuster

Erie Insurance
03.2017 - 05.2018

Claims Adjuster- All Lines

Kentucky Farm Bureau Insurance
12.2013 - 03.2017

Independent Property Adjuster

Multiple IA Firms
02.2009 - 12.2013

Project Manager

Carlon Roofing & Sheet Metal
01.2008 - 02.2009

Project Manager & Lead Asbestos/Lead Inspector

AIMS Group- Consulting Engineers
10.2005 - 12.2008

Customer Service Representative

Medical Services Company (MSC)
02.2004 - 10.2005

Helicopter Aircrewman/SAR Swimmer/Combat Crewman

United States Navy
02.1999 - 02.2004

Associate of Science - Business Administration

Universidad Fermin Toro

High School Diploma -

Christiansen Academy
Oscar Valerio