Dedicated claims analyst with expertise in examining claim details and utilizing policy databases to enhance customer service. Proven ability to resolve complex issues through strong problem-solving skills and effective communication, resulting in increased customer satisfaction. Adaptable team player focused on driving positive outcomes in high-pressure environments.
Overview
25
25
years of professional experience
Work History
Total Loss Claims Assistant III
National General Insurance an Allstate Company
Sacramento, CA, CA
03.2022 - 12.2024
Managed approval process for financial claims adhering to set limitations.
Negotiated claim settlements when needed.
Negotiated with claimants to settle claims.
Generated comprehensive damage reports.
Documented damage with photographs and detailed written descriptions.
Recorded vehicle damage and submitted comprehensive reports to claims department.
Examined automobile policies with third-party liability, accident benefits, and collision benefits.
Calculated benefits due based on policy terms and claim information.
Collaborated with adjusters and underwriters to resolve complex claim issues.
Processed a high volume of incoming claims in accordance with established policies and procedures.
Negotiated settlements with claimants or their representatives when necessary.
Salvage Specialist
Esurance an Allstate Company, Auto General
Rocklin, CA
01.2017 - 03.2022
Processed vehicle titles in accordance with state guidelines
Resolved escalations and customer concerns, improved operations and provided exceptional customer service
Trained new staff members on claims, salvage, and tasks handling
Contacted appropriate agencies to complete searches, order records and obtain documents on recovered theft vehicles
Detailed plans for correcting issues with paperwork, clearing titles, and identified title errors and for salvage processing in several different states
Tracked and verified of incoming mail including titles, DMV forms, legal documents, and keys
Worked salvage process which resulted in saving improved limits
Communicated with customers via email or verbally to handle title issues daily
Processed vehicle titles in accordance with state guidelines
Processed vehicle titles in accordance with state guidelines.
Issue payments for routine expense invoices including review of Copart advance charges: if they differ from what was approved by the adjuster, send to the adjuster to review and pay. If charges are the same, pay the invoice;
Assist in handling the salvage on total loss vehicles including moving vehicles to storage free locations or salvage vendors as quickly as possible;
Title Clerk
Copart| DMV
West Sacramento, CA
01.2017 - 01.2017
Processed salvage, clean, non-repaired titles to DMV to transferred ownership
Researched vehicle titles and resolved issues before sending to DMV by contacting sellers
Meet company policy timelines in processing titles, resolving title issues according to state title guidelines and sellers’ contracts
Researched CA date base system (CVR) to verify information regarding ownership and lien holders
Followed up with reports and any pending files to obtain correct information to process titles and ownership transfers
Responded to customer inquiries and requests in a professional manner within a timely manner
Complete administrative duties in the office such as data entry, word processing, filing, copying, scanning and other duties associated with Copart documentation and services.
Entered title and vehicle information into database.
Claims Specialist
Allstate Insurance Co
Coronado, CA
03.2008 - 06.2011
Answered inbound and outbound calls from first party and third party by answering inquiries on claim related issues within all 50 states
Responded to recovery claims issues, gathered accurate information, and entered data into the computer system to recognize subrogation opportunities
Contributed to reaching customer service satisfaction goals following company protocol and providing exceptional customer service
Performed clerical duties, including data entry, filing paper documents, email, calendar management, and word processing
Investigated, evaluated, and negotiated auto accident claims
To reach a fair and equitable settlement for all parties involved in a fast-paced environment
Communicated with attorneys’ other insurance companies
Processed claims payments.
Verified client information by analyzing existing evidence on file.
Posted payments to accounts and maintained records.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Senior Total Loss Claims Rep
Liberty Mutual Insurance Co
09.2004 - 12.2006
Processed stolen, recovered, burnt vehicles determined to be a total loss
Handled of vehicle disputes by research and appraisal
Coordinated rental with rental vendors and customers or determining loss of use
Reviewed estimates with customers and coordinating re-inspection if needed
Mitigated storage charges by coordinating salvage pick up
Reviewed owner transfer paperwork and documentation for owner retained settlements to insure timely claim closure
Handled subrogation demands from other carriers
Evaluated insurance policies and analyze damages to determine coverage.
Prepared insurance claim forms or related documents and reviewed for completeness.
Updated field operations staff on status of open claims and current actions.
Student
Sacramento
06.2000 - 09.2003
Used law enforcement systems and applications for background searches
Set up and handled incoming mail and office filing systems
Established proficiencies in telephone and front-desk reception within a high-volume environment
Established the administrative work procedures for tracking staff’s daily tasks.
Education
Administration, Criminal Justice
Westwood College
Upland, CA
Administration in Criminal Justice
Sacramento City College
Sacramento, CA
Skills
CCC Pathways Appraisal Solutions
Claim Management
Claims Evaluation
Customer Contact
Managing case files
Policy interpretation
Claim investigation
Claims processing
Microsoft office
Settlement agreements
Insurance claims review
Conflict resolution
Settlement negotiation
Claims investigation
Verbal communication
Investigative skills
Liability and coverage
Decision-making skills
CCC reports
Multitasking
Payment processing
Investigate property damage
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Total Loss Claims Assistant III
National General Insurance an Allstate Company
03.2022 - 12.2024
Salvage Specialist
Esurance an Allstate Company, Auto General
01.2017 - 03.2022
Title Clerk
Copart| DMV
01.2017 - 01.2017
Claims Specialist
Allstate Insurance Co
03.2008 - 06.2011
Senior Total Loss Claims Rep
Liberty Mutual Insurance Co
09.2004 - 12.2006
Student
Sacramento
06.2000 - 09.2003
Administration, Criminal Justice
Westwood College
Administration in Criminal Justice
Sacramento City College
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