Pablo E. Fernandez
Hialeah
Summary
Versatile and detail-oriented professional with experience in property assessment, claims investigation, and team collaboration. Skilled in conducting site inspections, identifying safety hazards, assessing risks, and ensuring regulatory compliance in residential and commercial settings. Proficient in analyzing building systems and materials, interpreting policies, and preparing clear, comprehensive reports. Strong understanding of construction processes, building materials, and blueprints, with hands-on construction skills, and a technical, analytical approach to problem-solving. Bilingual in English and Spanish, with a commitment to customer satisfaction, and clear communication.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Claim Adjuster
People Trust Insurance/Loyalty Underwriter MGA
Miami
09.2023 - Current
- Maintained accurate documentation of all claim activity within designated system.
- Determined reserves for each claim based on estimated costs of settlement or defense.
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
- Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
- Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
- Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
- Interpreted policy language to determine coverage for insureds under various lines of business.
- Conducted interviews with claimants, witnesses and medical professionals to obtain additional information about the claim.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Analyzed and determined fault in auto accidents based on evidence and applicable laws.
- Calculated and authorized payment of claims within designated authority level.
- Resolved claim disputes through mediation and negotiation, minimizing the need for litigation.
- Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
General Manager of Operations
Unstoppable Construction Services
Miami
02.2017 - 08.2023
- Monitored budgets and expenditures to ensure cost-effectiveness while maintaining quality standards.
- Conducted performance reviews for team members.
- Conducted regular meetings with staff to discuss progress and identify areas of improvement.
- Provided leadership during times of organizational change or crisis situations.
- Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency.
- Managed vendor relationships by negotiating contracts and ensuring timely delivery of goods and services.
- Ensured compliance with industry regulations and company policies.
- Coached, mentored and trained team members in order to improve their job performance.
- Oversaw daily operations, maintaining efficiency and quality standards.
- Negotiated contracts and agreements with vendors and suppliers to reduce costs.
- Evaluated current projects to maintain progress and quality control.
- Managed material cost assessments and reporting to guarantee project needs were met, preventing stoppages from material shortages.
- Generated accurate estimations to streamline operational processes.
- Utilized CRM and accounting software to streamline operational processes and enhance data accuracy.
- Utilized design software to enhance operational processes and improve efficiency.
General Manager
Loupa Group Corp
Miami
03.2011 - 01.2017
- Monitored financial performance and identified areas for improvement in cost savings and revenue generation.
- Conducted market research to identify trends, opportunities, and threats in the industry.
- Created a positive work environment by developing team building activities that encouraged collaboration among departments.
- Managed all aspects of daily business operations including budgeting, staffing, scheduling, inventory control, customer service and sales.
- Maintained relationships with vendors to obtain the best pricing on supplies and materials.
- Designed sales and service strategies to improve revenue and retention.
- Tracked monthly sales to generate reports for business development planning.
- Supervised employees through planning, assignments, and direction.
- Resolved customer complaints quickly while maintaining high quality standards of service delivery.
- Led sales initiatives and managed project development processes.
- Managed high-profile sales, ensuring successful client engagement and revenue growth.
- Oversaw the integration and management of CRM and accounting software to streamline operations.
Education
Bachelor of Science - Business Administration And Management
Florida National University
Hialeah, FL01-2024
Some College (No Degree) - Business
Miami Dade College
Miami, FLSkills
- Claims investigation
- Settlement negotiation
- Regulatory compliance
- Risk assessment
- Customer service
- Team collaboration
- Effective communication
- Technology utilization
- Problem solving
- Time management
- Budget monitoring
- Analytical and critical thinking
- Damage assessment
- Property valuation
- Conflict resolution
- Negotiation techniques
- Microsoft Office
- Supervision and leadership
- Networking
Languages
English
Full Professional
Spanish
Native/ Bilingual
Certification
- Home Inspector
- All lines Adjuster 6-20
- Property and Casualty 2-20
Certifications
- Rope and harness Certification OSHA (American International Institute)
- Construction 101 Certification
- State Farm Policy Certification
- State Farm Estimating Certification
- Wind Mitigation Certification
- Foundation Walls and Piers
Timeline
Claim Adjuster
People Trust Insurance/Loyalty Underwriter MGA
09.2023 - Current
General Manager of Operations
Unstoppable Construction Services
02.2017 - 08.2023
General Manager
Loupa Group Corp
03.2011 - 01.2017
Bachelor of Science - Business Administration And Management
Florida National University
Some College (No Degree) - Business
Miami Dade College
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