Hi, I’m
Patricia De La Roca
Summary
Dynamic Property and Casualty Adjuster with extensive experience, excelling in claims handling and negotiation. Adept at policy interpretation and demonstrating exceptional customer focus, ensuring compliance and delivering outstanding service in high-pressure environments.
Overview
7
years of professional experience
1
Certification
Work History
Pacific Specialty Insurance
Property and Casualty Adjuster
04.2022 - Current
Job overview
- Managed a full lifecycle of complex property and casualty claims, including initial reporting, investigation, coverage determination, damage assessment, negotiation, and settlement, consistently exceeding individual and team performance goals.
- Expertly analyzed policy language to determine coverage applicability and effectively communicated coverage decisions to policyholders and other involved parties.
- Utilized Xactimate and to review accurate and detailed damage estimates, ensuring fair and efficient claim settlements.
- Successfully negotiated settlements with claimants and their representatives, resulting in significant cost savings for the company while maintaining positive relationships.
- Mentored and trained new adjusters on best practices in claims handling, policy interpretation, and customer service.
- Proactively identified and reported potential fraud indicators, contributing to the company's loss prevention efforts.
- Maintained meticulous and organized claim files, ensuring compliance with company procedures and regulatory requirements.
- Consistently received positive feedback from policyholders and colleagues for professionalism, empathy, and efficient claim resolution.
- Successfully handled a significant number of catastrophe claims, demonstrating adaptability and resilience in high-pressure situations.
First American
Property and Casualty Adjuster
10.2018 - 03.2022
Job overview
- Managed a diverse caseload of property and casualty claims, gaining comprehensive experience in various claim types and complexities.
- Developed strong skills in conducting initial claim investigations, gathering essential information, and documenting claim details accurately.
- Effectively communicated with policyholders, claimants, and other stakeholders to gather information and provide updates on claim status.
- Assisted senior adjusters with complex claims, gaining valuable experience in coverage analysis and negotiation strategies.
- Utilized claims management systems to process claims efficiently and maintain accurate records.
- Demonstrated a commitment to providing excellent customer service and adhering to company policies and procedures.
Pronto Insurance Company
Senior Inside Auto Claims Adjuster
01.2018 - 10.2018
Job overview
- Delivered cost-effective solutions by negotiating favorable outcomes with vendors on behalf of the company.
- Maintained compliance with state regulations and company guidelines throughout the entire claims process.
- Managed high-volume caseloads, maintaining organized records and timely communication with all parties involved.
- Supported continuous improvement initiatives within the department by contributing innovative ideas to streamline processes.
- Conducted thorough reviews of repair estimates, verifying accuracy in accordance to industry standards.
- Developed rapport with customers through empathetic listening skills while providing prompt assistance during their time of need.
Education
California State University Fullerton
Bachelor of Arts
Skills
- Claims Handling Expertise: Property (Residential), Casualty, Liability, Auto (PD), Catastrophe (CAT) Response, Coverage Analysis, Policy Interpretation, Damage Assessment, Loss Investigation, Fraud Detection
- Claims investigation
- Negotiation & Settlement: Proven ability to negotiate fair and equitable settlements with claimants, contractors, and legal representatives
- Communication & Interpersonal: Excellent written and verbal communication, active listening, empathy, conflict resolution, and rapport-building skills
- Investigation & Analysis: Meticulous attention to detail in investigating claims, gathering evidence, analyzing policy language, and determining liability
- Regulatory Compliance: Comprehensive understanding of state and federal regulations governing insurance claims handling
- Time Management & Organization: Exceptional ability to prioritize tasks, manage a high caseload, meet deadlines, and maintain accurate records
- Problem-Solving & Decision-Making: Resourceful and decisive in identifying issues, developing effective solutions, and making sound judgments
- Customer Focus: Dedicated to providing exceptional service and ensuring a positive claims experience for all stakeholders
Certification
- Florida All Lines Adjuster License
Languages
Spanish
Full Professional
Timeline
Property and Casualty Adjuster
Pacific Specialty Insurance
04.2022 - Current
Property and Casualty Adjuster
First American
10.2018 - 03.2022
Senior Inside Auto Claims Adjuster
Pronto Insurance Company
01.2018 - 10.2018
California State University Fullerton
Bachelor of Arts
Similar Profiles
Ameyalli MARQUEZAmeyalli MARQUEZ
Cash/Data Entry Operator at Pacific Specialty InsuranceCash/Data Entry Operator at Pacific Specialty Insurance
Ashley ArceAshley Arce
Customer Service Representative /Concierge Representative at Pacific Specialty InsuranceCustomer Service Representative /Concierge Representative at Pacific Specialty Insurance
Lorena FitchLorena Fitch
Insurance Underwriter at Pacific Specialty InsuranceInsurance Underwriter at Pacific Specialty Insurance
Steven MalsbergerSteven Malsberger
Property and Casualty Adjuster at E.A. Renfroe & Company IncProperty and Casualty Adjuster at E.A. Renfroe & Company Inc
Russ CarruthRuss Carruth
Property and Casualty Adjuster at The Best Claims SolutionsProperty and Casualty Adjuster at The Best Claims Solutions