Ramon Peralta
Claims
Lakeland,Florida
Summary
Ethical Auto Claims Adjuster with excellent customer service skills to take on multiple cases while meeting strict deadlines. Adept at determining the level of loss for auto claims cases and deciding on a fair compensation for clients. Strong organizational and communication traits. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Overview
7
7
years of professional experience
3
3
Certificate
2
2
Languages
Work History
Liability Claims Adjuster
GEICO
03.2022 - Current
- Examined claims forms and other records to determine insurance coverage.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Prepared summaries of damage, payments, and policy coverage.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Directed claims negotiations.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information
- Established relationships with clients and insurance companies to foster timely claims resolution
- Answered customer questions regarding deductibles
- Verified insurance claims and determined fair amount for settlement
- Documented all investigation activity and presented reports to management
- Managed over 20-50 customer calls per day while conducting investigates, review evidence and communicated with claims related adjusters.
Bilingual Customer Service
GEICO
02.2016 - 03.2022
- Gained customer trust by providing knowledgeable and accurate information in both English and Spanish.
- Assisted customers with Spanish-language inquiries in a timely and professional manner.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Provided language translation services for customer service inquiries.
- Identified and responded to customer requests and concerns through email, online chat, and phone for both English and Spanish-speaking customers
- Managed over 50 customer calls per day.
- Communicated with management when customer issues escalated and worked to find resolutions
- Met all call quality standards and daily quotas for first-call resolution
- Helped improve customer satisfaction by translating customer paperwork and company documentation
- Investigated and resolved customer inquiries and complaints quickly
Education
High School Diploma -
Miami Job Corps Center
Opa-locka, FL02.2005
Skills
- Internal Fraud
- Damage Mitigation
- Claims Process Explanation
- Account Updates
- Investigation Techniques
- Collection Processes
- Legal Proceedings Knowledge
- Insurance Policy Coverage Knowledge
- Determine Coverage
- Litigation Support
- Minimize Exposure
- Customer Satisfaction
Certification
- 06-20 Adjuster - All Lines License - April 2022
- 20-44 Personal Lines Agent License - August 2019
- 04-40 Customer Representative License - March 2016
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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