Experienced with managing claims processes and leading teams to ensure efficient and accurate handling. Utilizes strong analytical skills and attention to detail to identify issues and implement effective solutions. Track record of fostering teamwork and maintaining high standards in claims management.
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Claims Supervisor position. Ready to help team achieve company goals.
Overview
18
18
years of professional experience
1
1
Certification
Work History
CLAIMS SUPERVISOR
UNIVERSAL NORTH AMERICA
08.2023 - Current
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Assisted in the recruitment and selection of new claims adjusters, ensuring they possessed the necessary skills and expertise to excel in their roles.
Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Reduced claim processing time by implementing efficient workflow improvements and streamlining processes.
Established and checked coding procedures, monitored reports and updated internal files.
Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
Gathered sensitive information to update customer profiles and help with appeals process.
Optimized resources allocation by monitoring workload distribution among team members, leading to increased efficiency within the department.
Determined proper course of action for claims processing.
Achieved high customer satisfaction ratings by maintaining open lines of communication and addressing concerns promptly.
Optimized case management with establishment of best practices.
Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
Conducted regular audits of claim files, ensuring compliance with company policies and industry regulations.
Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
Ensured timely resolution of escalated claims by working closely with legal counsel and other stakeholders.
FNOL CLAIMS ADM. ASSOCIATE
UNIVERSAL NORTH AMERICA
05.2020 - Current
Customer Service
Phones
FNOL Inbox
Input FNOL Claims
FNOL Assigning
Mail (FedEx, Certified Mail, Priority Mail)
W9
Training and Support New Hire Employees
Transfers
Reports (ISO & Ofac)
Increased customer satisfaction by resolving complex issues and providing exceptional service at all times.
Developed and implemented strategies to increase customer satisfaction and engagement.
Improved project delivery times with implementation of streamlined communication strategy.
Facilitated training sessions for new employees, ensuring smooth onboarding process.
CUSTOMER SERVICE
ROSS
02.2022 - 11.2022
Customer Service
Stock
Cashier
Recovery
Enhanced customer service skills across organization with targeted training programs.
Provided friendly customer service to guests and addressed concerns.
Increased sales with targeted marketing initiatives and exceptional customer service.
Expedited checkout process for efficient customer service during peak hours.
Delivered world-class customer service to internal and external customers.
Delivered superior customer service and handles client requests.
Confirmed excellent customer service by quickly resolving customer concerns.
BREAKFAST COOK
HAMPTON INN HOTEL
03.2020 - 04.2020
Consistently maintained a positive attitude under pressure, fostering a supportive team environment within the kitchen staff.
Enhanced customer satisfaction by consistently preparing and serving high-quality breakfast dishes.
Managed inventory levels efficiently, proactively ordering supplies as needed to prevent shortages.
Utilized proper cleaning techniques to sanitize counters and utensils used in preparation of raw meat, poultry, fish, and eggs.
Maintained a clean and safe working environment, adhering to strict health and safety guidelines.
Maximized kitchen efficiency by effectively organizing and managing food preparation tasks.
Demonstrated excellent attention to detail when plating dishes, ensuring visually appealing presentation that met restaurant standards.
Reduced wait times for guests by swiftly preparing high-quality breakfast dishes in a timely manner.
Maintained food safety and sanitation standards.
GUEST ROOM ATTENDANT
SLEEP INN HOTEL
11.2019 - 02.2020
Customer Service
Change linens
Clean bathrooms and other surfaces
Vacuum and mop
Restock mini bars and coffee bars
Provide fresh towels and toiletries
Pick up and deliver dry cleaning and provide other amenities for guests
HARD ASSETS MANAGER
FULLER GROUP
03.2018 - 07.2019
Manage vehicle fleet and landscaping equipment
Schedule repairs
Customer Service
Find and assist suppliers of parts and services
Coordinate all services for new vehicles and landscaping equipment
Managed and motivated employees to be productive and engaged in work.
Accomplished multiple tasks within established timeframes.
Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Maximized performance by monitoring daily activities and mentoring team members.
Cross-trained existing employees to maximize team agility and performance.
Achieved departmental goals by developing and executing strategic plans and performance metrics.
Improved safety procedures to create safe working conditions for workers.
Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
Reduced operational costs through comprehensive process improvement initiatives and resource management.
Established team priorities, maintained schedules and monitored performance.
HUMAN RESOURCES AND PROJECT SPECIALIST
FULLER GROUP
09.2017 - 03.2018
Employees background and reference check
Weekly interview scheduling of15 to25 candidates
Post job openings
Obtaining all required documentation from candidates
Recruitment process, interviewing and offering of positions
Employee data entry for Payroll and Human Resources Department
New Hire Training Orientation
Resume screening and evaluation
Continuous communication with Operations Department to determine open positions and requirements
Support to the Operations Department relating to uniforms and up-to date trainings
Support in jobs fairs
Managed multiple projects simultaneously, ensuring timely completion and high-quality output.
Established clear lines of communication between all parties involved in projects, preventing misunderstandings or miscommunications from jeopardizing outcomes.
Coordinated cross-functional teams to achieve project objectives and meet deadlines.
Implemented quality control measures, significantly reducing errors and rework.
Facilitated training sessions for project management tools, enhancing team productivity.
Recruited and oversaw personnel to achieve performance and quality targets.
ADMINISTRATIVE ASSISTANT
FULLER GROUP
03.2007 - 09.2017
Customer service to corporate clients and service providers
Payroll preparation
Prepare bills, checks, invoice and purchase orders
Preparation of quotes and contracts
Preparation of charts, reports, proposals and presentations
Supervise equipment and materials distribution to the different projects
Attend to department meetings
Match invoices to purchase orders
Handle property damaged claims
Education
PCA Designation -
Professional Career Institute
Clearwater, FL
10.2021
MBA - Business Administration
University of Phoenix
Guaynabo, PR
05.2015
BBA - Management And Marketing
University of Phoenix
Guaynabo, PR
09.2013
Skills
MS Office Programs (Outlook, Word, Excel, Power Point) Minitab, QuickBooks and Dropbox
Leadership, problem solving, work under pressure and with minimal supervision
Claims management expertise
Communications skills, written and spoken
Claims auditing
Planning and organization
Team motivation
Claims processing
Claims analysis
Team management
Claims investigation and research
Teamwork
Teamwork and collaboration
Customer service
Problem-solving
Time management
Attention to detail
Problem-solving abilities
Multitasking Abilities
Decision-making
Effective communication
Professionalism
Accomplishments
Supervised team of 5 staff members.
Certification
Insurance Adjuster Licenses: Florida, Arizona, Connecticut, Delaware, Georgia, Oregon, Texas, North Carolina, South Carolina and Nevada.
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
CLAIMS SUPERVISOR
UNIVERSAL NORTH AMERICA
08.2023 - Current
CUSTOMER SERVICE
ROSS
02.2022 - 11.2022
FNOL CLAIMS ADM. ASSOCIATE
UNIVERSAL NORTH AMERICA
05.2020 - Current
BREAKFAST COOK
HAMPTON INN HOTEL
03.2020 - 04.2020
GUEST ROOM ATTENDANT
SLEEP INN HOTEL
11.2019 - 02.2020
HARD ASSETS MANAGER
FULLER GROUP
03.2018 - 07.2019
HUMAN RESOURCES AND PROJECT SPECIALIST
FULLER GROUP
09.2017 - 03.2018
ADMINISTRATIVE ASSISTANT
FULLER GROUP
03.2007 - 09.2017
Insurance Adjuster Licenses: Florida, Arizona, Connecticut, Delaware, Georgia, Oregon, Texas, North Carolina, South Carolina and Nevada.
PCA Designation -
Professional Career Institute
MBA - Business Administration
University of Phoenix
BBA - Management And Marketing
University of Phoenix
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