Shannon Navejas
Buena Park,California
Summary
Utilize 16 plus years experience in the Auto Insurance Industry, to seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
1
1
year of professional experience
Work History
Special Investigator II
Mercury Insurance Company
09 2008 - 01 2022
- Cultivated strong professional network that facilitated access to valuable resources during complex investigations.
- Enhanced case resolution efficiency by creating standard handling processing.
- Promoted ethical work environment at all times, adhering strictly to industry standards and best practices.
- Improved team communication and collaboration by leading regular meetings to discuss ongoing cases and updates.
- Conducted training for current and new employees, providing clear instructions for case handling.
- Refined training programs to develop and enhance claims handling.
- Expedited case closures by effectively prioritizing tasks based on urgency and importance.
- Ensured compliance with all relevant laws, regulations, and policies.
- Collected, analyzed and interpreted information, documentation, and physical evidence associated with investigations.
- Conducted interviews with witnesses and clients.
- Offered industry training seminars on investigative techniques, elevating skill level within department and fostering collaboration among team members.
- Ensured compliance with legal regulations during investigations, minimizing risk for litigation or procedural errors.
- Boosted productivity by training and guiding 12 employees.
- Presented information at professional forums, conferences and associations.
Claims Supervisor
Mercury Insurance
09.2005 - 09 2008
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Advanced to Training Supervisor within 3 months.
- Created Catastrophe Claims Handling Check-Lists, resolving over 5,000 claims in one season.
- Conducted regular audits of claim files, ensuring compliance with company policies and industry regulations.
- Reduced claims open/closing ratio for branch, implementing efficient workflow improvements and streamlining process.
- Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
- Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
- Assisted recruitment and selection of new claim adjusters, ensuring necessary skills and expertise to excel.
- Maintained up-to-date knowledge on industry trends, best practices, and regulatory changes ensuring optimal decision-making in claims management process.
- Enhanced team productivity by providing ongoing training and mentorship to claims adjusters.
- Coordinated resources efficiently during high-volume periods, ensuring seamless operations without compromising service levels.
- Achieved high customer satisfaction ratings by maintaining open lines of communication and addressing concerns promptly.
- Optimized resources allocation by monitoring workload distribution among team members, leading to increased efficiency within department.
- Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
- Fostered positive work environment that promoted collaboration, teamwork, and open communication among staff members.
- Contributed to development and implementation of departmental goals and objectives, aligning them with broader organizational strategies.
Claims Adjuster
Mercury Insurance
02.2005 - 09.2005
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Answered customer questions and resolved concerns efficiently.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Identified potential fraud indicators early investigation process, protecting company assets from potential losses due to fraudulent activity.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Attended industry conferences and workshops to stay current on trends and developments within field of claims adjusting.
- Facilitated smooth transitions for policyholders during claim process by liaising between various departments, ensuring all parties were informed and engaged.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout claims process, receiving over 1,000 perfect scored customer survey responses.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Contributed to positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
Education
Accredited Course Material -
National Education Association
Los Angeles, CA11.2019
Private Investigations Certificate -
California State University
Fullerton, CA07.2014
Certificate - Claims Management
Mercury Insurance Claims Management
Brea, CA03.2006
Associates - Criminal Justice
Mount San Antonio College
Walnut, CA06.2002
High School Diploma -
Buena Park High School
Buena Park, CA06.2000
Skills
- Nationally Accredited Educator in Claims Training
- Microsoft Software Proficiency
- Organization and Time Management
- Interpersonal Communication
- Analytical Thinking
- Attention to Detail
- Dependable and Responsible
- Supervision and leadership
- Claims Processing and Evaluation
- Insurance policy coverage knowledge
- Advanced oral and written communication skills
- Team Collaboration
- Multitasking
Timeline
Claims Supervisor
Mercury Insurance
09.2005 - 09 2008
Claims Adjuster
Mercury Insurance
02.2005 - 09.2005
Special Investigator II
Mercury Insurance Company
09 2008 - 01 2022
Accredited Course Material -
National Education Association
Private Investigations Certificate -
California State University
Certificate - Claims Management
Mercury Insurance Claims Management
Associates - Criminal Justice
Mount San Antonio College
High School Diploma -
Buena Park High School
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