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THOMAS COLUNGA
Fresno,CA
Work Preference
Summary
CAREER SUMMARY A goal-oriented, high-energy, skillful negotiator. Uses legal background in implementing strategies to accomplish organizational goals based on logic Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 23 years of experience interviewing specialists, witnesses and claimants to compile information.
Overview
27
27
years of professional experience
Work History
Senior Claims Consultant
AIMS Insurance Services
Fresno, CA
10.2024 - 05.2026
- Led complex claims investigations to serve as the administrator for cities within the California San Joaquin Valley an most of the public entities for tort claims and public entity claims (ie police harassment and Constitutional rights violations ( Civil Rights violations. Freedom of Speech, Unlawful rights etc.
- Developed training materials for junior consultants, enhancing team knowledge on claims processing standards.
- Streamlined claims review processes, resulting in improved turnaround times and customer satisfaction.
- Collaborated with cross-functional teams to design innovative solutions for claims management challenges.
Broadspire Claims Senior / General Liability Construction Defect Representative
Live Nation Entertainment / CNA Insurance
04.2020 - 07.2023
- Professional Liability and E&O for CNA insurance and 50% CONSTRUCTION DEFECT
- For Miscellaneous Professions / Coverage issues
- Applied skills for various clients, my latest client is, Coverage specialist
- Work and maintain a good relationship with clients
- Administrative tasks including bill paying, maintaining my logs to reflect the latest information on every file of my caseload
- Maintained 150 litigated files
- Appeared at mediations and arbitrations
- Maintained proper reserves for every file.
- Served customers with knowledgeable, friendly support at every stage of the claim process
- Greeted customers and offered assistance with questions they had regarding the claim process
Claims Consultant
Sedgwick
01.2024 - 07.2024
- UC Regents for Southern California doing EPL / GL claims. Construction Defect / Construction GL
Construction Defect / GL & E&O Adjuster
Gallagher Bassett Services Inc.
Aliso Viejo, CA
05.2017 - 04.2020
- Received tenders for contribution of multi-party construction defect claims
- BI claims from construction site accidents throughout the US
- Determined professional Liability for various contractors involved in construction projects
- E&O analysis on agency claims, E&O for architecture and engineering
- Determined quality department standards, practices, and procedures.
- Established and tracked quality department goals and objectives.
Complex Claims Specialist
Knightbrook Insurance Co
09.2015 - 05.2017
- Determined liability on Trucking claims throughout the United States
- Worked directly with the carrier to resolve claims
- Preparation and maintenance of a pending case file of 200 BI and Property damage.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
G/L Entertainment Adjuster
AFA / HISCOX
Anaheim, CA
10.2013 - 05.2015
- Intake of claims from production companies during movie shoots
- BI / PD claims in slight to extreme severity
- Collaborated directly with the carrier to resolve claims.
- Examined claims forms and other records to determine insurance coverage.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Analyzed information gathered by investigations to report findings and recommendations.
Property, Casualty / E&O Claims Specialist
State Farm Insurance
Irvine, CA
01.1999 - 01.2013
- Maintained a pending claim file that consists of 70% commercial G/L and Construction Defect and 30% E&O claims, primarily agency claims and commercial property losses
- Managed a pending claim caseload averaging 75% litigated losses, while assuring a 109% closing ratio
- Serviced clients in manufacturing, restaurant owners, contractors, and builders
- Also, Homeowners claims for property damage and bodily injury losses
- Contributed to the coverage unit
- Being promoted to claim litigation specialist within two years of hire.
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
- Used xactimate to compile estimates for personal property and structure damage.
- Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
Education
J.D. - Law
Western State University College of Law
Fullerton01-1999
Bachelor of Arts - English Literature
Long Beach State University
Long Beach, CA05-1989
Skills
- Casualty/ BI / Auto / Property Damage Claims Specialist Litigation Specialist and Negotiations
- Construction Defect
- Automobile Claims Specialist
- Production Records
- Reserves Adjustment
- Report and Records Review
- Litigation Management
- Sourcing and Compiling Information
- Customer Experience
- Claims investigation
- Claims analysis
- Customer service
Timeline
Senior Claims Consultant
AIMS Insurance Services
10.2024 - 05.2026
Claims Consultant
Sedgwick
01.2024 - 07.2024
Broadspire Claims Senior / General Liability Construction Defect Representative
Live Nation Entertainment / CNA Insurance
04.2020 - 07.2023
Construction Defect / GL & E&O Adjuster
Gallagher Bassett Services Inc.
05.2017 - 04.2020
Complex Claims Specialist
Knightbrook Insurance Co
09.2015 - 05.2017
G/L Entertainment Adjuster
AFA / HISCOX
10.2013 - 05.2015
Property, Casualty / E&O Claims Specialist
State Farm Insurance
01.1999 - 01.2013
J.D. - Law
Western State University College of Law
Bachelor of Arts - English Literature
Long Beach State University