VLADIMIRA BOHORQUEZ
Cypress,TX
Summary
Claims Specialist with experience managing complex insurance claims from pre-suit through trial resolution. Skilled in coordinating with defense counsel, evaluating liability and damages, and negotiating settlements that align with company risk strategy.
Overview
21
21
years of professional experience
Work History
Litigation Specialist
Germania Insurance
Brenham, TX
02.2025 - Current
- Acquired an understanding of the litigation procedures to effectively navigate discovery, depositions, mediation, and trial preparation phases.
- Manage a caseload of litigated insurance claims, overseeing files from initial suit filing through resolution or trial.
- Collaborate with defense counsel to develop effective strategies for resolution, review legal filings, and prepare for depositions, mediations and trial.
- Facilitate discovery management by organizing evidence and maintaining comprehensive documentation for each case.
- Conduct thorough investigations of claims, gathering critical evidence to support case resolution.
- Identify potential risks or weaknesses in cases early on allowing proactive strategizing towards optimal resolution.
- Negotiate settlements in mediation settings.
- Participate in professional development initiatives for consistent improvement and up-to-date knowledge of emerging trends and best practices.
- Draft and issue reservation of rights letters based on coverage analysis, ensuring compliance with policy language and state regulation.
Senior Claims Representative III
Germania Insurance
Brenham, TX
08.2019 - 02.2025
- Investigated and resolved complex claims, ensuring adherence to internal claim handling standards and state regulatory compliance.
- Communicated effectively with clients to gather necessary information for claim resolution.
- Analyzed complex claims to identify potential fraud or discrepancies, escalating issues as necessary.
- Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
- Conducted in-depth reviews of medical records to assess claim value.
- Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
- Negotiated settlements with claimants and attorneys, achieving favorable outcomes for both parties.
- Provided an overview of team processes to new employees.
Claims Representative
Farmers Insurance
Houston, TX
10.2005 - 08.2017
- Conducted thorough investigations, evaluations, and negotiations of auto and home policy claims to ensure equitable settlements.
- Collected and organized recorded statements, police reports, photographs, and other essential information to support comprehensive liability investigations.
- Executed comprehensive coverage investigations to ensure compliance with policy standards.
- Achieved completion of specialized investigations training program.
- Delivered exceptional customer service through consistent communication regarding updates on the status of their claims.
- Managed a high volume of cases efficiently, prioritizing tasks based on urgency and complexity while consistently maintaining exceeding file quality.
- Collaborated with medical professionals, attorneys, and other experts to gather evidence and validate claims accurately.
Education
Bachelor of Science - Communications/Marketing
University of Houston
Houston, TX2002
Skills
- Litigation management
- Customer service
- Coverage analysis and policy interpretation
- Liability and damages assessment
- Settlement Negotiation
- Multitasking and organization
- Problem Solving and Critical thinking
- Caseload management
- Advanced oral and written communication skills
- Risk assessment and exposure analysis
- Workflow management
Timeline
Litigation Specialist
Germania Insurance
02.2025 - Current
Senior Claims Representative III
Germania Insurance
08.2019 - 02.2025
Claims Representative
Farmers Insurance
10.2005 - 08.2017
Bachelor of Science - Communications/Marketing
University of Houston