Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Wendy Cruz

Cypress,CA

Summary

Professional eager to pursue career growth into an underwriting role with Travelers. Exceptional versatility with the ability to manage multiple tasks in a pressured environment using analytical and problem-solving skills with acute attention to detail. Ability to form relationships with internal and external clients and peers.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Claim Case Manager

Travelers Insurance
12.2014 - Current
  • Manage 140+ inventory of low to moderate complexity of workers compensation claims with well developed action plans to appropriate and timely resolution.
  • Analyzes claims by investigating and gathering information to determine exposure on claim
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout life of claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Communicates claim activity and processing with claimant and client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.

Underwriter

Auto Club of Southern California
05.2007 - 07.2013
  • Conducted 100 quarterly audits of new business auto insurance applications to ensure accuracy of coverage and appropriate risk classification.
  • Identified and resolved application discrepancies for accuracy, documented decisions and evidence of compliance with applicable state rules and regulations.
  • Made approval and denial recommendations by determining accurate risk levels.
  • Provided excellent customer service by addressing inquiries promptly and offering comprehensive explanations of underwriting decisions.
  • Developed strong relationships with brokers, leading to a higher volume of quality submissions and successful underwriting.

Sr. Claim Specialist

Allstate
04.2000 - 01.2007
  • Assisted four claim adjusters in managing caseloads, ultimately expediting resolution process for clients.
  • Gathered, generated, and filed documents to claim files.
  • Developed strong relationships with claimants, vendors, and legal representatives to enhance cooperation throughout each case's lifecycle.
  • Posted payments to accounts and maintained records.
  • Review of financial reports related to claim payments, minimizing discrepancies and fraudulent activity.

Agent/Broker

Bazzelle Insurance/Allstate
04.1998 - 04.2000
  • Developed new business and managed existing clients.
  • Analyzed client portfolios to identify potential gaps in coverage, offering suitable recommendations based on individual needs.
  • Maintained accurate records of client communications, transactions, policies, and other relevant documentation for seamless operations within agency.
  • Delivered exceptional customer service by proactively addressing concerns and fostering positive experience throughout all interactions.
  • Drove revenue growth by consistently meeting or exceeding sales targets through strategic planning and execution of ten monthly applications.

Education

Associate of Arts - Business - General

Cerritos College
Norwalk, CA
05.2002

Skills

  • Attention to Detail
  • Analytical/Critical Thinking
  • Case Evaluation
  • Decision Making
  • Organizational Skills
  • Insurance policy coverage knowledge
  • Interpersonal Communication
  • Settlement Negotiations
  • Teamwork and Collaboration
  • Underwriting knowledge

Certification

Sr. Claim Law Associate (SCLA), 2004

American Educational Institute

 Automobile Claim Law Specialist

 Casualty Claim Law Specialist

 Fraud Claim Law Specialist

 Legal Principles Claim Specialist



Languages

Spanish
Native or Bilingual

Timeline

Claim Case Manager

Travelers Insurance
12.2014 - Current

Underwriter

Auto Club of Southern California
05.2007 - 07.2013

Sr. Claim Specialist

Allstate
04.2000 - 01.2007

Agent/Broker

Bazzelle Insurance/Allstate
04.1998 - 04.2000

Associate of Arts - Business - General

Cerritos College

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Wendy Cruz