Yasmine Andrade
Elgin,IL
Summary
Licensed Commercial Claims Specialist with 10+ years of experience in commercial property and injury, bodily injury, and auto liability claims. Experienced in policy interpretation, coverage determination, claim investigation, settlement negotiation, fraud identification, litigation coordination, and high-volume caseload management.
Overview
1
1
Certification
16
16
years of professional experience
Work History
Commercial Claims Specialist
Producers National Company
Chicago, Illinois
10.2024 - Current
- Manage a portfolio of commercial property and Injury claims from first notice of loss through investigation, coverage determination, negotiation, payment, and closure.
- Interpret commercial policy language, endorsements, exclusions, deductibles, limits, and contractual provisions to make accurate coverage determinations.
- Negotiated settlements and issued claim payments within authority, ensuring accurate, timely, and well-documented claim file handling to support efficient closure.
- Identified and reported suspicious claim activity to SIU upon recognizing fraud indicators, contributing to fraud prevention efforts.
- Ensured compliance with state regulations, company procedures, policy requirements, and service-level standards to uphold operational integrity.
Senior Bodily Injury Claims Adjuster
Producers National
Niles, IL
09.2015 - 09.2024
- Reviews initial notice of claim, determines extent and validity of coverage, and screens or determines qualification for flow process
- Assessed cases with unclear coverage details to establish necessary measures.
- Negotiates settlements with attorneys, claimants, and/or co-defendants.
- Recognized suspicious claims and submitted them to the Special Investigations Unit.
- Coordinates with the litigation unit while managing claims
- Conducted quarterly claim audits, producing reports with findings and actionable suggestions for management
- Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action
- Responds to various written and telephone inquiries including status reports
- Responds to various written and telephone inquires including status reports
Claims Adjuster
American Access Casualty Company
Oakbrook Terrace, IL
05.2013 - 05.2014
- Interviewed claimants, medical specialists and employers to determine pertinent claim information
- Contacted injured parties and legal representatives to negotiate settlements for claims.
- Managed a caseload of 900 clients each quarter
- Investigated potentially fraudulent claims, emphasizing thoroughness and quality in findings
- Negotiated settlements for claims with injured parties and legal representatives, facilitating fair resolutions
Claims Adjuster III
GEICO
Lakeland, FL
06.2010 - 04.2013
- Facilitated cross training for eight staff members to enhance team knowledge and operational flexibility
- Drafted statements of loss to summarize damages, payments and underlying policy coverage
- Recommended punitive action on fraudulent claims
- Scheduled auto repairs with preferred auto body shops and arranged rental vehicles for clients.
- Coordinated auto repairs with preferred auto body shops and arranged rental vehicles for clients to ensure timely service and satisfaction
Education
Associate of Science - Criminal Justice
Colorado Technical University
Skills
- Claims management
- Claim assessment
- Settlement Negotiation
- Bodily injury assessments
- Policy Interpretation
- Policy investigations
- Caseload Management
- Effective negotiation
Licensing
- Florida All Lines Adjuster License
Florida Department of Financial Services
April 2025 - Presently Active
- Texas All Lines Adjuster License
Texas Department of Insurance
May 2025 - Presently Active
Certification
Medical Careers Institute, Certification of Medical Billing/Coding, 2004
References
References available upon request.
Timeline
Commercial Claims Specialist
Producers National Company
10.2024 - Current
Senior Bodily Injury Claims Adjuster
Producers National
09.2015 - 09.2024
Claims Adjuster
American Access Casualty Company
05.2013 - 05.2014
Claims Adjuster III
GEICO
06.2010 - 04.2013
Associate of Science - Criminal Justice
Colorado Technical University