Summary
Overview
Work History
Education
Skills
LANGUAGES
ADMISSIONS
Timeline
Generic

Yolanda E. Figueroa

Summary

Insurance professional with proven track record in claims management and resolution. Known for thorough claim investigations and effective dispute resolution. Team-oriented with strong commitment to achieving results and adapting to evolving needs. Skilled in policy analysis and customer communication.

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 [Number] years of experience interviewing specialists, witnesses and claimants to compile information.

Detail-oriented Examiner with [Number] years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and [Area of expertise].

Detailed Adjuster with [Number] years of experience in corporate insurance claims. Strong command of claimant information intake processes, records documentation and fraudulent investigation protocols. Impactful skills preparing operational reports, presenting [Type] information to audiences and approving claim payouts.

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

20
20
years of professional experience

Work History

  • Worked with limited oversight, reviewed demand letters, civil complaints, administrative and regulatory proceedings, arbitration demands, etc., to provide coverage, liability, and damages analyses for complex Directors & Officers Liability (“D&O”) claims and Employment Practices Liability (“EPL”) claims, including setting reserves, and presenting to senior management for approval of significant reserve increases when necessary;
  • Analyzed policies and endorsements, client instructions, and other records to determine whether loss fell within policy coverage;
  • Managed claims in litigation, i.e., selected defense counsel, reviewed and approved legal budgets and fee statements;
  • Worked proactively throughout litigation with counsel to provide a defense and proceed towards early claims resolution;
  • Demonstrated strong negotiation skills effectively at mediations and settlement conferences;
  • Established close working relationships with insureds, underwriters, brokers, and counsel to aid in beneficial resolution of any policy and/or claims issues;
  • Engaged with underwriters to aid in determining what kinds of risks to underwrite and whether insureds should be kept on risk;
  • Prepared large claim reports related to matters of sizable reserve and trial activity, which included details of claim; coverage, liability, and damages analyses; strategy for resolution, and recommendations for setting reserve increases; and
  • Managed diary in a timely manner and completed tasks promptly to ensure that matters moved efficiently to optimal resolution;

  • Researched state and federal case law, implications for settlement negotiations, and drafted memorandums of law to NYC Comptroller seeking authorization for settlement of attorney’s fees claims;
  • Negotiated with public advocacy groups, parents, and private attorneys to arrive at mutually beneficial settlements;
  • Drafted and prepared pleadings and dispositive motions, as well as responded to and propounded discovery in preparation for trial;
  • Represented client in mediation with United States Navy regarding easement rights resulting in positive result for client; and
  • Prepared pre-trial litigation documents, including dispositive motions, with respect to the 1993 World Trade Center bombing civil litigation.

Professional Liability Claims Advisor

Sedgwick
01.2025 - Current
  • Professional Liability Claims Advisor (Argo’s Professional Lines post-delegation)

Senior Technical Claims Specialist

Argo Management Services, Inc.
01.2020 - 01.2025
  • Senior Technical Claims Specialist (Professional Lines)

Temporary Claims Analyst

Argo Management Services, Inc.
01.2019 - 01.2020
  • Temporary Claims Analyst (Secondment from Kaufman Dolowich & Voluck)

Insurance Coverage Associate

Kaufman Dolowich & Voluck
01.2018 - 01.2019
  • Insurance Coverage Associate

Insurance Defense Associate

Boyd Richards Parker Colonnelli, LLP
01.2009 - 01.2009
  • Insurance Defense Associate

Claims Analyst IV

AIG Property Casualty, Inc.
01.2005 - 01.2009
  • Claims Analyst IV (Financial Institutions)

Education

Juris Doctorate -

Fordham University School of Law
New York, NY

Bachelor of Arts - English

Oberlin College
Oberlin, OH

Skills

  • Claims analysis
  • Policy interpretation
  • Claims investigation
  • Teamwork and collaboration
  • Problem-solving
  • Insurance policy knowledge
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking
  • Excellent communication
  • Critical thinking
  • Organizational skills
  • Decision-making skills
  • Active listening
  • Effective communication
  • Workload prioritization
  • Claims evaluation
  • Task prioritization
  • Analytical thinking
  • Information gathering
  • Risk assessment
  • Complex Problem-solving
  • Payment processing
  • Professionalism
  • Settlement negotiations
  • Time management abilities
  • Written communication
  • Litigation management

LANGUAGES

Oral and written fluency in Spanish

ADMISSIONS

  • New York
  • Supreme Court of the United States

Timeline

Professional Liability Claims Advisor

Sedgwick
01.2025 - Current

Senior Technical Claims Specialist

Argo Management Services, Inc.
01.2020 - 01.2025

Temporary Claims Analyst

Argo Management Services, Inc.
01.2019 - 01.2020

Insurance Coverage Associate

Kaufman Dolowich & Voluck
01.2018 - 01.2019

Insurance Defense Associate

Boyd Richards Parker Colonnelli, LLP
01.2009 - 01.2009

Claims Analyst IV

AIG Property Casualty, Inc.
01.2005 - 01.2009

Bachelor of Arts - English

Oberlin College

Juris Doctorate -

Fordham University School of Law
Yolanda E. Figueroa