Yolanda Lujan
San Diego,CA
Summary
Qualified claims adjuster with over 8 years of experience in the claims department and many more in customer service. Proficient in handling claims based on company and industry standards. Ability to work independently and collaboratively. Possess a comprehensive understanding of contract interpretation, investigative handling and adhering to company policies.
Overview
10
10
years of professional experience
Work History
Bodily Injury Claims Adjuster
GEICO
05.2024 - Current
- Engaged in ongoing training programs to remain informed on industry trends and regulatory changes.
- Negotiated settlement terms with attorneys, claimants, and co-defenders effectively.
- Conducted interviews with relevant parties to assess claim denials or settlements.
- Gathered detailed information from policyholders, witnesses, and third parties regarding injury events.
Coverage Damage Unit Adjuster
GEICO
01.2022 - 05.2024
- Delivered tailored customer service to meet individual caller needs.
- Reviewed claims with emphasis on liability, policy limits, and insurance fraud.
- Facilitated claims settlements through effective communication skills.
- Collaborated with insurance investigators to gather fraud evidence for management presentation.
- Achieved top quartile ranking, placing 7th in the company nationwide for 2024.
Performance Monitoring Analyst
GEICO
01.2019 - 01.2022
- Conducted audits of calls and files to evaluate compliance of adjusters.
- Collaborated with management to develop standards for handling guidelines.
- Ensured strict adherence to company policies across all operations.
- Provided comprehensive feedback to supervisors and adjusters on claims handling practices.
- Monitored trends in claims handling and presented findings to upper management.
Claims Service Representative
GEICO
01.2015 - 01.2019
- Provided exceptional customer service to all clients, fostering satisfaction and loyalty.
- Conducted thorough liability investigations to support case resolutions.
- Maintained organized dashboard of assignments, assisting team members with overdue tasks.
- Advised clients on auto repair processes, ensuring recommendations met customer needs.
- Facilitated escalations for further handling as necessary.
Education
Bachelor of Arts - Sociology
University of California Santa Barbara
Santa Barbara, CA06-2009
Skills
- Conflict resolution
- Adaptability
- Insurance policy coverage knowledge
- Medical records analysis
- Settlement negotiation
- Litigation management
- Attention to detail
- Multitasking and organization
- Critical thinking
- Verbal and written communication
Timeline
Bodily Injury Claims Adjuster
GEICO
05.2024 - Current
Coverage Damage Unit Adjuster
GEICO
01.2022 - 05.2024
Performance Monitoring Analyst
GEICO
01.2019 - 01.2022
Claims Service Representative
GEICO
01.2015 - 01.2019
Bachelor of Arts - Sociology
University of California Santa Barbara
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