Yovanna Fernandez

Demonstrated excellent communication and interpersonal abilities to foster collaboration.

Utilized strong analytical skills for evaluating insurance obligations and determining claim payouts.

Managed complex claims effectively through superior time management techniques.

Negotiated successfully with claimants and attorneys to resolve disputes.

Conducted thorough liability determinations to assess claim validity.

Exhibited sharp attention to detail in all aspects of claims processing.

Applied problem-solving skills to navigate challenging claims scenarios.

• Coordinated with medical professionals to obtain necessary documentation for claims evaluation.
• Ensured timely responses to client inquiries regarding claim statuses and processes.

• Conducted thorough investigations to assess liability in bodily injury claims.
• Reviewed medical records and accident reports to evaluate damages and settlement options.
• Negotiated settlements with claimants, ensuring fair compensation for both parties.
• Negotiated medical bills
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• Communicated effectively with clients to provide updates and gather necessary information.
• Identified potential fraud cases through detailed risk assessment and analysis.
• Trained new adjusters on best practices for handling bodily injury claims.

• Conducted thorough claim investigations to validate details and ascertain liability for bodily injury claims.
• Performed quality control checks on all claim files prior to submission for approval or closure.
• Reviewed witness statements and police reports to gather evidence and support claim determinations.
• Provided exceptional customer communication to guide claimants through the claims process and address inquiries.
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• Analyzed and audited open claims to calculate additional payments owed.
• Completed required investigations on referred files within established timeframes.
• Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.