JESSE MONTALVO
**** ******* **** • East Chicago • IN • 46312
ac26tz@r.postjobfree.com
Self-driven, meticulous, bi-lingual customer service representative with over ten years of experience specializing in Insurance Claims Assessment. Possesses practical knowledge in claims resolution to include bodily injury, general liability, auto property damage, total loss and subrogation. Targeting a challenging career where my claims handling expertise would be utilized to deliver quality results in maximizing the growth and profitability of your organization.
CORE COMPETENCIES: Bi-lingual - Spanish (Fluent) • Managerial Experience • Financial Budgets
• Premium Auditing • Large Accounts Billing (Insurance) • Accounts Payable/Receivable • Microsoft Office Suite
PROFESSIONAL EXPERIENCE
American Access Casualty Co., Downers Grove, IL (2017) - Claims Representative
Comprehensively investigated, analyzed, negotiated and settled multiple 1st and 3rd party auto accident claims, ensuring an equitable settlement for all parties involved within a fast-pace environment
Assessed 1st and 3rd party vehicle repair process by written/computer estimates, payment of appraisals, supplement estimates, monitoring rental exposure, total losses and negotiation of subrogation with carriers
Analyzed, negotiated and settled (minor to complex) auto bodily injury claims after monitoring medical treatment and/or other ongoing procedures for relevance, while adjusting the claims reserves accordingly
Efficiently settled (minor to moderate) 1st and 3rd party bodily injury claims on a (1st call) settlement basis by adhering to organizations protocol and all statutory/regulatory fair claims guidelines
Conducted thorough investigations by determining coverage, accepting/denying liability, phone interviews, recorded statements with all parties involved, assessment of police reports and inspecting vehicle damage
Built and managed relationships with insureds, claimants, and agents by guiding and directing them through the claims process to create and maintain an excellent customer-service focused environment
Limo Emporium Inc., Crown Point, IN (2009 - 2017) - Manager/Operator
Managed day-to-day operations of limousine organization in accordance with corporate guidelines
Directed, coached, and developed chauffeurs focusing on client satisfaction and growth of organization
Initiated and followed-up with clients to successfully communicate instructions for livery services
Supported reservations staff and operators during unanticipated high volume surges
Established brand loyalty by delivering exceptional customer service to and from pre-determined locations throughout Illinois (Chicago-Metro), Indiana, and Michigan (5,000 proven clientele database)
Farmers Insurance Group, Indianapolis, IN (2006 - 2009) - Senior Claims Representative
Conducted prompt and thorough investigations on 1st and 3rd party bodily injury claims by verifying policy coverage, interpreting contracts, inspecting property damage, loss analysis, accepting/denying liability, and setting applicable reserves to determine the scope of the company's liability to negotiate and finalize claims
Analyzed 1st and 3rd party (minor to complex) bodily injury claims prudently monitoring ongoing medical treatment and/or other procedures for injury relevance, while continuously adjusting reserves appropriately
Successfully settled (minor to moderate) 1st and 3rd party bodily injury claims on a (1st call) settlement basis and/or a timely manner within authority limit; adhering to all statutory and regulatory fair claims practices
Worked remotely from home (field adjuster) with minimum supervision; conducted scene investigations, met with insureds, claimants, and all parties involved while gathering, securing and preserving evidence
Managed over (150) ongoing bodily injury claims, while maintaining excellent customer satisfaction and continuously exceeding work performance goals within a high-pressure, deadline driven environment
EDUCATION
Calumet College of St. Joseph, Whiting, IN (2006)
Bachelor of Science Degree: Organizational Management