David Alan Mendoza

*** ********* *****, *****, ** 08618 / 973-***-**** / actb11@r.postjobfree.com

Objective To obtain a position with a company where I can contribute to its success by utilizing my

experience and education in all areas of business.

Experience Progressive Insurance, Iselin, NJ

Medical Claims Representative

January 2010 to January 2015

Conducted thorough coverage investigations prior to affording medical benefits to claimants.

Obtained all claim related medical bills and ensured they were paid timely and accurately.

Processed income continuation payments to claimants and routinely reviewed their medical treatment to ensure continued payment was appropriate.

Reviewed requests for treatment from providers to determine medical necessity. Approved treatment plans which were appropriate and referred questionable requests for a Medical Director Review or Independent Medical Exam.

Reviewed files on a monthly basis to ensure medical treatment is appropriate to date, all medical bills have been received and paid and move file toward closure.

Kept consistent contact with insureds, claimants and treating providers to ensure all parties stay informed and to address any questions or concerns.

Auto Claims Adjuster

December 2007 to December 2009

Obtained recorded statements with insured drivers, claimant drivers, guest passengers and witnesses to determine liability and identify all exposures related to the accident (ie: Property Damage, Personal Injury Protection, Bodily Injury).

Set up vehicle inspections, vehicle drop off for repairs and rental vehicles.

Reviewed all statements and police report to determine need for further investigation and referral to Special Investigations Unit.

Attempted to settle all total loss claims within 7 days

Kept in constant contact with insureds and claimants to provide updates on the status of vehicle repairs and to address any questions or concerns they may have.

Enterprise Rent A Car, Newark/Lawrenceville, NJ

Management Trainee

March 2006 to November 2007

Developed new business by providing excellent customer service.

Maintained good business relationship with assigned body shops in the area by addressing the concerns and needs of their customers.

Thoroughly explained rental contracts, including insurance to all customers.

Ensured all rental vehicles were clean, presentable and well maintained.

Observed rental vehicles and documented all damage prior to releasing and after return.

Monitored branch fleet throughout the day to ensure a sufficient amount of vehicles would be available to walk in customers as well as customers with reservations.

Monitored assigned list of customers to ensure rental charges were covered and prevent any delinquency.

Clarendon National Insurance, Saddle Brook, NJ

SIU Assistant Coordinator

November 2002 to February 2005

Prepared investigators' assigned files by ensuring all relevant documents and information was obtained and placed in the file.

Kept accurate record of all open and closed files, including number of files closed per investigator and date of closure.

Assisted investigators with statements and field work when spanish translation was needed.

Education New Jersey City University, Jersey City, NJ

September 1997 to May 2002

Bachelor‘s Degree

Business Management

References References are available on request.

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