Customer Service Desk Adjuster
Resume:
Ciria Valenzuela De Leyva
All-Lines Adjuster
Contact
El Paso, TX 79928
********@*****.***
Objective
Experienced and versatile All-Line Adjuster with 20+ years of proficiency in Daily and Catastrophe claims, assessing and resolving insurance claims across diverse lines. Skilled in interpreting policy language, conducting thorough
investigations, and negotiating equitable settlements. Seeking to leverage my comprehensive knowledge and proven track record to contribute to exceptional customer service and efficient claims management.
Education
Thomas Jefferson Highschool
El Paso, TX
Highschool Diploma
GPA 3.9
Key Skills
Claims Assessment
Policy Interpretation
Damage Evaluation
Negotiation
Customer Service
Documentation
Bilingual (English and Spanish)
Systems
Advanced Claims
Mitchell
XactAnalysis
Guidewire
NADA
ISO &ECS
AS400
Remedy
Oracle
Imageright
Work History
MAY 2023 – JULY 2023
CAT Property Desk Adjuster Wellington Insurance
FEBRUARY 2023 – APRIL 2023
CAT Property Desk Adjuster Eerie Insurance
NOVEMBER 2022 – FEBRUARY 2023
CAT Mobile Home Total Loss Adjuster Citizens Insurance MAY 2022 – SEPTEMBER 2022
Commercial Auto Desk Adjuster Economical Insurance JULY 2021 – APRIL 2022
Auto Property Damage Adjuster Progressive Insurance JUNE 2020 – JULY 2021
CAT Property Desk Adjuster TD Insurance
NOVEMBER 2017 – FEBRUARY 2020
CAT/Daily Property Desk Adjuster Cypress Insurance SEPTEMBER 2017 – NOVEMBER 2017
CAT Property Desk Adjuster FKS Insurance
JUNE 2016 – AUGUST 2017
CAT Total Loss Desk Adjuster TD Insurance
Licenses
Texas All-Lines (Home State)
- License#1096639
Florida All-Lines
- License#1096639
Alabama Property& Casualty
- License#1096639
Arizona Insurance Producer
- License#1096639
NPN#:1153777
MAY 2003 – NOVEMBER 2013
All-Lines Adjuster Fred Loya Insurance
- Bodily Injury Adjuster
- Auto Total Loss Team Lead
- Auto Total Loss Adjuster
- Auto Liability Adjuster
Professional Experience
Auto Liability Adjuster (20+ years)
• Conducted thorough accident investigations,
determined liability and assessed damages accurately.
• Negotiated settlements with claimants, attorneys, and third parties, achieving equitable resolutions.
• Collaborated with repair shops legal teams, and
medical providers to facilitate seamless claim
processing.
• Maintained organized claim files, documenting
communications, investigations and outcomes.
Auto Total Loss Adjuster (20+ years)
• Conducted thorough assessments of damaged
vehicles to determine total loss eligibility.
• Interacted with policyholders, addressing inquiries and concerns professionally and empathetically.
• Applied industry expertise to negotiate settlements and ensure equitable compensation for total loss claims.
• Analyzed policy coverage and interpreted guidelines to make informed decisions on total loss declarations.
• Maintained meticulous and well-organized claim files, documenting assessments, communications and
outcomes.
Auto Bodily Injury Adjuster (20+ years)
• Managed auto bodily injury claims, showcasing a deep understanding of medical evaluations, policy
coverage, and legal implications.
• Conducted comprehensive reviews of medical reports and documentation to assess injuries and establish accurate compensation.
• Negotiated settlements with claimants and legal
representatives, focusing on achieving equitable
outcomes.
• Applied expertise in insurance policies and regulations to interpret coverage and liability for bodily injury claims.
• Maintained detailed and organized claim files,
documenting medical assessments, communication
and settlements.
Commercial Auto Adjuster (2 years)
• Conducted thorough investigations to determine
liability, assess damages and ensure compliance with commercial insurance policies.
• Collaborated with business owners, fleet managers, and legal teams to facilitate seamless claims
processing.
• Applied industry knowledge to negotiate settlements with claimants, attorneys, and stakeholders, achieving equitable resolutions.
• Evaluated commercial vehicles’ damages and repair estimates, coordinating with repair shops for efficient vehicle restoration.
• Interacted directly with policyholders, addressing inquiries and concerns professionally and promptly.
• Analyzed policy coverage and interpreted guidelines to make informed decisions regarding claim
acceptance.
• Maintained well-organized claim files, documenting assessments, communications and settlements.
Property Adjuster (7+ years)
• Conducted thorough assessments of property damage claims, interpreting policy coverage and determining eligibility for reimbursement.
• Collaborated with Field Adjusters to gather on-site information and ensure accurate claim evaluations.
• Utilized systems such as Claim Center /Xactanalysis / AS400 / Imageright to calculate claim values,
considering depreciation, market values and repair costs.
• Successfully negotiated settlements with policyholders, achieving fair and amicable resolutions.
• Maintained detailed and accurate documentation of all claims- related activities and communications.
• Provided exceptional customer service by addressing policy holder inquiries and concerns in a timely and empathetic manner.
• Collaborated with Field Adjusters, content teams and preferred contractors to expedite claim processing and ensure compliance with company policies and
regulations.
Leadership
Spearheaded a team of 10 Auto Total Loss Adjusters, consistently exceeding quarterly targets. Led the team through strategic process enhancements and focused training initiatives. Recognized for exceptional leadership during my time with Fred Loya Insurance
References
Available upon request.
Contact this candidate