ADRIANA B. PULIDO
Claims Adjuster
Licensed Property and Casualty
Adjuster. Extensive computer fluency
and capability in various software
programs. Excellent customer
service/interpersonal communication,
writing and research skills, excellent
general liability claims and high-level
negotiation expertise in resolving
claims to the satisfaction of all
involved parties. Knowledgeable in
multiple jurisdiction. Persuasive
communication skills. Multi-task
oriented. Handle high volume of
claims in a fast-paced environment
while identifying and resolving
problems / opportunities in a timely
manner. Experience includes working
with standard and non-standard
policies. Cultivate forward-thinking
mindsets in trainees and mentees and
guide teams through creative
solutions for moving claims forward
while providing remarkable customer
service. Xactimate & XACT analysis
proficient. Knowledgeable of
reconciliation of estimates process
from Contractors/PA’s.
Skills:
• Critical thinking
• Building
• Coaching
• Jurisdictional Resource
• Collaboration and
relationship
PHONE:
EMAIL:
ad1o3b@r.postjobfree.com
(primary)
ad1o3b@r.postjobfree.com
( secondary)
Work Experience
Pilot Catastrophe: Hippo Insurance Property Desk Examiner 2021-2023 Worked Daily claims evaluated facts of the loss and interpreted state and/or federal laws and regulations. Provided with their hurricane deductible and coverage information. Get description of damages and confirm damages. Handle 1st party property claims as assigned. Handled recoverable depreciation reimbursement and supplements. Monitor assignment queues for new assignments and ensure timely handling of investigation. Answered customer questions regarding deductibles.
State Farm Insurance: EA Renfroe: Auto Adjuster / Team Lead ( 2014-2021) Managed complex & total loss claims through the life cycle. Investigation, evaluation. Assisted as a team lead role. Training include introduction to upskilling on the State Farm cultural technical tools, and claim review process resulting in quality claim handling and timely conclusion of claims. Composed/analyzed reports and shared information to influence behaviors which drove results.
State Farm Insurance: EA Renfroe: Bodily Injury Adjuster ( 2014-2020) Handled files from non-represented to pre-litigation. Scope ranging from soft tissue to permanent injury. Handled PIP/MPC, 3rd Party Liability and Workers Compensation. Handled reserves of up to $300k. Policy interpretation and exposure recognition. Coverage determination, liability investigation and analysis including comparative negligence issues. Take recorded statements, document the les with every aspect of the claim and make 24-hour contact for a prompt resolution of the claim. Review medical records and bills to make a bodily injury claim with an attorney or directly with the injured party. Complete bodily injury evaluations summary including causation, diagnosis treatment and general damages. Refer questionable and suspicious claims to SIU. Responded in a timely manner to TLD. Resolved claims demonstrating a thorough knowledge of statutes, regulations and company procedures. Took and reviewed photographs, written and video-taped statements. Analyzed case facts and monitored activities in order to identify possible fraud and/or abuse, and/or third-party liability throughout the course of the claim. Investigate coverage and liability. Handled property damage estimates, vehicle rentals. Security First Insurance; FKS Insurance Services; — Property Desk Examiner 2017 Consistently provided excellent customer service to policyholders after suffering a catastrophe loss. Evaluated facts of the loss and interpret state and/or federal laws and regulations. Provide with their hurricane deductible and coverage information. Get description of damages and confirm damages. Handle 1st party property claims as assigned. Handled recoverable depreciation reimbursement and supplements. Monitor assignment queues for new assignments and ensure timely handling of investigation. Answered customer questions regarding deductibles.
Certifications and Licenses
Texas P&C (resident state) #1997774
Alabama – nonresident license
Oregon – nonresident license
Florida – nonresident license
Louisiana– nonresident license
Michigan– nonresident license
Mississippi – nonresident license
Minnesota – nonresident license
Georgia – nonresident license
Oklahoma – nonresident license
Wyoming – nonresident license
Liberty Mutual certification
California Earthquake Certification
Bilingual: English/Spanish
Education
Century High School 06/2006 – Diploma
Collene Ohara Cosmetology Beauty Academy
Newbridge College
Medical Billing/Office Management, CPT,HCPCS, Medical Terminology TexstaTexas P&C (resident state) #1997774- expires 10/03/2019 Florida P&C # W272797 - expires 10/31/2019 Indiana P&C # 3178709 - expires 10/31/2020 Minnesota P&C # 40601563-expires 10/31/2019 te) #1997774- expires 10/03/2019 Florida P&C # W272797 - /2019 Indiana P&C # 3178709 - expires 10/31/2020 Minnesota P&C # 40601563-expires 10/31/2019 C (resident state) #1997774- expires 10/03/2019 Florida P&C # W272797 - expires 10/31/2019 Indiana P&C # 3178709 - expires 10/31/2020 Minnesota P&C # 40601563-expires 10/31/2019