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Total Loss Claims Adjuster

Location:
Irving, TX
Posted:
December 15, 2023

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Resume:

FLORENTINA S. CRUZ

Email: ad1zfe@r.postjobfree.com

Phone: 214-***-****

LICENSES HELD:

TEXAS

LOUISIANA

FLORIDA

ALABAMA

ARKANSAS

GEORGIA

MICHIGAN

MISSISSIPPI

MINNESOTA

NEW MEXICO

OKLAHOMA

SOUTH CAROLINA

WYOMING

EXPERIENCE:

07/09/2023 THEBEST CLAIMS SOLUTIONS, IRVING, TEXAS

11/04/2023 PROGRESSIVE TOTAL LOSS, IRVING, TEXAS

CATASTROPHE - AUTO TOTAL LOSS CLAIMS ADJUSTER

ALL STATES: Confirm liability and coverages and location of vehicle.

Complete vehicle pickup process; owner release, removal of all personals, all keys left inside vehicle for salvage yard to retrieve.

Complete vehicle valuation and total loss summary for actual cash value.

Provide and confirm ACV agreement with owner and or lienholder, along with LOG and title confirmation process.

Process total loss payments with confirmation of required total loss documents received and sent to salvage

Open salvage and place total loss closing.

10/11/2022 - Q-TEMPS, L.P./CUSTARD INSURANCE ADJUSTERS, DALLAS, TX 5252:

12/02/2022 2 mo. TEMP ASSIGNMENT:

PROGRESSIVE AUTO CLAIMS, ANTIOCH/NASHVILLE, TN

CATASTROPHE - AUTO TOTAL LOSS CLAIMS ADJUSTER

Confirm liability and coverages and location of vehicle.

Complete vehicle pickup process; owner release, removal of all personals, all keys left inside vehicle for salvage yard to retrieve.

Complete vehicle valuation and total loss summary for actual cash value.

Provide and confirm ACV agreement with owner and or lienholder, along with LOG and title confirmation process.

Process total loss payments with confirmation of required total loss documents received and sent to salvage

Open salvage and place total loss closing.

10/13/2021 - Q-TEMPS, L.P./CUSTARD INSURANCE ADJUSTERS, DALLAS, TX 5252:

05/21/2022 7 mo. 21 DAY TEMP ASSIGNMENT:

PROGRESSIVE AUTO CLAIMS, ANTIOCH/NASHVILLE, TN

CATASTROPHE - AUTO LIABILITY AND TOTAL LOSS CLAIMS ADJUSTER

Review coverages to confirm drivers listed and policy active for the loss date. Open all applicable coverages for single, multi-car accidents, and property damages, other than auto. Negotiate first call BI settlements, when applicable. Reviewed and issued payments on PIP claims. Conduct investigation by contacting all parties involved to secure recorded statements. Retrieve and review police reports. Conduct all means of investigation, by search of ISO, Nexis Lexis and any other available resource to determine and conclude liability within State Compliance. Set up, monitor, review and approve auto estimates of damages. Set up and monitor rental. Issue all payments of damages, supplements and rentals.

Responsibilities also included corresponding with witnesses, attorneys, agents, insurance carriers, and other pertinent companies or individuals, to gather and document all important information to support contested claims for court. Alert appropriate departments and forward documents with regards to any fraud and for any collection efforts. Complete closing of file.

7/1/2021 - FARMERS – JOHN STROMP AGENCY, DALLAS, TX

10/05/2021 Agent/Producer

Marketing, Service work, Renewals, Win-backs.

Develop positive working relationships with clients Approach clients via cold calling and direct mail to inquire about their insurance situations and future needs Deliver policy proceeds after a claim is filed and approved Communicate with Insurance Adjusters about the life cycle of each claim

Transactions with any one or more of the following kinds of insurance:

Property insurance;

Casualty insurance;

Surety insurance;

Marine and transportation insurance;

Mortgage guaranty insurance

Life insurance.

5/21/2021 GENERAL LINES AGENT – Assigned # 2648275

4/18-8/2020 AAA-TEXAS CLAIMS, COPPELL, TX

TOTAL LOSS ADJUSTER

Review coverages to confirm policy active for the loss date. Open all applicable exposures for vehicle loss. Confirm vehicle location. Advise insured or claimant that vehicle is a total loss. Obtain approval from the insured or claimant for authorization to release vehicle from tow yard to salvage yard. Advise insured/claimant to authorize tow/body shop of the release to the salvage yard and advised of all personal items to be removed from vehicle, prior to pick up. Request assignment for salvage yard to pick up vehicle from tow yard/body shop. Confirm all tow and storage charges and advise Copart/IAA of total charges for pickup. Run CCC or Audatex for valuation on the total loss vehicle. Discuss valuation with the owner and confirm which option accepted by insured or claimant. Advise total loss process. Obtain pay-off amount and secure Letter of Guarantee and title copy. Set last day and monitor rental, if applicable. Issue all settlement payments and rental payments.

Responsibilities also included corresponding with attorneys, agents, insurance carriers, and other pertinent companies or individuals, to gather and document all important information to support contested claims for court. Alert appropriate departments and forward documents with regards to any fraud and for any collection efforts.

08/17 – 12/17 Q-TEMPS, L.P., INSURANCE STAFFING, DALLAS, TX 5252:

110 DAY TEMP ASSIGNMENT:

AAA-TEXAS CLAIMS, COPPELL, TX

CATASTROPHE - AUTO TOTAL LOSS CLAIMS ADJUSTER

Responsibilities included; Review coverages to confirm policy active for the loss date. Open all applicable exposures for vehicle loss. Confirm vehicle location. Advise insured or claimant that vehicle is a total loss. Obtain approval from the insured or claimant for authorization to release vehicle from tow yard to salvage yard. Advise insured/claimant to authorize tow/body shop of the release to the salvage yard and advised of all personal items to be removed from vehicle, prior to pick up. Request assignment for salvage yard to pick up vehicle from tow yard/body shop. Confirm all tow and storage charges and advise Copart/IAA of total charges for pickup. Run CCC or Audatex for valuation on the total loss vehicle. Discuss valuation with the owner and confirm which option accepted by insured or claimant. Advise total loss process. Obtain pay-off amount and secure Letter of Guarantee and title copy. Set last day and monitor rental, if applicable. Issue all settlement payments and rental payments.

Responsibilities also included corresponding with attorneys, agents, insurance carriers, and other pertinent companies or individuals, to gather and document all important information to support contested claims for court. Alert appropriate departments and forward documents with regards to any fraud and for any collection efforts.

02/17 – 05/17 Q-TEMPS, L.P., INSURANCE STAFFING, DALLAS, TX 5252:

90 DAY TEMP CAT ASSIGNMENT:

AMERICAN ACCESS CASUALTY COMPANY, DALLAS, TX.

SR. AUTO LIABILITY/PD SUBRO ADJUSTER

PD Subrogation was primary on this assignment as well as new claims.

Responsibilities included; Review coverages to confirm drivers listed and policy active for the loss date. Open all applicable coverages for single, multi-car accidents, and property damages, other than auto. Negotiate first call BI settlements, when applicable. Reviewed and issued payments on PIP claims. Conduct investigation by contacting all parties involved to secure recorded statements. Retrieve and review police reports. Conduct all means of investigation, by search of ISO, Nexis Lexis and any other available resource to determine and conclude liability within State Compliance. Set up, monitor, review and approve auto estimates of damages. Set up and monitor rental. Issue all payments of damages, supplements and rentals.

Responsibilities also included corresponding with witnesses, attorneys, agents, insurance carriers, and other pertinent companies or individuals, to gather and document all important information to support contested claims for court. Alert appropriate departments and forward documents with regards to any fraud and for any collection efforts.

07/16 – 08/16 Q-TEMPS, L.P., INSURANCE STAFFING, DALLAS, TX 5252:

30 DAY TEMP CAT ASSIGNMENT:

GERMANIA INSURANCE, Brenham, TX.

SR. AUTO LIABILITY ADJUSTER

Review coverages to confirm drivers listed and policy active for the loss date. Open all applicable coverages for single, multi-car accidents, and property damages, other than auto. Negotiate first call BI settlements, when applicable. Reviewed and issued payments on PIP claims. Conduct investigation by contacting all parties involved to secure recorded statements. Retrieve and review police reports. Conduct all means of investigation, by search of ISO, Nexis Lexis and any other available resource to determine and conclude liability within State Compliance. Set up, monitor, review and approve auto estimates of damages. Set up and monitor rental. Issue all payments of damages, supplements and rentals.

Responsibilities also included corresponding with witnesses, attorneys, agents, insurance carriers, and other pertinent companies or individuals, to gather and document all important information to support contested claims for court. Alert appropriate departments and forward documents with regards to any fraud and for any collection efforts.

01/14 - 05/16 HORACE MANN INSURANCE, IRVING, TX.

SR. AUTO CLAIMS COUNSELOR: Review coverages to confirm drivers listed and policy active for the loss date. Open all applicable coverages for single, multi-car accidents, and property damages, other than auto. Negotiate first call BI settlements, when applicable. Reviewed and issued payments on PIP claims. Conduct investigation by contacting all parties involved to secure recorded statements. Retrieve and review police reports. Conduct all means of investigation, by search of ISO, Nexis Lexis and any other available resource to determine and conclude liability within State Compliance. Set up, monitor, review and approve auto estimates of damages. Set up and monitor rental. Issue all payments of damages, supplements and rentals.

Responsibilities also included corresponding with witnesses, attorneys, agents, insurance carriers, and other pertinent companies or individuals, to gather and document all important information to support contested claims for court. Alert appropriate departments and forward documents with regards to any fraud and for any collection efforts.

Responsibility also included assisting Team Manager’s out of office voicemails to assist and resolve the caller’s questions or concerns

10/13 – 11/13 Q-TEMPS, L.P., INSURANCE STAFFING, DALLAS, TX 5252:

30 DAY TEMP ASSIGNMENT:

ENDEAVOR INSURANCE, FATE, TX.

AUTO LIABILITY ADJUSTER: Settle or deny, and issue payments to single and multi-car auto property damage claims based on coverage, statements, appraisals, verifiable damages, aid from police report and any other pertinent information and documentation to determine liability, within State compliance.

Responsibilities also included corresponding with witnesses, attorneys, agents, other carriers, etc., to gather important information to support contested claims for court. Attach all documents to file and place proper notations of the investigations to file. Alert appropriate departments and forward documents of fraud and collections.

05/13 – 08/13 90 DAY TEMP ASSIGNMENT: HALLMARK INSURANCE CO., PLANO, TX.

PIP & PD ADJUSTER II: Settle or deny, and issue payments to single and multi-car auto property damage claims based on coverage, statements, appraisals, verifiable damages, aid from police report and any other pertinent information and documentation to determine liability, within State compliance.

Responsibilities also included corresponding with witnesses, attorneys, agents, insurance carriers, etc. to gather important information to support contested claims in court. Prepare and advise client of total loss valuation to completion of total loss requirements. Prepare reports of all investigations to file. Alert and forward documents of fraud, subrogation and collections to the appropriate departments.

01/09 –04/12 IAS CLAIM SERVICES, INC., RICHARDSON, TX. 75080

AUTO CLAIMS ADJUSTER II: Review and Acknowledge new claim assignments. First Contact made. TPA fees issued. Coverages reviewed. Underwriting notification alerts. Secure insured and claimant statements. Request client vehicle inspections. Request police reports. Monitor vehicle inspect request. Review estimates. Liability determination. Forward estimates to customers and body shops. Request and monitor rental reservations for insured and claimants. Issue appraisal payments. Run DCS vehicle reports on insured and claimants. Issue payments for damages to clients. Issue any supplemental payments. Issue rental payments. Request pick-up of total loss vehicles to send to salvage yard. Prepare, monitor and send Total Loss Paperwork to clients. Prepare, send and monitor salvage packages to salvage yard. Request and monitor subrogation collection requests to Subrogation Company. Diary all files. Issue closing notes to files and close files completely. Adjust single vehicle, multiple vehicles, theft, vandalism, fire, glass and tow claims

Additional Duties: Trained and monitored new employees’ work assignments in assisting claims unit. Also, reviewed, re-assigned, updated and/or closed claim files when an adjuster left the company. Assist Claims Manager in daily administrative/operation duties as well.

Office Manager: JoAnne Castillo

01/05 –0 8/08 CRUM&FORSTER, PLANO, TX. 75039

UNDERWRITING ASSISTANT/OPERATIONS: Entries of all Lines of Insurance Business, New and Renewals into system. Acknowledgement to agents of receipt and Underwriter assignments. Set up and distribute all entry files to assigned Underwriters. Entry of declination files into system. Retrieve and distribute Account Loss Run Requests to various agents or insureds. Request Loss Control Reports for various insureds on Property Lines of Business. Update tracking system on incoming Endorsement request from insureds. Process, distribute and mail Endorsement Change requests and Non-Renewal Notifications to Underwriters, Agents and Insureds. Process and mail Renewal Solicitation Letters of policies to agents. Retrieve MVR’s – Motor Vehicle Reports on individual motorist for Quotes and Renewal policies. Retrieve D&B – Dun&Bradford reports on clients. Quote rating policies for Primary Casualty & Umbrella lines of business. Provide administrative support and other related services as needed within the unit.

Operations Manager: Mr. Joe Wayne

08/00 – 05/05 ZURICH NORTH AMERICA, DALLAS, TX. 75251

EXECUTIVE ASSISTANT/MARKETING & FINANCIAL SERVICES: Worked with Sr. Regional Vice President, 8 Financial Service Executives (FSE’s), 2 Regional Underwriters and 3 Technical Assistants.

Preparation of Monthly Reports to Home Office which include; FSE Monthly Report, Product Density Report, New Target Market Report, HIT Ratio Report, Customer Focus Report and Quarterly Reports. Agent Premium Production Reports for each FSE on a quarterly basis. Ordering and maintaining business office supplies and payables. Marketing projects and group mail outs, communicating and performing all administrative paperwork and correspondence required.

06/88 –08/00 ZURICH NORTH AMERICA, DALLAS, TX. 75251

CLAIMS ADJUSTER I : Worked with 5 Claims Attorneys and 1 Collection Specialist.

Preparation of all outgoing correspondence for all attorneys and collection specialist. Preparation of pleadings and exhibits in attorney’s practice. Processing of Salvage items. Creation of files and basic claims handling for license, permit and US Customs lines. Maintenance of calendar “tickler” system. Extensive work with multi-claimant surety contractor claims and communicating with claimants. Claim lines of experience include; contractor/surety, fidelity, workers’ comp, property and casualty, fiduciary, license, permit and miscellaneous customs bonds. Performing all administrative duties, payables, shipping and handling, maintained and ordered all business office supplies and equipment.

Regional Vice President Claims: Ms. Tracey Haley – 972/774-2233

SPECIAL TRAINING: George Leonard Adjuster’s Schools / State of Texas Dept. of Insurance

LICENSE: Adjuster P&C: License received: 05/2001 Expiration: 06/2022



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