Qualifications Profile
Detail-oriented, performance-focused, and dedicated professional, equipped with extensive experience in all aspects of claims encompassing specialized investigation, material misrepresentation, employment investigation, and casualty and property damage. Adept at determining auto damage appraisals; preparing and executing insurance claims and payments; and providing best solutions. Highly skilled at developing and improving processes to achieve goals and improve overall productivity and efficiency. Armed with exemplary management, analytical, and organizational skills; along with the ability to build and maintain relationships with diverse level of individuals. Fluent in English; with working knowledge of Spanish. Core competencies include:
Staff Supervision and Training Auto Property Damage Analysis Material Damage Repair and Auditing
State Management Estimate Review Liability Investigation
Professional Experience
Caliber Collision, Lewisville, TX
Field Quality Specialist (FQS), Central Review, and Remote Online Estimator Jul 2017–Mar 2020
Ensured facility compliance with insurance, safety, and corporate standard operating procedures across all stores with 90% travel
Communicated with the leadership to report performance results and recommend plans for improvement
Conducted compliance review through partnership training for appearance, safety, quality, profitability, and insurance relationship building
Employed keen attention to detail in reviewing and executing various insurance carrier distribution requirements planning (DRP) requirements, as well as verifying Occupational Safety and Health Administration (OSHA) requirements
Keenly assessed state and federal Equal Employment Opportunity Commission (EEOC) for posting compliance
Validated I-CAR industry repair standards for all auto repairs
Planned and executed standardized training for all levels of shop operation
Strictly adhered to applicable state law and utilized I-CAR and original equipment manufacturer (OEM) repair methods in validating all estimates in accordance with DRP requirements
Facilitated training for satellite facilities based on DRP requirements
Performed estimation on team production while maintaining strong quality estimates
Displayed leadership skills in handling multiple states and communicating with all levels of the organization including the chief executive officer (CEO) and chief operating officer (COO)
Notable Achievements:
Earned recognition as top online estimate producer within an organization in the country that has more than 3,600 estimators
Demonstrated proven capability of remote worker in developing over 1000 online estimates worth over $1.4M monthly
Established reputation as top producer in the Central Review Group for high number of estimates reviewed per day
Recognized with a $100 Challenge coin for improvements coached in over 200 shops in 6 different states as well as insurance partner exceptional satisfaction with compliance requests
Nationwide Insurance, Houston, TX
Material Damage Specialist II Aug 2014 –Jul 2017
Held full responsibility for auto damage appraisals, policy interpretation, and rental management
Made use of enterprise-automated rental management system (ARMs).
Met and surpassed performance in all metrics including estimate accuracy and customer service
Provided auto claim assistance by working as field adjuster
Infinity Insurance, Houston, TX
Texas Material Damage Manager Aug 2011–Jun 2014
Rendered keen management to various field teams throughout the State of Texas
Built and oversaw direct repair facilities for the RSVP program
Spearheaded the training, establishment, and assessment of material damage field appraiser
Assumed accountability in managing profit and loss, regulatory compliance, customer service, and issue resolution
Took charge of handling diminished value claims (DV)
Efficiently accomplished re-inspection and audit of claims
Notable Achievements:
Maintained coordination with the Special Investigations (SIU) and Casualty teams which optimized overall close without payment (CWP) and claims withdrawal rate by identifying and reducing fraud, such as material misrepresentation in post claim underwriting
Introduced employment funnel with the recruiters from Universal Technical Institute (UTI) to field appraisers that increased positive hires and retention rate
Successfully attained and exceeded ratings on metrics statewide that contributed to the overall profitability of the State
Developed the first DRP program in the company for the State of Texas that was adopted by the company for the rest of the country
Implemented independent auditing of the developed DRP program
Assisted with bringing the State from a loss to profitability by the end of my tenure
Farmers Ins./AIG/ 21st Centrury Insurance, Houston, TX
Senior Material Damage Adjuster Senior Property Damage Adjuster Aug 2002–Aug 2011
Participated in determining and interviewing guaranteed repair facilities as well as administering performance
Utilized CCC Pathways estimating system in conducting estimation
Effectively fulfilled the role of soft tissue casualty and liability adjuster
Managed the Farmer’s Sugarland APD office by serving as satellite adjuster
Steered efforts in conducting investigations on auto damage theft, total loss, subrogation, diminished value, and field auto damage property
Education
Bachelor of Business Administration in Management Sam Houston State University, Huntsville, TX
Police Officer Certification North Harris Community College, Houston, TX
Professional Development
Certification
Certified Appraiser and Estimator – I-Car Platinum
Welding Certification – I - Car
Master Police Officer Certification, State of Texas (Active)
Training
Corporate Training: Central Review, Field Quality Specialist, and Online Estimating
License
Property and Casualty Adjustor
Affiliations
Shenandoah Police Department I – CAR
Award
Law Enforcement Academic Achievement Award
Technical Skills
Microsoft Office Suite (Word, Excel, and Outlook) CCC Pathways One
UltraMate Estimating System Farmer’s Oracle Based CRN 4.1 Operating System Windows Operating Programs