Claims Investigator Specialist
Resume:
Jesus Benjamin Montijo
La Mesa, CA 91941
Cellular: 619-***-****
Email: adrw84@r.postjobfree.com
Objective
Multi-line Claims Adjuster position allowing for reliable skills demonstrated thorough successful 20+ years in the industry and excelled productivity with claims adjusting and special investigations. Experienced, motivated, versatile, and energetic professional that thrives under pressure. Personable and high toned with excellent team-building skills.
Skills/Professional Experience
Assess all aspects of the claim file and accurately detail significant events and outstanding issues.
Develop resolution strategy plans to achieve appropriate claim results and timely closure.
Excellent customer service skills.
Quickly evaluate exposure to establish reserves.
Handle full claims adjusting from initial investigation to settlement on property, casualty and general liability claims.
Bilingual (English/Spanish), fluently spoken and written.
Thorough investigative skills for in-person and telephonic recorded statements.
Involved in commercial and residential property adjusting to include contents and ALE needs.
Level 2 proficient Xactimate ability on property repair estimates.
Automobile and trucking liability to include cargo handling and recovery/storage up to settlement with both parties.
Assisted defense counsel on pretrial investigations with skip-trace (including into Mexico) for witnesses with successful location and arranged agreements for appearances and transport of witnesses for trial hearings.
Efficient medical records analysis and settlement negotiations of BI Claims.
Efficient skip-trace locally and into Mexico.
Attended many mandatory settlement conferences.
Trial attendance and assistance to insureds' defense at Small Claims Court.
Ability to travel on Catastrophe claims as needed.
Innovative and rapidly learn new software programs.
Great report/letter preparation on short-form and full captioned reports ensuring full compliance on deadlines.
Available to travel as required in the USA and Mexico for full or limited investigations.
Competent on MS Word/Excel, able to type an average of 60 wpm. Claims Training
Successfully completed the following training and obtained these certificates:
DMA – Full Investigator Specialist
DMA – Worker’s Comp. Claims Specialist
DMA – Casualty Claims Specialist – Auto & Trucking w/Cargo
DMA – Property Claims Specialist – Residential & Commercial Employment History
Mar. 2018 – present - - - - - - - - Sedgwick Inc., San Diego, CA Senior General Adjuster
Multi-line adjuster handling first party commercial property commercial general liability, casualty, and homeowner’s property. Nov. 2015 – Mar. 2018 - - - - - Dynamic Claims Services Inc., San Diego, CA Managing General Adjuster / Claims Supervisor
Multi-line adjuster handling first party commercial property, commercial general liability, casualty, and homeowner’s property. July 2015 – Nov. 2015 - - - - - - Koning and Associates Inc., San Diego, CA Senior General Adjuster
Multi-line adjuster handling commercial general liability, casualty, and homeowner’s property
June 2013 – July 2015- - - - - - - York Risk Services Group, San Diego, CA Senior Field Adjuster/Investigator
Multi-line adjuster and claims investigator, primarily handling AOE/COE Investigations.
Feb. 2012 – June. 2013 - - - - - - Dimont & Associates, El Cajon, CA Property Damage Estimator
Desk review of property damage appraisals and prepare required supplemental as necessary.
April 2001 – January 2012 - - - - David Morse & Associates Inc. (DMA), San Diego, CA Senior Claims Adjuster/Investigator
Multi-line adjuster and claims investigator handling files on the Southwest USA and Mexico abroad.
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