Iris Mendoza

***** ********** **.

Germantown, MD 20874

adx5vk@r.postjobfree.com

434-***-****

EDUCATION

Bachelor of Science in Architecture, Concentration in Construction Management, May 2002

The Catholic University of America, Washington, DC.

Associate in applied science in Architectural Engineering Technology, May 1999

University of the District of Columbia, Washington, DC.

EMPLOYMENT

Managed Care Advisors/Sedgwick Government Solutions, Bethesda, MD 8/2020- Present

oIntake of new Worker’s Compensation claims, evaluate for accuracy and timelines, submit to Dept. of Labor for processing following Federal worker’s Compensation Guidelines

oProvide guidance of the Worker’s Compensation processes to injured workers, including submitting federal forms online, response letters from Department of labor and assist navigating online portal.

oSupport Agency Personnel, assist Nurses with administrative tasks and provide support to any stakeholders for efficient collaboration to the claims process.

oCompute, tabulate and verify continuation of pay for the injured worker, verify accuracy of federal forms, and contact regional supervisors to process claims.

Wells Fargo, Commercial Mortgage Insurance Department Analyst, Mclean, VA 9/2019-8/2020

oEnsure compliance with loan documents, Servicing Agreements, and Investor Guidelines.

oInitiating and responding to written and verbal communication from customers, insurance agents, and internal personnel regarding the insurance coverage on loans.

oInitiating customer contacts to resolve insurance non-compliance.

oCoordinating discrepancies & system updates, in accordance with loan documentation

Ensuring all procedures are in compliance with agency, internal controls, and company policies

Experient, Customer Service Representative, Frederick, MD, 12/2018-5/2019

oAssist callers with event registration, search database for customer’s information and process registration payments.

oBook hotel accommodations using industry software.

oAssists exhibitors, vendors with any event related questions.

oAssist and explain the registration process to Spanish-Speaking customers.

State Farm Insurance, Claims Specialist, Charlottesville, VA 2/2004 - 1/ 2018

oNegotiate and settle with attorneys on customer’s bodily injury claims.

oServes as a mentor to less experienced claims associates and assists with training as assigned by claim management.

oClosely monitor defense counsel’s work product, adjust reserves and manage litigation when appropriate.

oApplication of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions.

oReach out to body shops, rental companies, investigative agencies, and other insurance companies to evaluate the personal lines property damage portion of received claims

oListen and communicate clearly policy coverages and make liability decisions to English-speaking and Spanish-speaking customers

oWorking in a collaborative team environment while meeting quality standards

LANGUAGES

Native Spanish-speaker, fluent English