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GUADALUPE SAENZ

*** ***** **** **, *** Vegas NV 89138

PROFILE

Dependable, hardworking, bilingual insurance professional with over 20 years of experience in the insurance field handling auto, bodily injury and property claims. Highly proficient in the investigation, evaluation, and resolution of claims.

EXPERIENCE

Bodily Injury Claims Adjuster - USAA Insurance, San Antonio Tx 11/2021 – 08/2023

• Responsible for adjusting non-attorney involved soft tissue bodily injury claims.

• Identify and manage existing and emerging risks that stem from business activities and the job role.

• Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled.

• Adjust soft tissue, moderately complex claims.

• Identity, confirm, and make coverage decisions on soft tissue claims and property damage claims.

• Investigate loss details, determine legal liability, evaluate, negotiate, and arriving at claim settlement within appropriate authority guidelines.

• Effectively manage total loss settlement process and rental expenses for First- and Third-party customers.

Claims Specialist-Injury- State Farm Insurance, Austin Tx 05/2019 – 11/2021

• Investigated, evaluated, negotiated, and settled Auto PD, including First- and Third-party Bodily Injury Complex claims.

• Applied knowledge of policies, procedures, laws, statutes, and insurance regulations when determining coverage, liability, damage of injury (First- and Third-party customers) and property damage.

• Handled bodily injury claims promptly and proactively. Property Desk Adjuster- All Cat Claims Services, Boerne, Tx 09/2018 - 5/2019

• Reviewed, evaluated, and adjusted low to moderate Residential complex claims.

• Confirmed coverage and settled claims in accordance with carrier guidelines.

• Recognized issues and escalated as designated to resolve any coverage issues or damage disputes.

CONTACT

Cell: 210-***-****

Email: adznux@r.postjobfree.com

SKILLS

Fluent in Spanish

Auto Claims

Bodily Injury Claims

Property Claims

Customer Service Skills

EDUCATION

Bachelor of Science in Business Administration

University of Phoenix- 2008

Associates of Science in Business Administration

San Antonio College- 1984

LICENSES/AWARDS

Licenses: P/C Adjuster licenses for the following

states: Texas, Florida, Alabama, Georgia,

Washington, North Carolina, & Oklahoma.

2023 Award: One of the Top Adjusters for

Quarter 1 2023 (out of 35,000 employees) for

settling bodily injury claims.

2019 Award: Awarded Employee of the month

at AllCat Claims Services

2

Inside Property Claims Examiner- The Best IRS, Florida 12/2017- 08/2018 **TRAVEL ASSIGNMENT**

• Handled a large volume of low to moderate complex Residential claims per week.

• Assisted members with itemizations of damages, emergency repairs and additional living arrangements and assigning vendors for field work though XactAnalysis.

• Handled dwelling wind and hail claims, food spoilage, large and small Content claims, and Additional Living Expense Claims with members.

• Communicated with members explaining their estimates and mailed full and partial denial letters when applicable. Bodily Injury Adjuster- E A Renfroe & Company, Birmingham, AL 01/2017 – 10/2017 **TRAVEL ASSIGNMENT**

• Handled First- and Third-party bodily injury claims processing large volume of claims quickly and accurately.

• Successfully investigated, evaluated, and settled bodily injury claims by applying technical knowledge and human relations skills to effect fair and prompt disposal of the claims and to contribute to a reduced loss ratio.

• Strong analytical ability to review, exercise judgment and evaluate claims to make sound decisions with a minimal amount of supervision.

Inside Property Claims Examiner- Four Seventy Claims Management, Texas, 06/2016 - 12/2016**TRAVEL ASSIGNMENT**

• Handled a large volume of low to moderate complex Residential claims per week.

• Assisted members with itemizations of damages, emergency repairs and additional living arrangements and assigning vendors for field work though XactAnalysis.

• Handled dwelling wind and hail claims, food spoilage, large and small Content claims, and Additional Living Expense Claims with members.

• Communicated with members explaining their estimates and mailed full and partial denial letters when applicable. Bodily Injury Adjuster- E A Renfroe & Company, Birmingham, AL 06/2014- 05/2016 **TRAVEL ASSIGNMENT**

• Handled First- and Third-party bodily injury claims processing large volume of claims quickly and accurately.

• Successfully investigated, evaluated, and settled bodily injury claims by applying technical knowledge and human relations skills to effect fair and prompt disposal of the claims and to contribute to a reduced loss ratio.

• Strong analytical ability to review, exercise judgment and evaluate claims to make sound decisions with a minimal amount of supervision.

3

Auto claims adjuster /Bodily Injury Adjuster- ACCC Insurance, San Antonio, TX

09/2012- 06/2014

• Reviewed and settled auto property damage claims, total loss claims and bodily injury claims.

• Took recorded statements, performed investigations to determine coverage and liability.

• Responded to all letters and attorney demand letters and lawsuits in a timely manner.

Bodily Injury Adjuster- Pronto Insurance, San Antonio, TX 03/2009 -08/2012

• Review and settle bodily injury claims with attorney represented and non-attorney represented claims.

• Handled all aspects of claims including review of policy coverage, investigations, correspondence, negotiations and settlement of both property damage and bodily injury exposures.

• Managed diary and handled bodily injury claims promptly and proactively.

2006-2009:

• Cared for mom full time.

• Went back to school for bachelor’s degree

Claims Processor- State Farm Insurance, Austin, TX 11/1986- 06/2006

• Handled First party and Third-party auto liability claims processing large volume of claims quickly and accurately.

• Obtained facts of loss, explained claim process, and set up vehicle inspections and rental reservations.

• Worked with my team to maintain queue standards.

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