Customer Service Claims Adjuster

Robert Lara

**** * **** ******, ********, AZ ****5

Home: 602-***-**** Email: *********@*****.***

QUALIFICATIONS SUMMARY:

A detail oriented, self-motivated, and highly skilled individual with organizing and prioritizing tasks. Ability to coordinate tasks while taking the initiative to ensure that all deadlines are met while providing exceptional customer service and support for any organization. An excellent team player with effective communication skills with a strong work ethic that exemplifies the highest level of responsibility, confidentiality, and integrity. Fluent in Spanish.

PROFESSIONAL EMPLOYMENT:

KFORCE CONTRACTOR/USAA INSURANCE - PHOENIX, AZ July 8, 2024 - October 15, 2024

NILC Senior Claims Adjuster

1.Responsible for the investigation by completing required recorded statements, and finalize Liability.

2.Assigned injury claims to proper Injury Department

3.Schedule repairs as needed for policyholders or claimants if policyholder is At Fault

4.Settle Total Loss Claims

5.Review claims for UMPD Waivers if applicable

Seaview Insurance - Phoenix, AZ April 8, 2024 - July 5, 2024

Claims Administrator

1.Intake of New claims filed by insured, claimants, or attorneys

2.Order ISO reports and or Police reports for Adjusters

3.Prepare outgoing mail and also upload mail to assigned claim

4.Upload voicemails and emails and notify proper adjuster and Supervisors as needed

Nationwide Insurance - Remote

NILC Claims Adjuster March 13, 2023 – March 5, 2024

1.Responsible for the intake, investigation, complete required recorded statements, and finalize Liability.

2.Assigned injury claims to proper Injury Department

3.Scheduled repairs as needed for policyholders or claimants if policyholder is At Fault

4.4. Have required Licensing for NILC in states required

First Notice of Loss – FNOL June 13, 2022 – March 13, 2023

1. Enter new claims into Claim Center reported by policyholders, claimants, attorneys, or agents

2. Setup methods of inspection for damaged vehicles or homeowner as well

3. Answer questions that I am allowed to answer regarding Liability for accident status or policies

Kemper Insurance – Phoenix, AZ

Express Adjuster October 2020 - June 2022

1.Responsible for the intake, investigation, valuation, establishment of exposure and settlement of assigned claims within a stipulated monetary authority.

2.Ensures that all assigned claims are concluded promptly, equitably, and economically within the provisions of the policy contract and in accordance with the damages presented.

3.Take statements from insureds, claimants, and witnesses to investigate losses.

4.Timely and accurately reserving exposures.

Rep A, FNOL – Inbound October 2019 - October 2020

1.Receive incoming calls from Insured, Claimants, or Claimant Carriers

2.Enter New claim information into Claim Center

3.Provide Claim information to callers if authorized to receive information

4.Set up Methods of Inspection to insureds or claimants

Wal Mart Stores – Peoria, AZ August 2007 – October 2019

Modular Technician

1.Reset Department Modular as needed or when changes are received from Corporate office

2.Provide back up support as a cashier when my assistance is needed

3.Stock merchandise on shelves as needed and look up merchandise a customer is looking for.

4.Assist with any other assignments as needed

Nationwide Insurance – Scottsdale, AZ December 2005 – April 2017

Business Information Analyst - SIU

1.Provided overall support to maintain fraud deterrence results to a minimum

2.Reviewed claim for potential Fraud and notified claim adjuster of any possible findings related to Fraud

3.Provided analysis by utilizing different databases to pull information on claimant or insured

Rater Underwriting Brokerage Transportation

1.Received information from Underwriters to compute a quote using SIRIS.

2.Ensured the report was using the proper rate requirements depending on the state.

3.Assisted with keeping old quote files purged and with other clerical duties as needed.

Senior Processor Imaging

1.Prepared incoming Claims mail/faxes to be scan into Claims Document system

2.Scan mail and ensure no bar codes are visible.

3.Indexed mail that was scanned to ensure all pages are present and able to be read.

4.In charge of storage of paper files and photos and to check dates for those needing to be destroyed.

Mail Room Associate

1.Sorted and distributed incoming mail to appropriate departments.

2.Used letter inserter to mail out necessary correspondence to customers.

3.Perform Shipping and Receiving functions as needed.

Prudential Insurance Company – Scottsdale, AZ July 1989 – August 2005

Executive Assistant/Associate Manager

1.Assisted Territorial Vice President with daily activities regarding compliance issues.

2.Prepared excel reports with data gathered from Annual Compliance reviews conducted by Compliance Review department to assist VP with follow-up inspections.

3.Kept an organized filing system to make it easier to locate past years compliance reviews of agencies or follow-up agency inspections conducted by the VP.

Work Force Management Analyst

1.Monitored incoming call volume for the Customer Call Center

2.Prepared reports for Team Leaders for each associate assigned with number of calls received and amount of time it took to complete the call.

3.Prepared IVR to record calls for certain associates for Team Leaders to perform annual or semi-annual review

Customer Service Associate

1.Received incoming calls from Prudential agents or customers concerning issues with policies.

2.Updated information on policies as needed and requested necessary paperwork if required to complete the change.

3.Assisted with Spanish callers as needed due to being bilingual.

Marketing Assistant Specialist

1.Performed duties as Training Manager for the agency or agents Marketing Assistants.

2.Was assigned to train the Marketing Assistants of new software to be used by the agents as well as Marketing Assistants.

3.Prepared payroll for the Marketing Assistants and performed interviews to hire new Marketing Assistants as needed based on agency needs.

Marketing and Communications Coordinator

1.Performed duties as the company Awards Coordinator. Prepared reports on who was eligible for company awards based on sales for the year.

2.Kept a database with over 3000 agents with approved classes completed to earn designations, (LUTCF, CLU, CHFC, etc) for the company.

3.Prepared reports for Regional Vice President to include number of new hires, terminations, and other reports as needed.

US ARMY – Fort Campbell, KY August 1976 – September 1985

Assistant Gunner 1

Assist gunner to prepare artillery weapon for combat readiness

EDUCATION:

•Austin Peay University – Business Management – Clarksville, TN

•Arizona Automotive Institute – Drafting Design - Glendale, AZ

•High School Diploma – Andress High School – El Paso, TX

ADJUSTER LICENSING

·TX # 3027400,

·NM # 20754996

·FL # G014629

·OK # 300-***-****

·LA# 1070509

SKILLS:

•Fluent in Spanish

•Microsoft Excel

•Microsoft Word

•Microsoft Powerpoint

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