Customer Service Auto Insurance
Resume:
Josue Gonzalez
Auto Insurance Claims Professional
Tarzana, CA 91335
****************@*******.***
Bilingual responsible career minded, service driven professional, seeking an opportunity to keep learning and expanding my knowledge and experience. Over 15 years experience handling auto insurance complex claims, interested in a full time job. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Claims Resolution Specialist
ACD - Carlsbad, CA
September 2022 to Present
Claims Resolution Specialist working in the “Files Uploaded” section of the waterfall. In this role, I make contact with the IA’s in an attempt to get them to upload their photos and estimates to the file so that the file can pass to our Audit team.
This position is critical because if the IA’s begin to delay their uploads, it adds cycle time to the entire file I attempt to keep the files moving by making phone calls when needed to IA's to verify inspection and obtain information about when files will be uploaded to complete the claim As a Claims Resolution Specialist, one of the main tasks is to document the files about calls made, texts sent, and conversations with owners, adjusters, and IA’s. In order to keep the file “on track” it is important to make sure all things are documented as the file proceeds from In Progress to Audit. Claims Representative
Auto Club of Southern Calif - Escondido, CA
November 2015 to September 2022
Reviews. examines, investigates, analyzes and resolves Auto Insurance Claims, customer Service oriented policy interpretation, coverage identification, exposure analysis with a high level of claim- management and financial experience for a variety of complex claim handling and duties within the general limitations of state processing property & casualty claims negotiations and settlement. Total loss claims handling.
Claims Examiner
Anchor General Insurance Agency - San Diego, CA
February 2016 to July 2017
Total loss and material damage claims adjuster and examiner responsible to investigate claims from inception to completion, determine liability and policy coverage, interview customers, claimants, and witnesses, in charge of reviewing and evaluate information from field appraisers and shops to manage and coordinate vehicle repairs, negotiate with lawyers, customers, tow yards, body shops and other insurance carriers, coordinate with other service providers.
Customer Service Office Clerk
Tricor America, Inc - San Diego, CA
March 2014 to August 2015
Customer service representative in charge to coordinate pick up and deliver merchandise to customers, service providers and contractors.
Radio Studio Operator
La Caliente MM Radio - Tijuana
November 2010 to May 2012
Studio operator, DJ announcer, lead of promotions and events. In charge of music programing and event coordination.
Claims Specialist
AIG Mexico Seguros
May 2006 to May 2010
Adjust auto insurance claims, provide customer service to insured and claimants, interpret policy and identify coverage, assess damages and negotiate settlement, train field adjusters on claims processing, procedures and systems for tourist claims handling for both vehicles in Mexico and USA, train other claims units out of state on claims processing and procedures for tourist claims handling. In charge of reviewing field appraisals and coordinate vehicle repairs, coordinate field adjusters to respond to loss location, in charge of subrogation's, total loss salvage and theft for tourist claims in both sides of the US and Mexico border, in charge of agreements and coordination with medical, shops, tow truck/yards, salvage facilities contractors.
Customer Service Representative
TELVISTA
April 2004 to May 2006
Customer service representative in charge of pricing, service and availability, sales. Education
Bachelor's degree in Computer Science
Centro de Estudios Técnicos
2004 to 2006
Centro de Estudios Tecnicos
2000 to 2003
Esc. Primaria Celso Flores Zamora
1991 to 1997
Skills
• Customer Service (7 years)
• proactive (7 years)
• RECEPTIONIST (7 years)
• RETAIL SALES (7 years)
• SELF MOTIVATED (7 years)
• Liability
• Call Center
• claims
• Outlook
• Insurance Verification
• Customer Service Skills
• Data Entry
• Excel
• Microsoft Office
• Scheduling
• Spanish
• English
• Customer support
• Cash handling
• Communication skills
• Bilingual
• Driving
• Waterfall
• Customer service
• Negotiation
• Computer literacy
• Windows
• Microsoft Office
• Communication skills
• Phone etiquette
• Organizational skills
• Microsoft Word
• Communication skills
Certifications and Licenses
Body shop fraud
CDL A
Additional Information
SKILLS
Customer service, efficient computer equipment management, bilingual English & Spanish, well organize, responsible, self starter, results oriented, proactive, always on time, strong communication skills both written and oral, strong investigative and analytical, strong negotiation, planning, prioritizing and organizing.
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