Claims Adjuster Workers' Compensation
Resume:
Henry DeAlba
**** ******* ****** • Thousand Oaks, CA 91360 805-***-**** •
********@*****.***
Professional Summary
Experienced claims and investigations professional with extensive background in bodily injury, general liability, SIU, workers' compensation, property claims, litigation support, and legal case preparation. Bilingual (English/Spanish), highly organized, detail-oriented, and effective at interfacing with legal teams, insured clients, and internal stakeholders. Proven ability to handle sensitive claims investigations, coordinate workers' comp cases, and support litigation through mediation and courtroom attendance. Professional Experience
De Alba's Investigations / Schneider Investigations Investigator — Thousand Oaks, CA
June 2023 – Present - Conduct English/Spanish translations while obtaining and recording legal statements
- Serve subpoenas and attend mediations and MSCs - Assist Spanish-speaking defendants in preparing for small claims actions - Support individuals through the appeals process following small claims judgments - Obtain witness and claimant statements related to workers' compensation matters - Perform sub rosa surveillance on a part-time basis as assigned
AHMC Healthcare
Workers' Compensation Coordinator — Alhambra, CA
May 2022 – May 2023 - Managed workers' comp claims across seven hospitals, ensuring proper documentation and follow-up - Oversaw ESIS claims adjusters for compliance and accuracy - Handled litigated workers' compensation files with attention to legal detail Kemper / Infinity Insurance Company
Claims Adjuster II (Enhanced Bodily Injury Unit) — Burbank, CA July 2020 – March 2021 - Investigated and resolved third/first-party auto BI claims - Negotiated settlements, including attorney-represented and litigated files - Utilized Guidewire, LNAV, and AIS to document and manage claims
Custard Insurance Adjusters
Claims Investigator / Adjuster — West Covina, CA
June 2017 – January 2020 - Managed transportation claims for major clients (e.g., FedEx, UPS) - Conducted on-site inspections, evaluated liability, reviewed estimates - Attended mediations and MSCs; facilitated Spanish-language statements
Claims Resource Management Inc.
Claims Adjuster (Temp) — Acton, CA
October 2016 – May 2017 - Adjusted GL and premises liability claims (e.g., hotels, restaurants) - Managed multi-state claims through investigation and resolution 1
Sherman & Associates
Investigator / Independent Adjuster — Los Angeles, CA February 2010 – October 2016 - Handled bodily injury, property damage, and vehicle claims - Attended court proceedings, arbitrations, and mediations - Provided bilingual support during investigations Workmen’s Auto Insurance Company
Senior SIU Claims Examiner — Los Angeles, CA
March 2009 – January 2010
Tokio Marine Insurance Company
Product Liability Claims Specialist (Temp) — Pasadena, CA July 2007 – January 2009
Western General Insurance Company
Auto Claims Supervisor — Calabasas, CA
August 2005 – June 2007
Prudential Property & Casualty / Liberty Mutual Insurance Senior Claims Adjuster — Thousand Oaks, CA
July 1991 – August 2005
Maryland Casualty Company
Senior Examiner — Encino, CA
April 1986 – June 1991
Crawford and Company
In-house Adjuster / Promoted to Outside Adjuster — Reseda, CA May 1985 – June 1987
Education
Pierce College — Woodland Hills, CA
Major: Business Management
Licenses & Certifications
Florida Adjuster License (Reciprocal in other states) American Educational Institute – Fraud Claims Specialist / SIU Designation Languages
Fluent in English and Spanish
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Memberships & Recognition
Southern & Northern California Fraud Investigators Associations International Association of Special Investigation Units International Association of Arson Investigators
Investigator of the Year, 2000
Inter-Company Arbitration Forum Arbitrator
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