Claims Specialist and Customer Support

Rene Melendez

Litchfield Park, AZ ***** +1-480-***-**** ************@*****.***

Professional Summary

Highly organized and efficient professional with extensive experience in fast-paced, multitasking environments. Skilled in prioritizing tasks to achieve objectives with a positive attitude and a strong work ethic. Authorized to work in the U.S. for any employer.

Work Experience

Claims Generalist

Progressive Phoenix, AZ

March 2025 to April 2026

Complex claim handling:

• Determine liability on multi vehicle accidents

• Process repairs, reserve rentals, and assist in estimate creation.

• Open appropriate features and transfer accordingly if needed.

• Process total loss vehicles.

• Complete coverage investigations related to unlisted drivers, unlisted vehicles, Excluded drivers, and recent policy inceptions.

• Monitor all stages of the claim to quickly bring the claim to closure. Warehouse Associate

UPS Goodyear, AZ

December 2024 to February 2025

Non-Injury Auto Claims Adjuster

USAA Phoenix, AZ

September 2023 to December 2024

• Investigate and determine liability for non-injury auto claims.

• Confirm coverage and assist with CAT (Catastrophe) team efforts.

• Handle claims in a timely and efficient manner, ensuring customer satisfaction and compliance with company standards. Claims Resolution Specialist

First American Home Warranty Phoenix, AZ

October 2021 to September 2023

High volume customer support center providing home warranty support.

• Leading heavy claim load to resolutions in a timely manner.

• Locating replacement units and/or parts.

• Securing invoices.

• Setting appointments.

• Heavy call volume.

Donor Services Coordinator

Science Care, Inc Phoenix, AZ

August 2015 to July 2021

• Facilitate whole body donation processes with families and healthcare providers.

• Follow AATB standards and procedures.

• Review legal documents to determine state acceptance for legal consent for cremation and whole body donation.

• Negotiate standard quotes and coordinated transport for families.

• Complete medical assessments to determine eligibility into the program.

• Manage a high-volume workload within a deadline-driven environment.

• Meeting performance benchmarks in all areas.

• Generate new leads for the company.

Education

Science (Associate's degree)

Western Governors University Salt Lake City, UT

April 2018 to October 2020

Upper secondary education

Some college

Skills

Property casualty insurance Procurement Precision measurement in machining Customer follow- ups Kennel experience Recruiting Property damage claims Machining Research Data interpretation CRM software Microsoft PowerPoint Insurance dispute resolution Microsoft Outlook Transmissions First notice of loss (FNOL) intake Performance benchmarking Closing sales leads Banking Animal care Anatomy knowledge Organizational skills Manufacturing Deal closing Policy interpretation Insurance investigations Risk & issue management Phone call management Interviewing Handling insurance claims - Largest number of insurance claims managed simultaneously (More than 30 claims) ClaimCenter Pallet jack Efficiently processing insurance claims - Largest number of insurance claims processed weekly (1-50 claims) Risk assessment Efficiently processing insurance claims - Largest number of insurance claims processed weekly (1-50 claims) Insurance products customer support Mechanical repair Personal auto insurance claims Warehouse management Inventory management Windows Regulatory compliance in claims processing Salesforce Electric pallet jack In-person customer service Liability insurance claims processing Quantitative research Cross-functional communication Auto estimating Driving Inventory control Experience processing insurance claims (1 Computer skills Pattern recognition Claims documentation management Customer relationship building Automotive service Contracts Documentation review Salesforce Cloud Estimating software Personal injury law Productivity software HVAC Manufacturing company experience Conducting sales calls Property insurance claims processing Typing Managing customer accounts Shipping & Receiving Management Confidential information handling Client relationship development Delegation Catastrophe claims Desktop applications Administrative experience Construction estimating Safe work practices Customer engagement Insurance claims arbitration Animal anatomy knowledge Dispatching Pet care Delivery driver experience Transportation planning Account management Business Management Insurance claim processing - Experience processing insurance claims (1–2 years) Technical Proficiency Customer complaint resolution CRM system proficiency Entrepreneurship Decision making Multitasking Closing sales Data center experience Medical terminology Handling insurance claims - Largest number of insurance claims managed simultaneously (More than 30 claims) Root cause analysis Budgeting Food production Attention to detail Coordinate measuring machine Time management Financial services Sales Heavy lifting Interpersonal skills Insurance policy review Report writing Stakeholder relationship building QuickBooks AATB compliance Legal document review Claims adjudication Box truck Leadership Experience Dimensional measurements Writing skills Automobile claims New insurance claim processing Auto insurance knowledge Construction Fraud prevention and detection Insurance claims management software Leadership File Management Equipment troubleshooting Basic math Public relations Client interaction via phone calls Task prioritization Hospitality Insurance claims adjusting - Insurance claims adjusting experience (1–2 years) Cataloging Microsoft Office Fraud Microsoft Teams Insurance claim processing - Experience processing insurance claims (1–2 years) Conflict management Software troubleshooting Blueprint specification interpretation Microsoft Word Data analysis skills ERP systems Analysis skills Telephony Mechanical knowledge Fragile goods transportation Customer service problem-solving Logistics Stress management Serving clients Liability determination Excel Technical troubleshooting support Compliance risk assessment Customer inquiry handling Customer data entry Internal employee customer service Medical eligibility assessment Claims negotiation Fact-finding Litigation Computer literacy Warehouse management system Motor vehicle insurance law Quantitative analysis Quote negotiation Continuous improvement Call center Working with people with disabilities Customer service Case Management Google Docs Communication skills Multi-line phone systems SharePoint Plumbing Team Management Customer communication Team motivation (leadership skill) Xactimate Grocery store Claims reserving Phone communication Accounts receivable management Complex insurance claims processing Computer operation Working with individuals with developmental disabilities Order picking Identifying new business opportunities Negotiation Telemarketing Supply chain management Computer networking Supervising Experience Supply chain Purchasing Claim investigation Dimensional inspection Powerpoint Automotive repair Individual consumer customer service Financial sales Client communication Complaint handling Record keeping Microsoft Excel

Certifications and Licenses

Property & Casualty License

January 2026 to January 2028

1. Property & Casualty License

Auto Claims Adjuster

September 2023 to April 2027

Property & Casualty License

Driver's License

Forklift Certification

Pallet Jack Certification

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