Miguel Mendez
Yuma
Summary
Results-driven professional prepared for this role. Possess valuable experience in evaluating and resolving liability claims with focus on accuracy and efficiency. Known for strong team collaboration and adaptability, capable of addressing changing needs and priorities. Recognized for keen analytical abilities and effective communication skills.
Overview
14
14
years of professional experience
Work History
Liability Adjuster
Allstate Insurance
07.2021 - Current
- Investigated auto claims to determine coverage and liability.
- Managed complex claims requiring multi-faceted approaches such as subrogation recovery efforts, minimizing company exposure to financial losses.
- Implemented process improvements that increased efficiency in claim resolution workflows.
- Reviewed policy documents and endorsements, determining appropriate coverage levels for each claim scenario presented.
- Collaborated with legal teams to defend the company in litigation cases, minimizing financial losses.
- Assisted policyholders in understanding coverage options, helping them make informed decisions about their insurance needs.
- Reduced claim processing time through efficient investigation and documentation of claim details.
- Maintained compliance with state regulations by keeping up-to-date on laws and policies governing liability insurance.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Collaborated with legal teams to assess risk and manage claim disputes.
- Reviewed and analyzed policy documentation for compliance and accuracy.
- Conducted thorough interviews with involved parties to gather detailed information.
Quality Reviewer
Allstate Insurance
10.2017 - 07.2021
- Reviewed inbound and outbound calls with customers for accuracy and compliance with regulatory standards.
- Reduced turnaround time for reviews by effectively prioritizing tasks and managing deadlines.
- Conducted in-depth research to strengthen the overall quality and credibility of each review.
- Stayed up-to-date on industry trends and best practices, incorporating relevant information into reviews as needed.
- Sustained high levels of productivity under tight deadlines by efficiently using available resources.
- Analyzed claims data to identify trends and improve evaluation processes.
- Collaborated with cross-functional teams to streamline review workflows.
- Conducted training sessions for new reviewers on best practices and system usage.
Claims Service Specialist
Allstate Insurance
09.2011 - 10.2017
- Processed and evaluated claims to ensure compliance with policy provisions.
- Collaborated with team members to resolve complex claim disputes efficiently.
- Implemented improvements in claims processing workflows to enhance efficiency.
- Mentored new hire employees on best practices for claims management and customer service.
- Coordinated with internal departments to streamline communication during the claims process.
Education
High School Diploma -
Cibola High School
Yuma, AZSkills
- Liability analysis
- Claims investigation
- Industry trends awareness
- Dispute resolution
- Critical thinking when conducting claim investigations
- Problem-solving
- Having 14 years of claims experience with three different positions in Allstate has allowed me to obtain a great understanding on a wholistic end to end claim handling procedure and what I can do to ensure flawless claim handling
- Multitasking and organization
- I can type 77 wpm
- Basic Microsoft Word and Excel skills
- Highly motivated
Timeline
Liability Adjuster
Allstate Insurance
07.2021 - Current
Quality Reviewer
Allstate Insurance
10.2017 - 07.2021
Claims Service Specialist
Allstate Insurance
09.2011 - 10.2017
High School Diploma -
Cibola High School