Dedicated professional with bilingual proficiency in English and Spanish. Recognized for strong data entry skills and meticulous attention to detail, enhancing communication and compliance within the workers' compensation and auto claims processes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
AUTO CLAIMS ADMINISTRATOR
Secure Transportation
Cerritos
04.2018 - 03.2025
Assisted in developing new processes and procedures for handling claims more efficiently.
Maintained accurate case files documenting all activities associated with each claim file.
Utilized software programs such as Microsoft Word and Excel for data entry and reporting purposes.
Conducted detailed investigations of accident scenes to obtain facts surrounding the claim.
Analyzed complex documents such as police reports, medical records, witness statements, and photographs to determine liability.
Assessed damages due to collisions or other occurrences resulting in property damage or bodily injury.
Conducted interviews with insureds, witnesses, claimants, attorneys, adjusters, law enforcement personnel and other parties involved in an auto claim process.
Provided exceptional customer service while handling incoming auto insurance claims and resolving disputes in a timely manner.
Managed communication between departments to ensure timely completion of repairs and maintenance activities.
WORKERS COMPENSATION HR CLAIMS ADMINISTRATOR
Secure Transportation
Cerritos
04.2018 - 03.2025
Cultivated relationships with clients, medical providers, attorneys, and employers to enhance claims management.
Assessed claim files to evaluate worker's compensation validity using medical evidence.
Maintained comprehensive records of claim activities in compliance with company policy.
Interpreted relevant laws and regulations pertaining to workers' compensation insurance coverage.
Facilitated collaborative meetings among employers, injured employees, and legal representatives during claims process.
Educated employers on safety protocols to mitigate workplace accidents and injuries.
Negotiated settlements with claimants and representatives, balancing fairness and liability.
Prepared regular reports detailing status of open workers' compensation claims.
HUMAN RESOURCE ADMINISTRATOR / STAFFER
Vantage Home Health Care Svcs
Carson
11.2014 - 03.2018
Scheduled and coordinated interviews, verified references, and conducted background checks.
Maintained accurate applicant database by updating job requirements and descriptions.
Conducted and analyzed exit interviews to identify areas for improvement.
Established and executed orientation and training programs for new employees.
Monitored and ensured compliance with federal and state human resource regulations.
Prepared, updated, and recommended policies to maintain management guidelines.
Audited resources regularly to confirm adherence to organizational standards.
Implemented automated systems for effective tracking of resources across locations.
OFFICE ADMINISTRATOR
J & D Corvette
Bellflower
04.2014 - 11.2014
Responsible for maintaining office organized and for preparing payroll; in charge of correspondence; reviewing and approving supply requisitions, assigning and monitoring clerical functions.
Responsible for a high volume of calls and managing and analyzing special reports utilizing computerized accounting software programs (CMS, Excel, Word) to perform duties and responsibilities.
Generated accounting reports, cash receipts, and coding and posting of receipts.
Prepared daily bank deposits and oversee client trust accounts, accounts receivable write-offs and payment reversals.
Developed automated spreadsheets, operated office equipment including personal computer, copiers, fax machines and 10-key calculator.
PROVIDER RELATIONS COORDINATOR
Hospice Touch
Culver City
10.2013 - 04.2014
Established professional and supportive relationships with referral sources, families, and health care professionals.
Coordinated patient intake and support activities to enhance overall hospice experience.
Input critical data into patient database to facilitate medical equipment and medication orders.
Collaborated with social worker on bereavement issues for existing and expired patients.
Demonstrated cultural competence while serving diverse populations from various backgrounds.
Educated patients and families on palliative care options and advance directives.
Developed individualized discharge plans for patients transitioning from hospice care.
Maintained confidentiality of sensitive patient information in compliance with HIPAA guidelines.
CAREGIVER
Inclusions Services
Whittier
10.2009 - 10.2013
Train and support in the following areas to help the consumer gain self-sufficiency in greater independence in the following programs curriculum domains.
Training and Habilitation Services, Self-Advocacy Interpersonal Skills, Health and Medical Services, Generic Services Awareness, Emergency Preparedness Adaptive Technology Menu Planning and Nutrition.
Also administer prescribed oral medications, under the written direction of physician, and ensure patients take their medicine.