Oscar Benguria
Business
La Paz
Summary
At Fidentia Bolivia S.A. - I.I.S. (Bolivia) Ltd., I enhanced claim resolution efficiency and customer satisfaction by adeptly managing over 50 claims monthly, leveraging my expertise in claims processing and empathy. My proactive approach led to significant cost savings through successful subrogation efforts, underpinned by strong decision-making and customer service skills.
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Experienced with assessing and processing various types of claims efficiently. Utilizes analytical and negotiation skills to reach fair settlements and maintain compliance with policies. Knowledge of regulatory standards and exceptional customer service, ensuring fair and timely resolutions.
Overview
2
2
years of professional experience
2
2
Languages
Work History
Claims Adjuster
Fidentia Bolivia S.A. - I.I.S. (Bolivia) Ltd.
07.2023 - Current
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Examined claims forms and other records to determine insurance coverage.
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments, and policy coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Verified insurance claims and determined fair amount for settlement.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Provided exceptional customer service, addressing concerns, and answering questions promptly.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
- Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Education
No Degree - Business Administration
Universidad Privada Boliviana
La Paz, Bolivia 05.2001 -
High School Diploma -
Montessori
La Paz, Bolivia 05.2001 -
Skills
Empathy and patience
Customer service
Problem-solving
Highly motivated
Decision-making
Caseload management
Claims processing
Verbal and written communication
Critical thinking
Team collaboration
Active listening
Multitasking and organization
Advanced oral and written communication skills
Attention to detail
Report writing
Timeline
Claims Adjuster
Fidentia Bolivia S.A. - I.I.S. (Bolivia) Ltd.
07.2023 - Current
No Degree - Business Administration
Universidad Privada Boliviana
05.2001 -
High School Diploma -
Montessori
05.2001 -
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