CLAIMS SPECIALIST - MERCANTILE INSURANCE CO, INC - Mercantile Building Cor. Gen. Luna & Beaterio St. Instramuros, Manila
(2019-09 - 2022-10)
- Evaluates the estimate from car dealers and accredited shops to any point of the country and our branches esp. Motor car, OD, Bl, PA, CTPL, TPPD, meet the deadline of the evaluation.
- Detecting fraud claim by conducting proper investigation and by checking documents submitted Assign Claims to independent adjusters for proper handling and investigation/ evaluation.
- Consult with Legal Dept. and other professionals to get proper advise.
- Reporting the status of claim by submitting Claims Monitoring Report.
- Negotiate with claimant for a fair settlement of claim
- Handle property claims involving damage to building and structure or liability claims
- Verify that coverage applies to an insurance policy
- Re-channel claims/ recovery to other Insurance Company.
- Give advise, answering inquiries and guide our branch adjusters in Luzon, Visayas, Mindanao including claims staff (claims asst., evaluator, adjusters) in head office with regards to proper handling of claim.
CLAIM SERVICE OFFICER IV - FPG ASSURANCE COMPANY, INC (FORMER FEDERAL PHOENIX ASSURANCE CO., INC) - 6TH Floor Zuellig Bldg, Paseo De Roxas Makati City
(2007-09 - 2019-03)
- Evaluates the estimate from car dealers and accredited shops to any point of the country and our branches esp. Motor car, OD, Bl, PA, CTPL, TPPD, meet the deadline of the evaluation.
- Detecting fraud claim by conducting proper investigation and by checking documents submitted Assign Claims to independent adjusters for proper handling and investigation/ evaluation.
- Consult with Legal Dept. and other professionals to get proper advise.
- Reporting the status of claim by submitting Claims Monitoring Report.
- Negotiate with claimant for a fair settlement of claim
- Handle property claims involving damage to building and structure or liability claims
- Verify that coverage applies to an insurance policy
- Re-channel claims/ recovery to other Insurance Company.
- Give advise, answering inquiries and guide our branch adjusters in Luzon, Visayas, Mindanao including claims staff (claims asst., evaluator, adjusters) in head office with regards to proper handling of claim.
MOTOR CLAIMS INSPECTOR - FPG ASSURANCE COMPANY, INC (FORMER FEDERAL PHOENIX ASSURANCE CO., INC) - 6TH Floor Zuellig Bldg, Paseo De Roxas Makati City
(2007-09 - 2019-03)
- Inspect and reports the damaged parts of the customer's unit for insurance claims purposes.
- Reviews and recommends adjustment to the estimated cost of the motor shop dealers.
- To ensure all claims are handled efficiently and thoroughly.
MOTOR CLAIMS ADJUSTER - UNITED INSURANCE COMPANY, INC - 5th Floor Federal Tower Dasmariffas St., car. Muello De Binondo, Binondo Manila
(2006-06 - 2007-08)
- Evaluates the estimate from car dealers and accredited shops to any point of the country and our branches esp. Motor car, OD, Bl, PA, CTPL, TPPD, meet the deadline of the evaluation.
- Verification of documents submitted, time, date, & location of the incident (Police Report, Affidavit, etc.)
- Detecting fraud claim by conducting proper investigation and by checking documents submitted Canvassing parts
- Make demand letter, denial letter, CNC, release of claim, affidavit of desistance, LOA, cheque request, etc.
- Reporting the status of claim by submitting Claims Monitoring Report.
- Consult with other professionals to get expert evaluation / advise.
- Negotiate with claimant for a fair settlement of claim
- Handle property claims involving damage to building and structure or liability claims
- Verify that coverage applies to an insurance policy
- Attend hearing at Insurance Commission whenever there is a complaint against the company.
- Re-channel claims/ recovery to other Insurance Company.
- Accompanying claimant to Prosecutors office and in any Judicial Court with regards to the case against our policy holder.
- Give advise, answering inquiries and guide our branch adjusters in Luzon, Visayas, Mindanao including claims staff (claims asst., evaluator, adjusters) in head office with regards to proper handling of claim.
- Give instructions and tips on how to properly investigate a claim to our branch adjusters.
- Training of newly hired claims staff/ evaluators/ adjusters
BODY AND PAINT SERVICE ADVISOR/ ESTIMATOR - NISSAN CRVI - Core Automotive Resources Inc - 2272 Pasong Tamo Extension Makati City
(2002-03 - 2003-09)
- Receipt of all units for Body Repair and Painting that needs for repair estimate.
- Assistance of customers in processing their documents for insurance claims; informing them if their claim is already approved by the insurance; coordination of the release their vehicles and subsequently follow up of payment of their accounts.
- Coordination with the insurance company concerning the repair estimate; preparation of follow up letter of authority for repair; assistance of customers in processing the invoice for insurance claims or personal repairs to ensure accurate billing and organized filing of the records of insurance and other relevant documents and reports.
- Responsible for follow up of parts replaced.
- Monitoring at all times of the status of the units and maintaining smooth flow of communication between the insurance company and customers to ensure repair of the units.
- Pre-quality control of the repaired unit and the final quality inspections before release of the vehicle.
BODY REPAIR SUPERVISOR - NISSAN CRVI - Core Automotive Resources Inc - 2272 Pasong Tamo Extension Makati City
(2003-09 - 2006-03)
- Supervision of Team Leaders, Assemblers, Bolidors, Upholsterers, Tinsmiths, and Painters. Coordination with the quality control in-progress and quality control finishing.
- Assignment/ Distribution of all jobs to both Painters and Tinsmith contractors after negotiating the price and assigning of the minimum number of working days completion of repair.
- Informing the assigned service advisors in case additional parts and repairs are needed to be done. Assignment of jobs to the Team Leaders in the finishing section.
- Monitoring of works progress in all sections and to ensure that all deadlines are met.
- Monitoring of month end reports based on monthly quota.
SERVICE BILLING SUPERVISOR - NISSAN GALLERY-ORTIGAS - No. 80 E. Rodriguez Jr., Ave, Libis, Quezon City
(2001-01 - 2001-12)
- Encoding of all job orders received by the Service Advisors.
- Preparation of the Billing of the customers both insurance claims or personal repairs.
- Preparation of Month-end reports.
JOB CONTROLLER - NISSAN GALLERY-ORTIGAS - No. 80 E. Rodriguez Jr., Ave, Libis, Quezon City
(1999-01 - 1999-12)
- Responsible for the proper scheduling/ Assignment of units for the repair to all service technicians according to their skills.
- Monitoring of all finished jobs based on flat rates.
TIME KEEPER - NISSAN GALLERY-ORTIGAS - No. 80 E. Rodriguez Jr., Ave, Libis, Quezon City
(1998-01 - 1998-12)
- Computation of daily work time based on flat rates of different jobs assignment.
- Reporting of excess hours rendered by Service Personnel for their incentives.
