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CARMEN LUCERO, MLT Michael Faulkner 3131 W. Cochise Dr. #137 a- Phoenix, AZ 85051 Cell: 602-315-5921 a- Email: [email protected] PROFILE Focused, high achieving CLAIMS PROFESSIONAL with exceptional customer service and administrative skills. * Claims adjustment experience in all areas except workmenas compensation. * Recognized for productivity, business savvy, teamwork, and excellence with 11 awards in 2009. * Adept at learning and applying critical thinking skills. PROFESSIONAL EXPERIENCE THE HARTFORD INSURANCE CO., Phoenix, AZ 1997 a" 2010 _SUBROGATION SPECIALIST / CLAIMS TECHNICIAN __(2004-2010)_ Selected for proven attention to detail to initiate auditing of subrogation claims to reduce the payments to third party collectors. Ensured all necessary documentation, police reports, damage estimates, photographs, and recorded statements are correct for a successful subrogation claim. Worked with claims adjusters and their counterparts in the Florida office. * Audited 100-150 property damage and bodily injury files per day for accuracy and content prior to sending to subrogation office in FL resulting in savings of $100K per year in payments to third party collectors. * Reviewed, corrected, and paid arbitration board claims up to $5,000 with additional amounts authorized by manager. * Assumed additional responsibility to help medical payments and billing for six months gaining HIPAA compliance, EOB code and ICD-9 code knowledge. * Recognized out of team of 50 in 2009 with an Outstanding Achievement Award for contributions to the claims business results, 8 teamwork awards, and 2 excellence awards. * Worked on first notice of loss property intake for CAT. Crew with hurricane Katrina.
_CLAIMS ADJUSTER __(2000-2004)_ Handled all aspects of non-bodily injury claims from first loss intake to final payments on the claim for automobiles and homes. Obtained recorded statements, completed crash investigation, set up body shops for insuredas and claimants, made payments on property damage and arranged rental cars for all parties. Determined liability and interpreted coverage. Ensured all liability claims transferred to the subrogation office for collection. * Received 12-15 new claims per day, completed detailed and thorough documentation, and consistently closed within guidelines. _CUSTOMER CARE ADVOCATE __(1997-2000)_ Supported 18 Arizona, Colorado, and Utah claims adjusters by taking new incoming phone losses, returning calls to customers, and making payment on claims. FARMERS INSURANCE CO., Phoenix, AZ 1995 a" 1997 _POLICY CODER_ Processed new account agreements and handled all changes to policies such as premiums, billings, credits, refunds, cancellations, returned checks, declines and lapses, conversions to standard billing, calculated paid to dates, add-ons, reinstatements, unapplied monies, miscodes, transfer of accounts, bank plan messages, and split and combined household policies. COMPUTER SKILLS * Microsoft Word, Outlook, Internet Explorer, Windows. * Hartford systems -- CI and CI Web. EDUCATION * Medical Certification Course, including front and back office, and electronic filing. (Completing 2010) * I am CMAA certified with the NHA. Cert. #4888-1422 * Social STUDIES, 97 CREDITS, 2 yrs. Butte College, Chico, CA COMMUNITY SERVICE *
Board president for a 144-unit condominium complex for last 8 years. * Brought the complex financials out of the red and into the black. * Arbitrate disputes between homeowners and the board. In addition to personal disputes between homeowners. * Sign and approve all checks from the HOA bank accounts. * Study and approve or deny all bids for construction and landscaping on the property. REFERENCES Name Relationship Company Time Known Contact Heather Byra Former supervisor Hartford 13 years 315-373-4901 Dianne Nicholas Co-worker Hartford 5 years 623-570-4985 Sharon Johnson Co-worker and friend Hartford 9 years 602-705-8613
Rosemary Good Co-worker and friend Hartford 13 years 623-670-2300 Beverly Malloy Co-worker and friend Hartford 10 years 602-799-1813 William White Employee and friend Points West II 11 years 623-229-2808 Amber Sharpe Employee and friend Points West II 5 years 602-448-7472 Jeff Bojaz Employee and friend Points West II 4 years 480-862-2003 Sean OaMalley Friend 30 years 503-335-5920 _ Continueda_
_CLAIMS ADJUSTER __(2000-2004)_ Handled all aspects of non-bodily injury claims from first loss intake to final payments on the claim for automobiles and homes. Obtained recorded statements, completed crash investigation, set up body shops for insuredas and claimants, made payments on property damage and arranged rental cars for all parties. Determined liability and interpreted coverage. Ensured all liability claims transferred to the subrogation office for collection. * Received 12-15 new claims per day, completed detailed and thorough documentation, and consistently closed within guidelines. _CUSTOMER CARE ADVOCATE __(1997-2000)_ Supported 18 Arizona, Colorado, and Utah claims adjusters by taking new incoming phone losses, returning calls to customers, and making payment on claims. FARMERS INSURANCE CO., Phoenix, AZ 1995 a" 1997 _POLICY CODER_ Processed new account agreements and handled all changes to policies such as premiums, billings, credits, refunds, cancellations, returned checks, declines and lapses, conversions to standard billing, calculated paid to dates, add-ons, reinstatements, unapplied monies, miscodes, transfer of accounts, bank plan messages, and split and combined household policies. COMPUTER SKILLS * Microsoft Word, Outlook, Internet Explorer, Windows. * Hartford systems -- CI and CI Web. EDUCATION * Medical Certification Course, including front and back office, and electronic filing. (Completing 2010) * I am CMAA certified with the NHA. Cert. #4888-1422 * Social STUDIES, 97 CREDITS, 2 yrs. Butte College, Chico, CA COMMUNITY SERVICE *
Board president for a 144-unit condominium complex for last 8 years. * Brought the complex financials out of the red and into the black. * Arbitrate disputes between homeowners and the board. In addition to personal disputes between homeowners. * Sign and approve all checks from the HOA bank accounts. * Study and approve or deny all bids for construction and landscaping on the property. REFERENCES Name Relationship Company Time Known Contact Heather Byra Former supervisor Hartford 13 years 315-373-4901 Dianne Nicholas Co-worker Hartford 5 years 623-570-4985 Sharon Johnson Co-worker and friend Hartford 9 years 602-705-8613
Rosemary Good Co-worker and friend Hartford 13 years 623-670-2300 Beverly Malloy Co-worker and friend Hartford 10 years 602-799-1813 William White Employee and friend Points West II 11 years 623-229-2808 Amber Sharpe Employee and friend Points West II 5 years 602-448-7472 Jeff Bojaz Employee and friend Points West II 4 years 480-862-2003 Sean OaMalley Friend 30 years 503-335-5920 _ Continueda_
