Summary
Overview
Work History
Education
Skills
Timeline
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NICHOLAS GERARDO

Chesterfield

Summary

Seasoned Claims Supervisor with comprehensive knowledge in managing insurance claims processes and leading teams. Highly skilled in investigating complex claims, interpreting policies, and resolving disputes efficiently. Notably improved claim resolution times and customer satisfaction rates by implementing streamlined procedures. Bring strong leadership abilities, critical thinking skills, and commitment to continuous improvement.

Overview

18
18
years of professional experience

Work History

Claims Supervisor

Mercury Insurance
Valencia
03.2023 - Current
  • Supervise claims professionals in handling automobile claims by assigning cases, reviewing investigations, evaluations, settlement recommendations, and reserves. Provide guidance and recommend action plans.
  • Assist in developing objectives, procedures, and operations to improve branch performance and productivity.
  • Ensure appropriate reserve levels, manage indemnity and expense impact, and implement claims policies and objectives.
  • Prepare operational and performance reports for management.
  • Promote excellent customer service, directly addressing escalated customer concerns.
  • Review and approve vendor utilization to maintain expense control.
  • Represent the company with consumers, government agencies, independent vendors, and agents.
  • Screen claims for coverage issues, fraudulent activity, or questionable files and coordinate with specialized units as necessary.
  • Review team member work for quality and customer service effectiveness.

Claims Examiner

Mercury Insurance
Valencia
03.2016 - 03.2023
  • Conducted thorough investigations of injury claims, including review of medical records, law enforcement reports, expert analyses, and witness statements.
  • Negotiated and authorized settlements for complex injury claims within strict deadlines, maintaining accurate reserves based on risk factors.
  • Coordinated outside vendors, legal counsel, and experts to support investigations and claim resolution.
  • Maintained proactive communication with customers to provide status updates and secure necessary documentation.
  • Partnered with legal teams on defense strategies; attended depositions, mediations, arbitrations, and trials to support litigation efforts.

Physical Therapy Aide

Vargo Physical Therapy
Valencia
02.2009 - 03.2016
  • Assisted patients in physical therapy routines, monitored exercises, and ensured proper use of equipment.
  • Managed clinic inventory, ordering supplies as needed to maintain treatment operations.
  • Handled reception duties, including scheduling appointments, onboarding new patients, and insurance verification.

Lead Teller

Bank of America
Castaic
01.2007 - 02.2009
  • Supervised teller staff and daily banking operations, ensuring efficient customer service and transaction accuracy.
  • Trained team members on procedures and resolved escalated customer issues.
  • Authorized large check payments and consolidated daily transactions.

Education

Bachelor of Science - Exercise Science

California State University, Northridge
Northridge, CA
05-2012

Skills

  • Claims Investigation & Negotiation
  • Claims Supervision & Staff Development
  • Strategic Planning & Decision Making
  • Legal Collaboration & Defense Strategy
  • Customer Service & Relationship Management
  • Microsoft Office Suite
  • Data Analytics & Reporting
  • Creative Problem Solving
  • Vendor & Expense Management
  • Policy interpretation
  • Claims management expertise
  • Insurance policy sales
  • Claims analysis
  • Planning and organization
  • Legal compliance

Timeline

Claims Supervisor

Mercury Insurance
03.2023 - Current

Claims Examiner

Mercury Insurance
03.2016 - 03.2023

Physical Therapy Aide

Vargo Physical Therapy
02.2009 - 03.2016

Lead Teller

Bank of America
01.2007 - 02.2009

Bachelor of Science - Exercise Science

California State University, Northridge

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NICHOLAS GERARDO