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Francisco Cruz-Herrera

@franciscocruz-herrer

Claim Specialist at National Interstate handling complex insurance investigations, coverage decisions, and claim resolutions.

United States
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At National Interstate Insurance Company, I handle complex claims investigations, review coverage and liability, and work toward resolution. I also coordinate with defense counsel and attend arbitrations, mediations, depositions, or trials as needed.

My earlier claims work at Auto-Owners Insurance and GEICO included evaluating and settling injury claims, supporting insureds through litigation, and developing defense strategies with counsel. I hold the Associate in Claims and Automobile Claim Law Associate credentials, along with the Associate in General Insurance.

Experience

Work history, roles, and key accomplishments

NC
Current

Claim Specialist

Oct 2024 - Present (2 years)

• Conveys complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
• Reviews and evaluates coverage and/or liability.
• Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
• Works toward the resolution of

NC

Senior Claims Representative

Mar 2023 - Oct 2024 (1 year 7 months)

• Convey moderately complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
• Investigate and maintain claims.
• Review and evaluate coverage and or liability.
• Secure and analyze necessary information (i.e., reports, policies, appraisals, releases, statements, reports, or other documents) in the investigation of

Auto-Owners Insurance logoAI

Branch Claims Representative I

Feb 2022 - Mar 2023 (1 year 1 month)

Conduct complex investigations to determine coverage and liability for claims involving catastrophic injuries statewide for personal auto, commercial auto and garage liability policies.

Evaluate, negotiate, and settle claims for damages relating to bodily injury and vehicles that are deemed a total loss.

Maintain a pending diary of claims, which is worked through settlement and resolution.

Pr

GE

Continuing Unit Examiner

GEICO

Oct 2021 - Feb 2022 (4 months)

Conduct complex investigations to determine coverage and liability for claims involving catastrophic injuries statewide.
Evaluate, negotiate, and settle claims for damages.
Maintain a pending diary of claims, which is worked through settlement and resolution.
Provide support to insureds that have become defendants in lawsuits and guide them through the litigation process.
Develop efficient def

CL

President of Caliber Contact, LLC

Caliber Contact, LLC

Mar 2021 - Oct 2021 (7 months)

Worked as President of Caliber Contact, LLC at Caliber Contact, LLC.

Quality Roofing, Inc. logoQI

Submittal Coordinator

Quality Roofing, Inc.

Feb 2021 - Oct 2021 (8 months)

Review project specification and plans in order to select proper Florida Product Approval that will meet requirements outlined by General Contractor, Architect or any other entity.
Assemble submittal package utilizing current product data sheets and safety data sheets.
Support the project by actively coordinating project needs between all internal departments.
Manage the customer relationship b

GE

Continuing Unit Claims Examiner

GEICO

Nov 2018 - Mar 2021 (2 years 4 months)

Conduct complex investigations to determine coverage and liability for claims involving catastrophic injuries statewide.
Evaluate, negotiate, and settle claims for damages.
Maintain a pending diary of claims, which is worked through settlement and resolution.
Provide support to insureds that have become defendants in lawsuits and guide them through the litigation process.
Develop efficient def

GE

Telephone Claims Representative II

GEICO

Mar 2017 - Mar 2018 (1 year)

Evaluated and settled soft tissue injury claims statewide.
Conduct complex investigations to determine policy coverages and liability.
Investigated medical necessity and determine causality.
Review insurance contracts, consult with involved parties, secure medical information, and review associated reports and billing documentation.
Evaluate validity of personal injury claims and monitor case f

GE

Telephone Claims Representative I

GEICO

Mar 2016 - Apr 2017 (1 year 1 month)

Conduct complex investigations to determine policy coverages and liability.
Investigated medical necessity and determine causality.
Review insurance contracts, consult with involved parties, secure medical information, and review associated reports and billing documentation.
Evaluate validity of personal injury claims and monitor case files over the course of treatment.
Maintain and settle des

GE

Customer Service Representative

GEICO

Mar 2015 - Mar 2016 (1 year)

Conduct investigations to determine policy coverages and liability.
Maintain and settle designated non-injury claims within settlement authority.
Ensure customer satisfaction through efficient, accurate and courteous interactions.

STINGRAY CHEVROLET, LLC logoSL

Automotive Technician

STINGRAY CHEVROLET, LLC

Sep 2013 - Mar 2015 (1 year 6 months)

Worked as Automotive Technician at STINGRAY CHEVROLET, LLC.

Education

Degrees, certifications, and relevant coursework

TI

The Institutes

Associate in General Insurance (AINS)

Jan 2023

TI

The Institutes

Associate in Claims

Nov 2022

AI

American Educational Institute, Inc.

Automobile Claim Law Associate

Jun 2021

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