1. MAUREEN AGUINIGA
363 Delaware St., Carpentersville, IL 60110 | C: 847-873-2854 | maureenaguiniga@gmail.com
SUMMARY
Dynamic insurance professional bringing 20 plus years in the field of Worker's Compensation. I am
friendly, outgoing and a dedicated individual, with an ambition to succeed in multiple environments.
Although I have great deal of experience in the Worker's Compensation arena, I am always looking
to learn more and am always up to a challenge. I get along very well with others, whether I am in a
supervisory role, a team leader role or just working with my peers. I am seeking a position where I can
develop and excel while being loyal and giving my best to my employer.
HIGHLIGHTS
Claims file management Decisive
processes Team player
Litigation resolution Analytical
Insurance fraud expertise Self-directed
Sales background
Strong interpersonal and
communication skills
Critical thinker
ACCOMPLISHMENTS
Received recognition award for adjusting difficult claims for a difficult
account.
Named “Adjuster (and later Supervisor) of the Nation” from Ace Hardware, Best
Buy, Volt and CC Ind. for excellence in service.
Received several written compliments from several different clients through
the years.
EXPERIENCE
10/2012 to 11/2014 Senior Claims Professional
Diamond Insurance - Schaumburg, IL
I worked claims from inception to closure and/or settlement for multiple
jurisdictions, such as; Illinois, Wisconsin, Michigan, Minnesota, Nebraska,
Indiana, Missouri and others. I act as the litigation and vendor manager on the
claims, issue medical an indemnity benefits, work with service instructions
and complete all client/carrier reporting. I complete reserve recommendations
with rationale and place reserves for the expected outcome.
07/2012 to 10/2012 Senior Claims Adjuster
Professional Staffing - W est Dundee, IL
Worked as a temporary senior adjuster at Sedgewick (The Supervalue account)
and then at Diamond, where I was offered a permanent position.
Obtained relevant evidence and information regarding suspicious
claims. Interviewed claimants, medical specialists and employers to
determine pertinent claim information. Investigated any potentially fraudulent
claims with a focus on thoroughness, quality and cost control.
02/2004 to 07/2012 Sr. Claims Adjuster and also Supervisor
Gallagher Bassett - Schaumburg, IL
Contacted injured parties and legal representatives to negotiate final
settlements for claims. Obtained all necessary information to complete proper
evaluation of injury claims. Analyzed first reports of loss and underlying file
material to determine if a claim was suspect. Interviewed claimants, medical
specialists and employers to determine pertinent claim information. Supervised
and mentored 6-7 adjusters at a time as team members of the claim staff.
04/1994 to 01/2004 Senior Claims Adjuster and Supervisor
Crawford & Company - Schaumburg, IL
Attended numerous anti-fraud trainings, conferences, client SIU trainings and
industry seminars. Conducted interviews, gathered detailed information and
2. EDUCATION
completed field investigations. Interviewed claimants, medical specialists
and employers to determine pertinent claim information. Contacted injured
parties and legal representatives to negotiate final settlements for claims.
Certificate: Marketing & Accounting
Harper College - Rolling Meadows, IL
Select One
Rolling Meadows, IL
Risk Management and Insurance coursework. AIC courses. CE courses.