Alfredo Fonseca Jr
Floresville,Tx.
Summary
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 10 years of experience interviewing specialists, witnesses and claimants to compile information.
Overview
8
8
years of professional experience
1
1
Certification
Work History
CAT Adjuster
Allcat Claims Service
04.2022 - Current
- Investigated and determined coverage of loss and adjusts all elements of Property Loss claims of moderate-high severity.
- Handled moderate- severe complexity claims assigned under little supervision.
- Investigate and evaluate to resolve complex coverage and damage issues to include preparing complete estimates of repair for covered damages.
- Explain coverage of loss, assist policyholders with itemization of damages, emergency repairs and additional living arrangements.
- Worked with to coordinate number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.
- Identify suspicious losses. Recommend referral to SIU where appropriate and may assist SIU in their investigation and settling of the claim.
- Called upon for catastrophe duty at any time.
Claims Examiner
Davis Law Firm
01.2015 - 04.2022
- Examined photographs and statements.
- Handled complaints and grievances using negotiating and problem-solving skills.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Interviewed claimants and witnesses to gather factual information.
- Consulted police and hospital records when needed.
- Researched claims and incident information to deliver solutions and resolve problems.
- Investigated and processed insurance claims for policyholders.
- Finalized files for insurance claim payment release.
- Investigated properties to determine extent of damage and estimate repair costs.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Education
Diploma -
South San High School
San Antonio, TXSkills
- Fraud Detection
- Negotiation
- Customer Experience
- Adjusting Machine Parts
- Claims Processing Administration and Management Software
- Critical Thinking
- Litigation Management
- Report and Records Review
- Customer Satisfaction
- Interview Claimants
- Claims Procedures
- Active Listening
Certification
- Texas All Lines Adjusters License License No: 2831991
- Xactimate Certified
Languages
Spanish
Native or Bilingual
Timeline
CAT Adjuster
Allcat Claims Service
04.2022 - Current
Claims Examiner
Davis Law Firm
01.2015 - 04.2022
Diploma -
South San High School
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