Ana Mauleon
Phoenix,Arizona
Summary
I aspire to work for a company that offers opportunities for professional growth and development of my skills and abilities. I am committed to delivering high-quality services and contributing to a positive and professional work culture. Furthermore, I aim to provide exceptional customer service to support and benefit my community.
Experienced auto claims professional with strong focus on delivering accurate and timely assessments. Adept at navigating complex claims processes and resolving issues efficiently. Skilled in team collaboration, problem-solving, and adapting to changing needs. Known for reliability and achieving results under pressure.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Auto Claims Adjuster
SeaView Insurance Company
02.2024 - Current
- Negotiated, investigated, and resolved liability exposures while evaluating claims to ensure their validity, determining liability, and negotiating settlement values
- Applied policy provisions when appropriate and recommended denial of coverage in instances of fraud or policy exclusions
- Confirmed coverage through the precise application of policy details, including drivers, vehicles, and associated coverage
- Secured recorded statements from insured policyholders, claimants, witnesses, insurance carriers, and other relevant parties
- Prepared comprehensive liability investigation reports for claims involving multiple exposures
- Collaborated with claimants or clients to arrange vehicle inspections and analyzed case files to assess the level of loss and appropriate compensation
- Issued accurate and timely claim payments after confirming coverage, negligence, and damages
- Reviewed all files for potential limit issues and secured all relevant property damage releases
Commercial Adjuster
Mapfre Insurance Company / Commerce Insurance Company
01.2022 - 02.2024
- Confirmed coverage through meticulous application of policy details, including drivers, vehicles, trailers, and associated coverage for a large corporation
- Applied policy provisions when necessary and recommended denial of coverage in instances of fraud or policy exclusions
- Successfully secured recorded statements from insured policyholders, claimants, witnesses, insurance carriers, agents, and other relevant parties
- Prepared comprehensive liability investigation reports for claims involving multiple exposures
- Engaged in negotiations to investigate and resolve liability exposures, evaluating claims to ensure their validity, determine liability, and negotiate appropriate settlement values
- Collaborated effectively with claimants or clients to facilitate vehicle inspections and analyzed case files for clients to assess the level of loss and corresponding compensation
- Issued accurate and timely claim payments once coverage, negligence, and damages had been thoroughly confirmed
- Exhibited strong self-management and organizational skills, maintaining composure and executing tasks effectively under pressure
- Demonstrated the ability to multitask, managing several ongoing cases simultaneously as an auto insurance commercial adjuster
Auto Claims Adjuster
Kemper Insurance Company
10.2019 - 07.2022
- Negotiated and addressed liability exposures by evaluating claims for validity, determining liability, and negotiating settlement amounts
- Applied policy provisions as appropriate and recommended denial of coverage in instances of fraud or policy exclusion
- Verified coverage through precise application of policy details, including drivers, vehicles, and associated coverages
- Obtained recorded statements from insured policyholders, claimants, witnesses, insurance carriers, and other relevant parties
- Prepared comprehensive liability investigation reports for claims involving multiple exposures
- Collaborated effectively with claimants and clients to facilitate vehicle inspections and analyzed case files to ascertain the level of loss and appropriate compensation
- Processed accurate and timely claim payments upon confirmation of coverage, negligence, and damages
- Reviewed all files for potential limit issues and ensured all applicable property damage releases were secured
Total Loss Adjuster
Legacy Insurance Company
02.2018 - 10.2019
- Investigating, evaluating, and resolving total loss claims efficiently while providing excellent customer service
- Managed claims processing for salvage automobiles, including resolving vehicle disputes through thorough research
- Reviewed owner transfer paperwork and documentation for retained settlements by the owner
- Processed insurance documentation, including liaising with lienholder.
- Utilized compassionate communication and persuasive negotiation skills to ensure a positive customer experience
- Documented losses addressed immediate inquiries regarding the claims process and analyzed vehicle settlement values
Material Damage Assistant
Legacy Insurance Company
06.2017 - 02.2018
- Responsibilities included approving estimates, responding to claim-related emails, managing the opening, and closing of glass claims, processing payments for Glass, Copart, and Latitude, maintaining the Glass Excel log, and handling the mailing of Copart titles
Subrogation Department
Legacy Insurance Company
08.2016 - 06.2017
- Prepared subrogation demands and facilitated recovery efforts
- Conducted ISO searches and contributed to the response for the Arbitration Demand.
- Utilized the E-Hub and collaborated with Latitude Subrogation on processing payments
- Closed subrogation claims and assisted in the recovery of overpayments related to duplicate coverage and no-fault claims
- Identified legal liability and engaged in negotiations to settle subrogation collections
Clerical Department
Legacy Insurance Company
08.2013 - 10.2016
- My job responsibilities involved multitasking effectively
- While handling phone calls, I would index new loss reports and open claims, direct mail to the appropriate claims and send it to the correct adjuster.
- Additionally, I processed stop payment and void requests, as well as entered vendor information and manage transcription requests for recorded statements
Education
High School Diploma -
Paradise Valley High School
Skills
- Bilingual - Spanish
- Strong organizational, time management abilities, Effective multitasking skill
- Personable and approachable demeanor
- Proficient in Microsoft Word, PowerPoint, Excel, and Google Docs, Multiple claim related systems such as Guidewire, ISO, AS400, CCC Information Services, Arbitration Forums
- Dedicated and diligent work ethic
- Excellent customer service skills
- Claims handling
- Claims investigation
- Insurance regulations knowledge
- Policy interpretation
Certification
Texas License
Timeline
Auto Claims Adjuster
SeaView Insurance Company
02.2024 - Current
Commercial Adjuster
Mapfre Insurance Company / Commerce Insurance Company
01.2022 - 02.2024
Auto Claims Adjuster
Kemper Insurance Company
10.2019 - 07.2022
Total Loss Adjuster
Legacy Insurance Company
02.2018 - 10.2019
Material Damage Assistant
Legacy Insurance Company
06.2017 - 02.2018
Subrogation Department
Legacy Insurance Company
08.2016 - 06.2017
Clerical Department
Legacy Insurance Company
08.2013 - 10.2016
High School Diploma -
Paradise Valley High School
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