Andrea Fuentes
Plano
Summary
Claim specialist, and licensed adjuster with 8 years experience providing support to customers. Providing explanation of coverages, answering questions and completing complex claims investigations in a timely manner.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claim Specialist Complex T2 DPSP
State Farm
2023.06 - Current
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Provided exceptional customer service during difficult situations, displaying empathy while explaining complex claim issues clearly to clients.
- Participated in ongoing professional development courses to stay updated on best practices within the industry.
Claim Specialist Complex T1, DPSP
State Farm
2021.11 - 2023.06
- Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
- Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, ensuring proper handling of sensitive information.
- Conducted thorough investigations into auto claims to determine coverage eligibility and appropriate compensation amounts.
- Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
Claims Associate Auto ILR- Spanish
State Farm Mutual Automobile Insurance Company
2017.06 - 2021.11
- First point of contact for State Farm insureds or customers who have suffered a loss due to a State Farm Insured
- Completing necessary calls to parties involved in a loss in order to conclude claim
- Setting expections for next steps in claim process
- Setting customers up with repairs, rentals and tow.
- Completed multiple courses towards obtaining my AIC designation to further claim knowledge
- Assisted new hires during training
- Assist express in tasks completion
- Assisted total loss in tasks completion
Claims Associate ILR
State Farm Mutual Automobile Insurance Company
2017.03 - 2017.06
- First point of contact with customers after they had suffered a loss
- Data entry
- Correct explanation on coverage available
- Setting up repairs and tow
Vet Technician/Receptionist
Plano Animal Clinic
2014.07 - 2017.03
- First point of contact for new and existing customers.
- Handled incoming calls and scheduled appointments
- Assisted with patients and prescription filing
Education
Economics -
Collin County Community College
Plano, TexasSkills
- Customer service
- Multitasking
- Clear Communication
- Data entry
- Adaptability
- Patience
- Policy interpretation
- Legal compliance
- Claims investigation
- Claims analysis
- Coverage determination
- Policy analysis
Certification
Adjusters License - 2017
Languages
English
Spanish
Timeline
Claim Specialist Complex T2 DPSP
State Farm
2023.06 - Current
Claim Specialist Complex T1, DPSP
State Farm
2021.11 - 2023.06
Claims Associate Auto ILR- Spanish
State Farm Mutual Automobile Insurance Company
2017.06 - 2021.11
Claims Associate ILR
State Farm Mutual Automobile Insurance Company
2017.03 - 2017.06
Vet Technician/Receptionist
Plano Animal Clinic
2014.07 - 2017.03
Economics -
Collin County Community College