Annel Simpson
Converse
Summary
Results-driven insurance adjuster with ten years of experience in claims resolution and customer support. Expertise in investigating claims and negotiating settlements, consistently achieving high customer satisfaction through effective communication and problem-solving skills. Bilingual capabilities enhance engagement with diverse clientele.
Overview
16
16
years of professional experience
Work History
Claims Resolution Representative II, APD
Liberty Mutual
Converse
11.2022 - Current
- Reviewed, evaluated, and adjusted claims for fair and prompt settlements.
- Delivered quality customer service to insured and claimants throughout claims process, ensuring timely resolutions.
- Investigated potentially fraudulent claims with emphasis on thoroughness and quality.
- Issued settlement checks to claimants
- Thoroughly explain coverages to insureds
- Handled incoming and outbound calls for customer inquiries
Auto Claims Adjuster
USAA
San Antonio
07.2019 - 11.2022
- Researched and verified insurance policy coverage.
- Evaluated extent of damage and documented findings.
- Conducted interviews, gathered detailed information and determined liability.
- Analyzed policy language to ensure compliance with state regulations and company policies.
- Answered incoming calls from customers and provided assistance with rentals, policy inquiries, billing questions, and other claims related issues.
Independent Property Claims Adjuster
IAS CLAIM SERVICES
San Antonio
07.2016 - 01.2019
- Detailed coverage, liability and reasons for denial of claims to policyholders, attorneys and third-party providers.
- Recorded and conveyed claim activity to clients, ensuring clear understanding of status.
- Compiled and updated records with accurate files and information for efficient claim processing.
- Handled high volume of inbound calls to address client inquiries and concerns.
Auto Claims Adjuster
FRED LOYA INSURANCE AGENCY INC
San Antonio
11.2014 - 06.2016
- Interview all parties involved in loss to gather pertinent information regarding claim.
- Examine photographs, video surveillance, audio clips, statements, and all other documentation related to the claim.
- Analyze information, finalize liability, and issue payments accordingly.
- Coordinated multiple claims simultaneously while meticulously documenting each step of the process.
- Researched and verified insurance policy coverage.
- Enhanced customer service satisfaction by adhering to company protocol and delivering exceptional support.
FNOL representative
The Littleton Group
San Antonio
01.2011 - 01.2014
- Served as first point of contact for policy holders reporting new auto and commercial claims, ensuring prompt assistance and resolution.
- Confirmed policy details and gathered necessary documentation to facilitate establishment of new claims.
- Collected comprehensive loss information, including accident facts, parties involved, and documentation to support claim processing.
Education
Criminal Justice -
New England College
Henniker, NH01-2001
Skills
- Policy interpretation
- Policy analysis
- Call management
- Analytical skills
- Microsoft Word and Excel proficiency
- Office software proficiency
- Customer service
- Spanish proficiency
- Team collaboration
- Fraud investigation
Timeline
Claims Resolution Representative II, APD
Liberty Mutual
11.2022 - Current
Auto Claims Adjuster
USAA
07.2019 - 11.2022
Independent Property Claims Adjuster
IAS CLAIM SERVICES
07.2016 - 01.2019
Auto Claims Adjuster
FRED LOYA INSURANCE AGENCY INC
11.2014 - 06.2016
FNOL representative
The Littleton Group
01.2011 - 01.2014
Criminal Justice -
New England College