Ivy Figueroa
San Antonio,TX
Summary
Versatile Claims Adjuster bringing proficiency in investigating, negotiating, and settling insurance claims. With a strong background in interpreting policy language and determining coverage, have demonstrated success in managing multiple cases simultaneously with professionalism and accuracy. Known for exceptional communication skills combined with analytical acuity to identify fraudulent claims and protect company assets. Always proactive and resourceful, making positive impacts on operational efficiency and customer satisfaction rates.
Overview
5
5
years of professional experience
Work History
Claims Adjuster
Allcat Claims Service
San Antonio, TX
07.2023 - Current
- Gathered information from various third parties to determine claim acceptability.
- Conducted witness interviews to assist claim information gathering process.
- Utilized claim handling software to document and manage claim files efficiently.
- Worked closely with repair facilities and contractors to ensure quality repairs for policyholders.
- Decreased loss ratios through fair and timely claim processing.
- Identified and obtained evidence to ascertain claim value.
- Investigated questionable claims to determine payment authorization.
- Reviewed and applied state laws and regulations to ensure compliance in claim handling.
- Interpreted insurance policy language to apply appropriate coverage.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
- Evaluated performance metrics regularly; suggested modifications where necessary for increased efficiency.
- Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Driver
Uber And Lyft
San Antonio, TX
01.2020 - 07.2023
- Demonstrated ability to handle emergency situations calmly and effectively.
- Adhered to company policies and procedures related to safety and security standards.
- Provided excellent customer service by responding promptly to customer inquiries and complaints.
- Utilized GPS and maps for efficient route planning.
- Performed minor vehicle maintenance tasks to prevent disruptions.
- Delivered packages to customers in a timely and efficient manner.
- Monitored road conditions during trips to determine if any adjustments need to be made due to weather or traffic delays.
Education
High School Diploma -
San Antonio College
San Antonio, TX05-2015
Skills
- Claims Processing
- Rules of evidence
- Policy investigations
- Claims file management processes
- Technical knowledge
- Claims investigations
- Highly motivated
- Quality Control
- Caseload Management
Languages
Spanish
Limited
References
References available upon request.
Timeline
Claims Adjuster
Allcat Claims Service
07.2023 - Current
Driver
Uber And Lyft
01.2020 - 07.2023
High School Diploma -
San Antonio College
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