Summary
Overview
Work History
Education
Skills
Timeline
Generic

SAMUEL FONSECA

San Juan

Summary

Dynamic Claims Specialist with extensive experience at One Alliance Insurance Corporation, excelling in effective communication and meticulous documentation management. Proven ability to streamline claims processing and enhance operational efficiency. Proficient in Microsoft Office and skilled in task organization, consistently delivering high-quality service under pressure. Committed to professional ethics and client satisfaction.

Overview

7
7
years of professional experience

Work History

Claims Specialist

One Alliance Insurance Corporation
San Juan
07.2023 - Current

Manages claims across Auto, Property, and Liability lines, handling case registration, verifying coverage and payments, coordinating with adjusters, and maintaining physical records. Also assists with reporting, inbox management, and provides administrative support to ensure efficient operations.

Claims Representative | Claims Specialist Payments / Creations

One Alliance Insurance Corporation
San Juan
06.2022 - 07.2023

Provides support to customers and insurance agents by ensuring clear and timely communication. Coordinates and follows up with claims adjusters, verifies insurance coverage, and maintains accurate and organized records. Assists in processing payments, issuing checks, handling email and phone inquiries, and is responsible for initiating and registering new claims in the system.

Administrative Support-Claims | Risk Management Technician

HUB Puerto Rico
San Juan
06.2018 - 06.2022

Responsible for the receipt, registration, classification, and filing of documents, ensuring proper documentation flow and organization. Provides efficient and courteous service to customers and claimants through phone and email communication. Audits claim documentation for accuracy and completeness before submission. Analyzes and evaluates policy coverage and limits to ensure compliance and proper claim handling. Maintains consistent follow-up with insurers to support timely claim resolution and effective case management.

Education

Bachelor’s Degree in Business Administration - Finance and Insurance

Ana G. Méndez
Bayamón PR
01-2024

Skills

  • Excellent oral and written communication skills in Spanish
  • Basic English comprehension
  • Microsoft Office programs (Power Point, Excel, Word & Outlook)
  • Keyboard handling
  • Task organization and scheduling skills
  • Work with little or no supervision
  • Ability to work in a team and under pressure
  • Professional ethics and high work commitment

Timeline

Claims Specialist

One Alliance Insurance Corporation
07.2023 - Current

Claims Representative | Claims Specialist Payments / Creations

One Alliance Insurance Corporation
06.2022 - 07.2023

Administrative Support-Claims | Risk Management Technician

HUB Puerto Rico
06.2018 - 06.2022

Bachelor’s Degree in Business Administration - Finance and Insurance

Ana G. Méndez
SAMUEL FONSECA