Blanca Mayelin Almeida
Hialeah
Summary
Experienced auto claims adjuster with a track record of twenty-five years providing exceptional customer service to auto claims customers—excellent knowledge of policies and claim settlement procedures. Laid back and relaxed to handle irate customers with ease and professionalism.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Auto Claims Adjuster
Mendota Insurance Company
Doral
04.2018 - Current
- Negotiated settlements with claimants when appropriate.
- Processed payments according to terms outlined in policy contracts.
- Determined liability based on facts gathered from investigations.
- Evaluated repair estimates for reasonableness and accuracy prior to authorizing repairs.
- Managed multiple cases simultaneously while meeting established deadlines.
- Interviewed claimants, witnesses, police officers, medical professionals and other parties involved in the claim.
- Investigated and analyzed auto insurance claims to determine validity, accuracy, and coverage.
- Attended continuing education seminars to stay abreast of changes in the field.
- Assessed damages to vehicles and property resulting from a variety of incidents.
Auto Claims Adjuster
Federated National Insurance Company
Miami
01.2017 - 01.2018
- Review and establish new claims, as well as reassign existing ones.
- Conduct a thorough review and establishment of new claims, in addition to the reassignment of existing claims.
- Obtain statements from the insured and third parties within 24 and 48 hours, respectively.
- Interpret and elucidate policy regulations, exclusions, and coverage for the insured.
- Manage claims related to theft, fire, and coverage investigations.
- Negotiate settlements with the insured, third parties, and/or attorneys.
- Ensure that appropriate payments are rendered promptly upon the settlement of claims.
- Maintain a settlement rate of 100% or better for property damage and collision claims.
- Evaluated repair estimates for reasonableness and accuracy prior to authorizing repairs.
- Managed workload to ensure timely follow-up and resolution of all assigned claims.
- Evaluated extent of damage and documented findings.
Auto Claims Adjuster
United Automobile Insurance Auto
Miami
06.2015 - 01.2017
- Verify Coverage upon receiving file.
- Review and set up New and reassign claim.
- Obtain insured and third-party statements within 24 and 48 hours respectively.
- Educated and informed the Insured on their policy and the claim process.
- Secure all supporting documents (i.e. ISO for all parties involved, appraisal report, police report)
- Negotiate settlement with insured, third parties and /or attorneys.
- Make proper payment once claim is settle
- Maintain PD/Collision Settlement rate of 100%
- Investigated auto accident claims to determine liability and coverage.
- Managed heavy workload of ongoing cases thanks to strong organizational, time management, and collaboration skills.
Claim Adjuster-Commercial and Private Auto
Kingsway Amigo / Hamilton Risk Management Co
Miami
01.2008 - 06.2015
- Verify Coverage upon receiving file.
- Settle property damage claim that do not have coverage problem or liability issues within 7 days.
- Obtain insured and third party statements within 24 and 48 hours respectively.
- Secure all supporting documents (i.e. appraisal report, police report).
- Determine amount of settlement.
- Negotiate settlement with insured, third parties and /or attorneys.
- Make proper payment once claim is settle.
- Maintain PD/Collision settlement rate of 100% or better
Education
Associate in arts -
Miami Dade College
Miami08-1997
Skills
- Claims investigation
- Settlement negotiation
- Damage assessment
- Customer service
- Time management
- Effective communication
- Attention to detail
- Damage mitigation
- Fraud detection
Certification
- Florida Department of Insurance
- General Lines 220 Agent (Property & Casualty)
- 0620 - ADJ - All Lines
- Continuing Insurance Education
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Auto Claims Adjuster
Mendota Insurance Company
04.2018 - Current
Auto Claims Adjuster
Federated National Insurance Company
01.2017 - 01.2018
Auto Claims Adjuster
United Automobile Insurance Auto
06.2015 - 01.2017
Claim Adjuster-Commercial and Private Auto
Kingsway Amigo / Hamilton Risk Management Co
01.2008 - 06.2015
Associate in arts -
Miami Dade College
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