Caleb Michel
Hialeah,FL
Summary
Professional Independent Adjuster who can maintain customer satisfaction while working within company policies. Adept at utilizing a computer database handling several ongoing cases simultaneously and seeing a claim file through its life cycle. I specialize in offering quick and efficient solutions to the variety of claims that are presented to a claim’s adjuster every day. Excel in analyzing damages/causes, interpreting policies and negotiating payment solutions.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Field Inspector
IA Firms
Hialeah, FL
11.2019 - Current
- Evaluated and processed claims related to wage loss, medical expenses, and evacuation. reimbursements, ensuring compliance with policy terms, local regulations, and industry standards.
- Investigated and assessed property damage, claim liability, and supporting documentation, including payroll records, tax returns, police reports, and surveillance footage.
- Reviewed and validated medical bills and healthcare costs, coordinating with providers and claimants to resolve discrepancies and ensure accurate reimbursements.
- Analyzed complex claim data, consulted with specialists (e.g., physicians, engineers), and determined appropriate benefits, payments, and settlements..
- Negotiated settlements with claimants while maintaining company interests, and ensuring fair, policy-compliant resolutions.
- Provided excellent customer service, particularly in catastrophe claims, while collaborating with attorneys to support claim defense in contested cases.
Desk Adjuster
ASI/Progressive
St. Petersburg, FL
01.2018 - 10.2019
- Reviewed and assessed case files to determine appropriate security measures for claims, ensuring compliance with company protocols.
- Managed confidential and sensitive information with discretion, upholding privacy standards and maintained professionalism.
- Supported fraud detection efforts, leveraging investigative skills to identify inconsistencies and mitigate risk in claims processing.
- Collaborated with claimants, contractors, and internal teams to facilitate efficient resolution of claims and ensure timely processing.
Patient Care Secretary
Vitas Healthcare
Sunrise, FL
06.2014 - 10.2017
- Served as a key liaison between patients, families, medical staff, and volunteers, ensuring seamless communication and efficient coordination-of-care.
- Oversaw patient records management, processing critical documentation (Plans of Care, physician authorizations) with precision to support compliance and billing accuracy.
- Managed scheduling for the healthcare team, optimizing workflow and coordinating part-time staff as needed.
- Procured and tracked durable medical equipment (DME) and supplies, maintaining accurate inventory and ensuring timely patient access to essential resources.
- Maintained and updated patient data in Vx and event tracking systems, ensuring accuracy in census reporting and regulatory compliance.
Behavioral Health Technician
Hospital At Home
Coral Springs, FL
09.2011 - 05.2014
- My nightly duties of coordinating mental health care services, working alongside with Medical Doctors, Nurses, Social Workers, Therapist to ensure the patient's well cared for.
- Assisting in performing a clinical patient assessment during admission, doing Vital signs.
- making sure the patient's clinical chart and paperwork is prepared for the physicians and clinical staff.
- Monitoring the patients as well as documenting the care during time of shift, etc.
Security Officer & Concierge Specialist
Allied Universal Security Services
Fort Lauderdale, FL
05.2009 - 08.2011
- Provided professional security services and concierge support in high-profile residential and commercial properties.
- Monitored surveillance systems, controlled property access, and enforced security protocols to ensure the safety of residents, visitors, and staff.
- Conducted routine patrols on foot, and responded to incidents, emergencies, and client concerns professionally and efficiently. Maintained detailed incident reports and liaised with law enforcement, emergency responders, and property management as needed. Ensured a welcoming and secure environment by combining security expertise with hospitality-driven service.
- Maintained detailed incident reports and liaised with law enforcement, emergency responders, and property management as needed.
- Ensured a welcoming and secure environment by combining security expertise with hospitality-driven service.
Education
High School Diploma -
Fort Lauderdale HS
Fort Lauderdale, FL05-2007
Skills
- Knowledge of Xactimate
- Strong customer service skills
- Detail oriented
Proficient in Microsoft Word - Claims file management
- Proficient in Xactanalysis
Property adjusting - Excellent communications skills
- Work independently
Certification
- 0620 – Adjuster All Line
- Licensed in FL, GA, AR, LA,
MS, WY, TX, AL, NM, MN,
MI, AZ, KY, PR - State Farm Certified
- Rope and Harness
Timeline
Field Inspector
IA Firms
11.2019 - Current
Desk Adjuster
ASI/Progressive
01.2018 - 10.2019
Patient Care Secretary
Vitas Healthcare
06.2014 - 10.2017
Behavioral Health Technician
Hospital At Home
09.2011 - 05.2014
Security Officer & Concierge Specialist
Allied Universal Security Services
05.2009 - 08.2011
High School Diploma -
Fort Lauderdale HS
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