Hi, I’m
Lisette Santos
Fraud Triage Specialist
Homestead,FL
Summary
Dynamic professional with exceptional communication skills, dedicated to providing compassionate support during challenging times. Proven ability to collaborate effectively with diverse teams, fostering a positive environment that enhances service delivery. Committed to continuous personal and professional growth, with a strong desire to further education and contribute meaningfully to organizational success. Eager to leverage expertise in a role that values empathy and teamwork while driving impactful results.
Overview
6
years of professional experience
1
Certification
Work History
Assurant
Fraud Triage Specialist
10.2021 - Current
Job overview
- Started as a claims adjuster and handpicked for a position as a Fraud Triage Specialist in early 2023. Conduct investigations according to team processes and procedures. Refer incomplete investigations to the original handling adjuster and collaborate with SIU to complete investigations and finalize claim decisions including payment or denials in accordance with policy conditions in a timely manner.
- Consistently meets or exceeds KPIs
- Supports others while maintaining own workflow
- Maintains open and proactive communication with management and peers
- Identifies claim opportunities with precision
- Conducts research and contributes to special projects
- Serves as a Subject Matter Expert (SME) for the team
- Acts as a go-to associate for new projects supporting both the team and broader company initiatives
- Provides learning and development support for both the team and leadership
Simpson & Mena
Legal Assistant
12.2020 - 08.2021
Job overview
- Assisted attorney in e-filing lawsuits for first parties via portal and filing any motions, depositions and hearings based on the Judge’s calendar. The attorney asked me to assist in their accounting department as they appreciated the organization I was displaying during my assistance at the office.
- QuickBooks efficient – in this role, worked on the weekends with the attorney, input all bank statements and reconciled all accounts up to date.
- Time Management – built the quality of the customer service being provided to all the clients. Assisted well with others and following up on any diary tasks working in Clio with due diligence.
Krystal Care Restoration
Claims Adjuster / IICRC Certified Technician
10.2019 - 12.2020
Job overview
- Created estimates in Xactimate, invoices in QuickBooks, dry logs via google sheets and submitted all documents needed for the carrier to issue payment for the services rendered. Also worked directly with the Public Adjuster to ensure that all claims were running smoothly and as accurately as possible.
- Global Settlement – worked directly with Universal Property Insurance Company on all our invoices billed to them for both companies Krystal Care Restoration and Quick Mold Labs. Reached settlement of over $120K for the company.
- Managed all claims documents submitted to the carrier – in this role to immediately communicate success with the insurance company and advise our demand and all necessary documentation needed to receive payment.
- Independent work – worked well to ensure documents were reviewed thoroughly and revised any estimates or documents that needed to be updated to the current negotiation amount.
Education
South Dade Senior High SchoolHomestead, FL
High School Diploma
Keiser University
Associate of Arts from Paralegal Studies
11.2025
Skills
- Time Management
- Details Oriented
- Planning and Prioritizing
- Sustained Attention
- Self-Monitoring
- Task Initiation
- Goal-Directed Persistence
- Emotional Intelligence
- Teamwork
- Leadership
- Critical Thinking
- Empathetic
Accomplishments
- 2025 Serve as a Subject Matter Expert (SME) for the team
- 2023 to 2024 Solid Performance
- 2022 Exceptional Performance
Certification
- Licensed 6-20 All-lines Adjuster, Assurant - 2021
Languages
English
Native or Bilingual
Spanish
Full Professional
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Career advancementWork-life balanceCompany CultureFlexible work hoursHealthcare benefitsWork from home optionPaid time offPaid sick leave401k matchStock Options / Equity / Profit SharingPersonal development programsTimeline
Fraud Triage Specialist
Assurant
10.2021 - Current
Legal Assistant
Simpson & Mena
12.2020 - 08.2021
Claims Adjuster / IICRC Certified Technician
Krystal Care Restoration
10.2019 - 12.2020
Keiser University
Associate of Arts from Paralegal Studies
South Dade Senior High School
High School Diploma