Job Search Status
Open to workDesired start date: Immediately
Open To Work
Michael Rasteiro
Middleville,MI
Work Preference
Summary
Self-motivated, dedicated and adaptable professional with 18 years of experience working in hospitality, government public services and insurance in roles that involve interpreting and explaining changing policies, case management and supervision of others. Known for proactive attitude, problem-solving, resourcefulness, strong work ethic, and exceptional interpersonal skills. Able to succeed both independently or as a part of a team, with the ability to learn quickly, and enthusiastically take on new challenges. Technical skills include data entry and analysis, experience with Microsoft Suite and various government/corporate/department programs.
Work History
Specialty Homeowners Liability Adjuster
Farmers Insurance Company
Caledonia, MI
01.2024 - 02.2026
- Reviewed police reports, medical records and other documents related to the claim.
- Investigated liability claims to determine coverage and extent of damages.
- Advised clients on best practices for risk management and prevention of future liabilities.
- Performed administrative tasks such as scheduling appointments, preparing correspondence and updating databases.
- Maintained accurate records of all activities related to each claim file.
- Drafted detailed reports outlining findings from research and investigations.
- Assessed potential legal liabilities, negotiated settlements, and determined reserves.
- Conducted interviews with claimants, witnesses, experts and other parties involved in the claim process.
- Compiled evidence, including witness statements and photographs.
- Analyzed complex documents such as contracts, policies, deeds and titles for accuracy and completeness.
- Negotiated settlements on behalf of clients while protecting their interests.
- Ensured compliance with state laws governing insurance operations.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Negotiated settlement of claims with claimants and attorneys to ensure fair outcomes.
- Communicated effectively with policyholders, providing updates and explaining claim processes.
- Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
- Reviewed and applied state laws and regulations to ensure compliance in claim handling.
- Calculated and authorized payment of claims within designated authority level.
- Resolved claim disputes through mediation and negotiation, minimizing the need for litigation.
- Interpreted insurance policy language to apply appropriate coverage.
- Utilized claim handling software to document and manage claim files efficiently.
- Coordinated with law enforcement and other agencies as needed for claims investigation.
- Investigated and evaluated property and casualty insurance claims to determine coverage and liability.
SNAP Case Manager Supervisor
Commonwealth of Massachusetts
New Bedford, MA
05.2023 - 12.2023
- Monitored caseloads for timely completion of tasks and client outcomes.
- Served as a liaison between the organization and external agencies providing support services for clients.
- Assisted Case Managers with problem solving difficult cases or developing individualized service plans.
- Collaborated with other departments within the organization to ensure that all client needs were met.
- Ensured compliance with relevant laws, regulations and organizational standards related to case management services.
- Analyzed data from reports on caseloads, outcomes and trends in order to identify areas of improvement.
- Supervised, trained and evaluated Case Managers in the delivery of services to clients.
- Developed strategies to improve workflow efficiency in order to meet performance objectives.
- Created educational materials on topics related to case management such as documentation requirements or crisis intervention techniques.
- Developed and implemented policies and procedures for case management staff.
- Reviewed current best practices in case management processes and made recommendations for improvement.
- Provided resources and referrals to clients as needed.
- Conducted weekly meetings with Case Managers to review cases and discuss any issues or concerns.
- Transitioned clients to different providers based on progress or needs.
- Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
- Assisted individuals with eligibility for available benefits.
- Maintained logs and electronic client records following department and agency policies for effective monitoring.
- Developed and maintained relationships with community resources and service providers.
- Utilized case management software and databases for efficient information tracking.
- Evaluated program effectiveness and suggested improvements based on client outcomes.
- Identified barriers to client success and developed strategies to overcome them.
- Participated in professional development opportunities to stay current with best practices in case management.
SNAP Case Manager
Commonwealth Of Massachusetts-DMH
New Bedford, MA
05.2016 - 04.2023
- Assisted clients in accessing community resources such as housing, food pantries, and transportation options.
- Provided crisis intervention services, as needed.
- Developed individualized service plans with clients to address their identified goals.
- Assisted individuals experiencing homelessness by providing referrals for emergency shelter placements.
- Provided crisis intervention services for clients experiencing acute distress.
- Maintained accurate records of client progress and interactions according to agency standards.
- Conducted assessments of client needs, strengths, and resources to develop treatment plans.
- Coordinated referrals to outside agencies for additional services such as substance abuse programs or vocational training.
- Interviewed clients individually and in family groups to determine services to best address specific needs.
- Maintained thorough case history records and wrote detailed reports.
- Referred patients to community resources for mental health treatment, child protective services and assistance for people with developmental disabilities.
- Participated in professional development activities related to case management best practices.
- Maintained accurate case records and documentation according to agency guidelines.
Restaurant Manager
Ruby Tuesday
Taunton, MA
07.2010 - 04.2016
- Implemented effective marketing campaigns to increase revenue and improve brand awareness.
- Managed day-to-day operations of restaurant, including scheduling, budgeting, and inventory control.
- Resolved conflicts among employees in an effective manner.
- Supervised and trained staff in customer service, food handling, and safety protocols.
- Ensured compliance with all food safety regulations and sanitation standards.
- Developed strategies for improved operational efficiency and customer satisfaction.
- Analyzed financial statements to identify areas of improvement or cost savings opportunities.
- Oversaw the recruitment, hiring, onboarding, training, scheduling and evaluation of employees.
- Ordered supplies from vendors as needed while staying within budget guidelines.
- Maintained detailed records of sales transactions and daily shift reports.
- Monitored stock levels of ingredients to ensure timely delivery of fresh produce.
- Collaborated with local businesses to create mutually beneficial partnerships.
- Conducted weekly team meetings to discuss performance issues and provide feedback.
- Adhered to all health department regulations regarding food storage and preparation.
- Resolved customer complaints in a professional manner to maintain positive relationships with guests.
- Optimized profits by controlling food, beverage and labor costs.
- Directed and coordinated restaurant activities to obtain optimum customer service and strong employee development.
- Prepared employee schedules to maintain appropriate staffing levels during peak periods.
- Complied with health, sanitation and liquor regulations by clearly communicating and reinforcing standards and procedures to employees.
- Counseled and disciplined staff to address issues promptly and provide constructive feedback.
- Coached team members on food safety and sanitation processes, customer service, menu education and up-selling techniques to drive revenue.
- Resolved and investigated complaints regarding service, food quality and accommodations.
- Trained front-of-house staff on restaurant policies and procedures, guest service techniques and communication skills to promote positive experiences.
- Oversaw inventory and ordered ingredients to restock freezers, fridges and pantry.
- Reconciled daily transactions, balanced cash registers and deposited restaurant's earnings at bank.
Education
BBA - Marketing
Hofstra University
Hempstead, NY05-2007
Tech Experience
Throughout my career, I have developed skills in multiple computing programs and systems used for administration, data analysis, database management, virtual collaboration, scheduling, training, and eligibility determination. These programs and sites include: Microsoft Suite, Beacon and Guidewire for state benefit and insurance claim/case management, virtual collaboration tools include Zoom, Microsoft Teams, Skype and Google Workspace. As a restaurant manager, MICROS was used to generate and analyze sales and employee performance reports and Oracle for onboarding and training management. In my time with the Department of Health and Human Services, I utilized various online resources including the Department of Revenue database system, SAVE (Systematic Alien Verification for Entitlement), EPPIC (Electronic Payment Processing and Information Control), and RAPID (Reports Analysis and Protected Information Database).
Skills
- Regulatory compliance
- Document analysis
- Case management
- Settlement negotiation
- Record keeping
- Conflict resolution
- Team collaboration
- Data analysis
- Policy interpretation
- Legal compliance
- Claims investigations
- Verbal and written communication
- Critical thinking
- Quality control
- Problem-solving
- Multitasking and organization
- Dispute resolution
- Claims investigation
- Independent judgment
- Claims processing
- Advanced oral and written communication skills
- Database management
- Cross-functional coordination
- File auditing
- Claims negotiation
- Advanced computer skills
- Data entry
- Repair services coordination
- Customer service
- Decision-making
- Caseload management
- Claims file documentation
- Innovation and creativity
Portfolio
Resume