RASHEEBA MALLETTE
North Lauderdale
Summary
Results-driven Liability Claims Adjuster with extensive experience in claims investigation and negotiation. Skilled in liability determination and effective communication, consistently achieving favorable outcomes for account holders, and stakeholders.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Liability Claims Adjuster
PEARL HOLDING GROUP
Coral Springs
10.2022 - Current
- Provide voice-to-voice contact within 24 to 72 business hours of the first report.
- Conduct timely coverage analysis and communication with the insured based on the application of policy information, facts, or allegations of each case.
- Investigates each claim through prompt contact with appropriate parties, such as policyholders, claimants, law enforcement agencies, and witnesses' agents, to determine the extent of liability, damages, and contribution potential. Records necessary statements.
- Maintains an effective diary management system to ensure that all claims are handled in a timely manner.
- Negotiate claims with insureds and claimants, or their legal representatives.
- Maintain and document claim file activities in accordance with established procedures.
Total Loss Specialist
UNITED AUTO INSURANCE
Miami Gardens
11.2019 - Current
- Answers and/or returns calls from insureds, Attorneys, Agents and others regarding open and closed claims
- Responds to inquiries, answers questions, and provides claim status information.
- Updates claim notes documenting phone calls and what action was taken
- Determine coverage
- Determine liability (who's at fault for the damages)
- Partner with appraisers/estimators to manage vehicle total loss
- Negotiate with customers and other insurance carriers and resolve claims
Collision Adjuster
PEARL HOLDING GROUP
Coral Springs
02.2017 - 11.2019
- Investigates, confirms coverage, determines liability, establishes damages, reports status and negotiates the settlement of assigned cases in a supervised learning environment
- Has authority to make payment of assigned claims within prescribed limits, with supervisory review and approval
- Determines and reports on subrogation potential
- Performs most duties on an individual basis, and work has a direct bearing on Management results
- Personal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims
Senior Service/Billing Advocate
FARMERS INSURANCE
Plantation
08.2011 - 12.2016
- Serviced inbound calls from internal and external coworkers, producers and customers related to any policy or commission issues
- Crossed trained in account receivable
- Analyzed complex billing related issues and resolve by identifying, consulting the problem cause
- Researched payments disputes, lost payments, misapplied money and other troubleshooting as necessary which may result in processing credits and charging payments
- Reviewed and evaluated documents for accurate information and acceptability.
Senior Service Advocate
FARMERS INSURANCE
Plantation
07.2009 - 08.2011
- Analyzed, clarified and resolved basic policy and account related questions from customers
- Provided quotes, processed endorsements, cancellations request and issue policy documents via fax, mail and email
- Generated and send appropriate letter to follow up on policy additional information needed
- Collaborated and communicated with appropriate personnel to resolve escalated complex problems
- Continued to build personal skill sets by participating in in-house or outside insurance related courses to gain additional knowledge.
Claims Associate
FARMERS INSURANCE
Plantation
11.2007 - 07.2009
- Obtained first notice of loss information and initiated claims handling process
- Verified and confirm injuries with all parties involved
- Obtained police reports, scheduled and dispatched drive-in and/or field appraiser for vehicle inspections
- Advised insureds/claimants of claims processing standards and file information
- Addressed telephone and written inquiries regarding status of claims
- Performed clerical duties including filing, printing and emailing
Education
HIGH SCHOOL DIPLOMA -
McArthur High School
Hollywood, FL01.2003
ASSOCIATE OF ARTS - BUSINESS ADMINISTRATION
Broward College
Fort Lauderdale, FLSkills
- Attention to Detail
- Complex Problem Solving
- Account Reconciliation
- Conflict Resolution
- Claims Evaluations
- Liability Determination
- Negotiation Skills
- Claims Investigation
- Effective Communication
- Damage Assessment
Certification
Lines Adjuster License, 620
Timeline
Liability Claims Adjuster
PEARL HOLDING GROUP
10.2022 - Current
Total Loss Specialist
UNITED AUTO INSURANCE
11.2019 - Current
Collision Adjuster
PEARL HOLDING GROUP
02.2017 - 11.2019
Senior Service/Billing Advocate
FARMERS INSURANCE
08.2011 - 12.2016
Senior Service Advocate
FARMERS INSURANCE
07.2009 - 08.2011
Claims Associate
FARMERS INSURANCE
11.2007 - 07.2009
HIGH SCHOOL DIPLOMA -
McArthur High School
ASSOCIATE OF ARTS - BUSINESS ADMINISTRATION
Broward College
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