Renaldine Achille
Cooper City
Summary
Seeking a career with an innovative company where I can utilize my skills, knowledge, and experience as an insurance adjuster to add value to a growing organization. Looking to leverage my knowledge and experience into a role as an Adjuster
Overview
19
19
years of professional experience
Work History
Liability Claims Adjuster
AllState
07.2022 - Current
- Maintained detailed records for each claim, ensuring accuracy and completeness for future reference and audit purposes.
- Established rapport with policyholders through clear communication, empathy, and professionalism during difficult circumstances.
- Reduced claims processing time by implementing efficient workflow strategies and prioritizing tasks.
- Prevented fraudulent activity by conducting thorough investigations into suspicious claims and involving appropriate authorities when necessary.
- Collaborated with legal teams for successful case resolutions, ensuring proper documentation was submitted.
- Managed a caseload of complex liability claims, maintaining organization and meeting deadlines consistently.
- Streamlined communications between internal departments, facilitating a more efficient exchange of information related to ongoing claims investigations.
Claims Generalist
Responsive Auto Insurance
01.2021 - 06.2022
- Manages, handles and resolves moderate complexity Total Loss claims. Evaluates liability, coverage and settles claims within prescribed procedures and authority.
- Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims and refers tasks to auxiliary resources as necessary.
- Responds to various written and telephone inquiries including status reports.
- May ensure adequacy of reserves, confirm or deny coverage and liability and advises policyholders and claimants as to proper course of action.
- Uses internet resources and Liberty Mutual contracted vendors for pricing and/or validation of inventoried items.
- Negotiates settlements within prescribed authority and explains denials to policyholders and claimants.
- Makes effective use of loss management techniques.
- Negotiates settlements with claimants, attorneys.
- Arranges for expert inspections involving third party or potential fraud actions as needed.
- Updates files and provides comprehensive reports as required.
- Identifies and recommends referral of potentially fraudulent claims to the SIU
- Able to work in a fast paced, team-oriented environment.
- Must be skilled at recognizing questionable coverage/contract situations which necessitate supervisory involvement and able to demonstrate a thorough understanding and use of basic policy/contract coverages.
- Ability to handle multiple claims work systems, total losses required.
- High School Diploma or equivalent training plus at least 1 year of directly related claims experience required.
- Strong working knowledge of the various operations with the Claims Department.
- Knowledge of legal liability, general insurance policy coverage and State Tort Law.
- Licensing as required.
Capital Service Coordinator
Berger Commercial
10.2016 - 08.2020
- Plan, administer and control budgets for contracts, equipment and supplies
- Monitor the facility to ensure that it remains safe, secure, and well maintained
- Oversee the maintenance and repair of machinery, equipment, and electrical and mechanical systems
- Oversee construction and renovation projects to improve efficiency and to ensure that facilities meet environmental, health and security standards, and comply with government regulations
- Participate in architectural and engineering planning and design, including space and installation management
- Analyze internal processes and recommend and implement procedural or policy changes to improve operations, such as supply changes or the disposal of records
Legal Secretary
Pines Ticket Defense
04.2006 - 10.2016
- Recorded, transcribed, and distributed weekly meetings
- Answered upwards of 40 plus phone calls daily, taking detailed messages
- Arranged appointments and ensured executives arrived at meetings with clients on time
- Meet with clients and other professionals to discuss details of case
- File pleadings with court clerk
- Gather and analyze research data, such as statutes, decisions, and legal articles, codes and documents
- Investigate facts and law of cases and search pertinent sources, such as public records, to determine causes of action and to prepare cases
- Direct and coordinate law office activity, including delivery of subpoenas
Education
High School Diploma - undefined
Hollywood Hills High
Hollywood, FLCompleted Coursework towards nursing - Liberal Arts
Broward Community College
Davie, FL06.2006
Skills
- Proficient in Microsoft Office, with a focus on Excel
- Excel Certification
- Trilingual in Spanish, English and Creole
- Web and tech savvy, require little to no training
Timeline
Liability Claims Adjuster
AllState
07.2022 - Current
Claims Generalist
Responsive Auto Insurance
01.2021 - 06.2022
Capital Service Coordinator
Berger Commercial
10.2016 - 08.2020
Legal Secretary
Pines Ticket Defense
04.2006 - 10.2016
High School Diploma - undefined
Hollywood Hills High
Completed Coursework towards nursing - Liberal Arts
Broward Community College
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