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
NC
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
Plantation, Florida
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
FL
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
Pembroke Pines, FL
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