Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Renatta Malone

Frisco,TX

Summary

Detailed Adjuster with 3 years of experience in corporate insurance claims. Strong command of claimant information intake processes, records documentation and fraudulent investigation protocols. Impactful skills preparing operational reports, presenting information to audiences and approving claim payouts.

Knowledgeable and dedicated customer service professional with extensive experience in 20 industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

10
10
years of professional experience
1
1
Certification

Work History

CAT Claims Adjuster

Alacrity Sloutions
04.2022 - 05.2023
  • Investigate and process supplemental property claims for policyholders
  • Responsibilities included: Interview insured regarding damages reported
  • Verify AOB on file for insured’s PAs, Contractors, and Attorneys
  • Review field reports from Independent Adjusters and reconcile damages reported
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Prepared summaries of damage, payments, and policy coverage.
  • Interpret and apply policy provisions and state statutes to individual claim losses to resolve them economically, based upon the facts and value of the individual claim presented
  • Provide direction on estimate reviews/revisions for larger, complex claims
  • Issue payments for damages report and close claim files.

CAT Adjuster

Crawford
11.2019 - 03.2022
  • Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
  • Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
  • Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
  • Assessed complex claims and accurately determined value of damages.
  • Analyzed complex data and prepared accurate and comprehensive reports for clients.
  • Self-motivated, with a strong sense of personal responsibility.
  • Issued payouts to claimants.
  • Documented all findings in concise reports.
  • Identified issues, analyzed information and provided solutions to problems.
  • Cultivated interpersonal skills by building positive relationships with others.

Customer Fraud Claims

JPMorgan Chase
08.2017 - 10.2019
  • Evaluated customer data to identify and prevent fraudulent activities.
  • Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity.
  • Performed risk assessments to determine level of fraud risk and prioritize investigations.
  • Analyzed large amounts of data to find patterns of fraud and anomalies.
  • Answered incoming phone calls to articulate product value to prospective customers and support current policyholders.
  • Calculated adjustments, premiums and refunds.
  • Processed and recorded new policies and claims.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Decisioning claims for payment or denial according to federally regulated guidelines for electronic/check fraud & merchant disputed transactions for Debit Card, ATM, ACH, Checks and Chase Online products
  • Fielded customer complaints, escalating complex issues to management for resolution.
  • Documented customer interactions and transactions for accurate, up-to-date records.

Onboarding Specialist

Crossmark
09.2013 - 07.2017
  • Helped new hires complete and submit required paperwork, set up benefits accounts, and initiate direct deposits.
  • Created smooth onboarding processes to help new hires adjust to company policies, procedures and processes.
  • Worked closely with new hires, answering questions and addressing various concerns during onboarding process.
  • Put together employee files and collected required digital or physical information to meet requirements.
  • Reviewed onboarding processes regularly, identifying and correcting deficiencies.
  • Trained new hires in technology required to access company systems and complete job tasks.
  • Completed required criminal, credit, or drug tests for new hires.
  • Monitored new hire performance, compliance and progress with requirements to consistently meet deadlines.
  • Assessed onboarding systems against company needs and made improvements at level of company, department and job type to align with needs.

Education

American Adjuster Academy

Associate of Arts - Office Management

Kaplan University
Dallas, TX
05.2015

High School Diploma -

Lincoln High School
Dallas, TX
05.1997

Skills

  • Reliable and Flexible
  • Detail Oriented
  • Claim Assessment
  • Record Verification
  • Fraud Examiner
  • Policy Coverage
  • Automobile Claims Specialist
  • Insurance Policy Coverage Knowledge
  • StateFarm Property & Auto Certification
  • Customer Service
  • Quality Assurance
  • Critical Thinking

Certification

  • Adjusters License (TX)
  • Pending Receipt

Timeline

CAT Claims Adjuster

Alacrity Sloutions
04.2022 - 05.2023

CAT Adjuster

Crawford
11.2019 - 03.2022

Customer Fraud Claims

JPMorgan Chase
08.2017 - 10.2019

Onboarding Specialist

Crossmark
09.2013 - 07.2017

American Adjuster Academy

Associate of Arts - Office Management

Kaplan University

High School Diploma -

Lincoln High School

Similar Profiles

CREATE PROFILE
Renatta Malone