Summary
Overview
Work History
Education
Skills
Timeline
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Antwon Richmond

Farmers Branch,United States

Summary

Licensed Claims Adjuster with 3 years of experience in insurance claims processing and policy coverage analysis. Expertise in managing the complete claims lifecycle while ensuring compliance with regulatory standards. Skilled in complex investigations, risk assessment, and fraud prevention, with a strong focus on customer service and conflict resolution. Technologically adept, with experience in technical support and systems troubleshooting.

Overview

11
11
years of professional experience

Work History

Property Damage Claims Adjuster

AllCat Claims
Dallas, United States
09.2024 - Current
  • Perform thorough assessments of property damage claims, ensuring compliance with company guidelines and state regulations.
  • Conducted material misrepresentation investigations and gathered critical documentation including recorded statements, scene photos, and police reports.
  • Evaluated coverage eligibility including exclusions, endorsements, and state-specific case law interpretation.
  • Perform thorough assessments of property damage claims, ensuring compliance with company guidelines and state regulations.
  • Document claim activities and maintain records in claims management systems (CMS).

Licensed Claims Adjuster

GEICO
Richardson, United States
01.2022 - 08.2024
  • Makes same day contact with customers.
  • Explains the claims process to all customers.
  • Explains all applicable coverage benefits to the policyholder.
  • Confirms facts of loss. Determines vehicle location and if drivable.
  • Arranges for auto physical damage estimate through proper method of inspection.
  • Investigates Auto claims with coverage issues requiring in-depth investigation, policy interpretation, and knowledge of state statutes and case law, such as those including applicable exclusions or endorsements, in addition to the coverage issues handled at the previous Tier Owner level.
  • Determines if the policy is in force for the date of loss, if the driver is an insured on the policy, if the vehicle is a covered auto, if any exclusions or endorsements apply to the loss, and what coverages on the policy apply to the loss.
  • Provides verbal and written communication to customers to explain coverage issues and decisions.
  • Prepares appropriate coverage correspondence including Reservation of Rights and Disclaimer letters within prescribed authority levels.
  • Communicates policy risk issues to Underwriting to facilitate their evaluation of the policy risk and exposure.
  • Conducts material misrepresentation investigations and submits findings to Underwriting. Investigates and determines liability for claims requiring in depth investigation and analysis including multi vehicle losses with comparative negligence.
  • Completes investigation by securing recorded statements of the parties, police report, vehicle photos and estimates, scene investigations, and supporting evidence.
  • Analyzes duties owed and breached by all potential responsible parties and determines liability percentage for each party.
  • Communicates liability decision to customers, claimants, claim specialists, and Underwriting

Premier Support Technician Agent

Asurion
Nashville, United States
02.2014 - 12.2021
  • Provided technical support for call center operations and individual users.
  • Trained and consulted with end-users of proprietary company software, delivered technical support and tested software to verify proper operation.
  • Maintained composure and patience in face of difficult customer situations, applying de-escalation techniques and positive customer support.

Education

GED -

Cincinnati State Technical And Community College
Cincinnati, OH
04-2007

Skills

  • Claims lifecycle management
  • Policy analysis and coverage
  • Risk assessment and liability
  • Insurance compliance and regulations
  • Customer relationship management
  • Fraud investigation and detection
  • Conflict resolution and de-escalation
  • Data reporting and documentation

Timeline

Property Damage Claims Adjuster

AllCat Claims
09.2024 - Current

Licensed Claims Adjuster

GEICO
01.2022 - 08.2024

Premier Support Technician Agent

Asurion
02.2014 - 12.2021

GED -

Cincinnati State Technical And Community College

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