Lisa Ricard
Senior Claims Adjuster
Lexington,SC
Summary
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through over 25 years of experience interviewing specialists, witnesses and claimants to compile information. Multi-State Licensed, Multi-Line Experience, Litigation, CAT, Casualty, Property, Bodily Injury, Mediation, Arbitration and Alternative Dispute Resolution, who is Authorized to work in the US for any employer.
Overview
40
40
years of professional experience
1
1
Certification
Work History
Litigation Specialist
Pacesetter Claims Service
04.2022 - 01.2023
- Reviewed and approved electronic court filings at state level.
- Reviewed and approved evidence, exhibits, motions and subpoenas to support cases and prepare for trial.
- Maintained litigation database and document organization for in all assigned cases in Claim and Legal Systems.
- Maintained created master documents to allow for repeat use in all assigned matters.
- Supported case paralegals and attorneys in all assigned matters.
- Answered telephone and coordinated meetings and conferences.
- Assisted litigation attorneys with research, depositions, trial preparation, discovery and document drafts for court submittal.
- Reviewed and approved interrogatories, requests for admissions, requests for production of documents and requests for examination or inspection.
- Participated in professional development initiatives for consistent improvement and up-to-date knowledge of emerging trends and best practices.
- Participated in Pre-Deposition Conferences and Depositions for matters in suit.
- Maintained litigation docket and calendars for all attorneys, noting deadlines for responsive pleadings, motions and other important deadlines.
- Provided key administrative assistance to senior management.
- Kept up-to-date on case progress by frequently reviewing Claim and Legal Systems and reporting findings to file, Defense Counsel and Management.
- Shared with Defense Counsel exhibits, evidence and data related to all assigned legal proceedings.
- Maintained litigation database and document organization on all assigned cases.
- Organized evidence, exhibits, motions and subpoenas to support cases and prepare for trial.
- Reviewed electronic court filings at State level.
- Organized evidence, exhibits, motions and subpoenas to support cases and prepare for trial
Adjuster
CAT, Olympia Claim Service
09.2021 - Current
- Evaluated insurance policies and analyzed damages to determine coverage
- Evaluated all evidence with ultimate goal of creating positive outcomes for claims
- Answered customer questions regarding deductibles
- Documented all investigation activity and presented reports to management
- Directed and coordinated various investigations conducted by field investigation team.
- Investigated and assessed damage to property and reviewed property damage estimates
- Analyzed information gathered by investigations to report findings and recommendations
- Maintained claims data in Claims Cube systems
- Answered questions posed by insured and attorneys
- Verified insurance claims and determined fair amount for settlement
- Organized, planned and documented materials for payment of CAT claims
Quality Assurance Visual Inspector
Nephron Pharmaceuticals
04.2019 - 09.2021
- Quality Assurance Visual Inspection of medicinal syringes, IV bags, bottles and vials per FDA requirements for labeling, packaging and shipping to customers
- GMP Certified, GDP Certified, EBR and BBR Certified, trainer of new employees.
- Worked flexible hours across night, weekend and holiday shifts
- Prepared variety of different written communications, reports and documents
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution
- Adhered to social distancing protocols and wore mask or face shield
- Collaborated with team members to achieve target results
- Successfully maintained clean, valid driver's license and access to reliable transportation
- Learned new skills and applied to daily tasks to improve efficiency and productivity
- Onboarded new temps by entering employee information into systems
Senior Claims Examiner
S & S, Texas Hail and Windstorm
06.2018 - 10.2018
- Alternative Dispute Resolution
- In depth file review of Property and Commercial claims as result of Hurricane Harvey for settlement with insured and/or public adjuster/attorney for settlement prior to filing of Appraisal or Litigation.
- Examined photographs and statements
- Researched claims and incident information to deliver solutions and resolve problems
- Investigated properties to determine extent of damage and estimate repair costs
- Verified insurance claims and determined fair amount for settlement
- Prepared summaries of damage, payments and policy coverage
- Evaluated original investigation reports and documents to resolve secondary concerns
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records
- Conducted thorough property investigations to identify and classify damages for customer claims
- Analyzed information gathered by investigation and report findings and recommendations
- Investigated and assessed damage to property and reviewed property damage estimates
Senior Claims Examiner
Olympia Claim Service
08.2017 - 10.2017
- Evaluated insurance policies and analyzed damages to determine coverage
- Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims
- Answered customer questions regarding deductibles
- Documented all investigation activity and presented reports to management
- Directed and coordinated various investigations conducted by field investigation team.
- Examined photographs and statements
- Investigated properties to determine extent of damage and estimate repair costs
- Verified insurance claims and determined fair amount for settlement
- Prepared summaries of damage, payments and policy coverage
- Evaluated original investigation reports and documents to resolve secondary concerns
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records
- Conducted thorough property investigations to identify and classify damages for customer claims
- Followed up with insured individuals regarding premium and deductibles payments
- Directed and coordinated various investigations conducted by field investigation team
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information
- Examined claims forms and other records to determine insurance coverage
- Analyzed information gathered by investigation and report findings and recommendations
- Negotiated settlement agreements to resolve disputes
- Investigated and assessed damage to property and reviewed property damage estimates
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements
- Maintained claims data in Claim Cube systems
Claims Examiner
Seibels Claims Solutions
07.2015 - 06.2017
- Directed and coordinated various investigations conducted by field investigation team
- Established productive working relationships with independent adjusters and vendors
- Reviewed field inspections and coordinated settlement and conclusion of claims
- Evaluated insurance policies and analyzed damages to determine coverage
- Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims
- Evaluated insurance policies and analyzed damages to determine coverage
- Review and settlement of storm and Catastrophe claims.
- Verified insurance claims and determined fair amount for settlement
- Investigated properties to determine extent of damage and estimate repair costs
- Researched claims and incident information to deliver solutions and resolve problems
- Conducted day-to-day administrative tasks to maintain information files and process paperwork
- Examined photographs and statements
- Interviewed claimants and witnesses to gather factual information
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims
- Prepared summaries of damage, payments and policy coverage
- Investigated and processed property insurance claims for policyholders
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records
- Analyzed information gathered by investigation and reported findings and recommendations
- Examined claims forms and other records to determine insurance coverage
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues
- Investigated and assessed damage to property and reviewed property damage estimates
Customer Service Representative
Seibels Bruce Company
09.2014 - 07.2015
- Effectively managed a high-volume of inbound and outbound customer calls
- Addressed and resolved customer product complaints empathetically and professionally
- Accurately documented, researched and resolved customer service issues
- Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment
- Referred unresolved customer grievances to designated departments for further investigation.
- Answered customer telephone calls promptly to avoid on-hold wait times
- Updated account information to maintain customer records
- Recorded actions taken, issues resolved and made changes to information to effectively manage customer accounts
- Enhanced productivity levels by anticipating needs and delivering outstanding support
- Followed up with customers about resolved issues to maintain high standards of customer service
- Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly
Claims Adjuster
Insurance Staffing
07.2014 - 08.2014
- Evaluated all evidence with the ultimate goal of creating positive outcomes for client's claims
- Directed and coordinated various investigations conducted by field investigation team
- Reviewed new files to determine current status of injury claim and to develop a plan of action
- Documented all investigation activity and presented reports to management.
- Examined claims forms and other records to determine insurance coverage
- Investigated and assessed damage to property and reviewed property damage estimates
- Verified insurance claims and determined fair amount for settlement
- Documented all investigation activity and presented reports to management
- Prepared summaries of damage, payments and policy coverage
- Answered customer questions regarding deductibles
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information
Senior Claims and Subrogation Adjuster and Arbitrator
SC Farm Bureau Insurance Company
04.1994 - 12.2010
- Drafted investigative reports covering all phases of the investigation in each case
- Maintained contact with claimants and attorneys to determine treatment status
- Trained other claims staff members on proper handling and evaluation of injury claims
- Documented all investigation activity and presented reports to management
- Partnered with legal counsel on litigation cases
- Collections with individuals and other carriers.
- Resolved conflicts and negotiated mutually beneficial agreements between parties
- Proved successful working within tight deadlines and fast-paced atmosphere
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
- Demonstrated respect, friendliness and willingness to help wherever needed
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
- Increased customer satisfaction by resolving issues
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Developed and maintained courteous and effective working relationships
- Prepared variety of different written communications, reports and documents
Claims Clerical Support Staff Manager
American Centennial Insurance Company
06.1992 - 04.1994
- Daily management of 10-12 Clerical Support Staff employees
- Supervised Claims Call Center and claim assignment
- Intake, handling and processing of salvage vehicles
- Worked directly with all Department Managers
- Performed annual employee reviews.
- Offered friendly and efficient service to customers, handled challenging situations with ease
- Worked flexible hours across night, weekend and holiday shifts
- Developed and implemented performance improvement strategies and plans to promote continuous improvement
- Managed team of employees, overseeing hiring, training and professional growth of employees
- Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution
- Proved successful working within tight deadlines and fast-paced atmosphere
- Resolved problems, improved operations and provided exceptional service
- Demonstrated respect, friendliness and willingness to help wherever needed
- Increased customer satisfaction by resolving issues
- Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
- Resolved conflicts and negotiated mutually beneficial agreements between parties
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
Legal Assistant/Administrative Assistant
Nationwide Insurance Company
11.1985 - 06.1992
- Legal secretary working directly with In-House Counsel and Defense Counsel
- Transcription and dictation of reports, correspondence, etc.
- Worked alongside attorneys, administrative assistants and fellow legal assistants on complex cases and legal processes.
- Kept office efficient and organized by managing tasks such as supply restocking and general upkeep without oversight.
- Screened phone calls to effectively handle less important inquiries and keep senior staff free for more important matters.
- Prepared drafts of forms, letters and agreements for legal staff use.
- Helped with intake of new clients and materials by setting up files and documenting important information.
- Maintained organized office and case-specific paper and digital files for easy tracking and retrieval.
- Answered constant flow of customer calls with minimal wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Provided primary customer support to internal and external customers.
- Worked alongside attorneys, administrative assistants and fellow legal assistants on complex cases and legal processes
- Managed accounts and client records of clients, observing confidentiality and extreme discretion
- Developed positive working relationship with courts, clients, law enforcement members and attorneys
- Assisted up to all lawyers in office at all times
- Developed and managed up to 100 to 150 litigated cases simultaneously
- Revised and finalized letters, briefs and memos
Education
High School Diploma -
Pelion High School
Pelion, SC06.1984
Skills
- Claims Evaluations
- Accident Investigations
- Settlement Determinations
- Liability Determinations
- Claims Process Explanation
- Natural Disaster Experience
- Damage Mitigation
- Litigation Resolution
- Personal, Casualty and Property Loss Insurance
- Claims Negotiation
- Litigation Management
- Negotiation and Mediation Skills
- Subrogation Expertise
- Professional Development
Certification
Associate in Claims
Associate in Insurance Services
Licensed Adjuster in the following States:
South Carolina
Timeline
Litigation Specialist
Pacesetter Claims Service
04.2022 - 01.2023
Adjuster
CAT, Olympia Claim Service
09.2021 - Current
Quality Assurance Visual Inspector
Nephron Pharmaceuticals
04.2019 - 09.2021
Senior Claims Examiner
S & S, Texas Hail and Windstorm
06.2018 - 10.2018
Senior Claims Examiner
Olympia Claim Service
08.2017 - 10.2017
Claims Examiner
Seibels Claims Solutions
07.2015 - 06.2017
Customer Service Representative
Seibels Bruce Company
09.2014 - 07.2015
Claims Adjuster
Insurance Staffing
07.2014 - 08.2014
Senior Claims and Subrogation Adjuster and Arbitrator
SC Farm Bureau Insurance Company
04.1994 - 12.2010
Claims Clerical Support Staff Manager
American Centennial Insurance Company
06.1992 - 04.1994
Legal Assistant/Administrative Assistant
Nationwide Insurance Company
11.1985 - 06.1992
High School Diploma -
Pelion High School
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