Shaniqua Shadding-Jamison
Orlando,US
Summary
Detail-oriented claims examiner with expertise in claims evaluation, investigative skills, and settlement negotiations. Proven ability to mitigate fraud risks and enhance compliance through thorough audits and critical thinking.
Dynamic professional with extensive experience in claims processing and customer retention strategies. Known for exceptional multitasking abilities and a commitment to enhancing client satisfaction while driving efficiency and compliance.
Professional in claims management, equipped to drive accurate and efficient claim resolutions. Proven track record in handling diverse cases and ensuring compliance with regulatory standards. Known for strong team collaboration and adaptability, bringing valuable problem-solving skills and reliability to every project.
Motivated Senior Claims Adjuster committed to diligently investigating, evaluating and negotiating ALL claims for policyholders. Adept at training and supporting new adjusters. Trained and knowledgeable in all state, federal and local laws. Skilled in recognizing potential fraudulent claims.
Overview
4
4
years of professional experience
Work History
Claims Examiner
Sedgwick Claims Management
Orlando, FL
10.2025 - Current
- Reviewed claims documentation for accuracy and completeness to ensure compliance with policies.
- Processed incoming Disability,FMLA, Auto Liability, General Liability ,Property Claims efficiently, adhering to established guidelines and timelines.
- Conducted regular audits of closed cases, identifying trends, and providing feedback for continuous improvement within the claims department.
- Mitigated fraud risks by identifying suspicious patterns in claims data and escalating concerns to appropriate teams for further investigation.
- Assisted in resolving claim disputes by gathering necessary information and communicating with stakeholders.
- Conducted preliminary investigations to determine claim validity based on provided evidence.
- Established credibility with claimants by demonstrating empathy, integrity, and professionalism throughout the claims process.
- Achieved streamlined communication between departments by collaborating closely with underwriters, agents, and other stakeholders throughout the claims handling process.
Retention Specialist
Charter Communnications
Lake Mary, FL
05.2023 - 09.2025
- Developed personalized engagement strategies to enhance customer loyalty and satisfaction.
- Utilized advanced skills in solving problems and making accurate decisions to implement strategies that brought about immediate results.
- Boosted revenue through upselling and cross-selling opportunities during customer interactions.
- Improved overall company performance by contributing to strategic planning discussions and offering retention-focused recommendations.
- Increased customer retention rates by developing and implementing effective loyalty strategies.
- Analyzed customer data to identify trends, providing valuable insights for retention initiatives.
- Increased team efficiency through implementation of CRM tool, simplifying tracking of customer interactions.
- Cultivated team environment focused on exceeding customer expectations, leading by example in all customer interactions.
- Planned, monitored and appraised employee work results by training managers to coach and discipline employees.
- Worked alongside global business leader to deploy new training strategies.
- Developed tailored engagement strategies to enhance customer loyalty and satisfaction.
Litigation Legal Assistant
US Collections West
Phoenix, AZ
02.2023 - 12.2023
- Prepared legal documents, including pleadings and discovery materials, ensuring compliance with court requirements.
- Managed case files and documentation, maintaining accurate records for litigation processes.
- Conducted legal research to support attorneys in case preparation and strategy development.
- Coordinated communication between clients, attorneys, and court personnel to streamline case management.
- Implemented process improvements for document management systems to enhance efficiency in workflow.
- Managed deadlines effectively ensuring timely submission of all required filings and correspondence.
- Reviewed and summarized deposition transcripts to aid in case analysis and strategy formulation.
- Improved case management efficiency by organizing and maintaining electronic files and databases.
- Ensured accurate billing practices by diligently tracking billable hours spent on various tasks related to client matters.
- Strengthened client trust through consistent attention to detail when handling sensitive case materials and adhering to strict confidentiality standards.
- Facilitated client communication through proactive updates on the progress of their cases and addressing any concerns promptly.
- Collaborated with attorneys to develop effective litigation strategies, contributing to favorable case resolutions.
- Organized evidence, exhibits, motions, and subpoenas to support cases and prepare for trial.
- Prepared legal documents, including pleadings and discovery requests, ensuring compliance with court requirements.
Fraud Prevention Representative
CardWorks Servicing
REMOTE
09.2022 - 02.2023
- Monitored transactions for suspicious activity and potential fraud indicators.
- Conducted thorough investigations on flagged accounts to mitigate risks.
- Collaborated with cross-functional teams to enhance fraud detection processes.
- Provided exceptional customer service while addressing concerns related to account security.
- Analyzed trends in fraudulent activities to identify areas for improvement.
- Developed comprehensive reports on fraud cases to inform management decisions.
- Developed strong relationships with law enforcement agencies, collaborating on complex cases to apprehend perpetrators more efficiently.
- Increased efficiency of case resolution times through prioritizing high-risk cases and effectively allocating resources.
- Reduced fraudulent activities by thoroughly investigating suspicious transactions and reporting findings to management.
- Conducted comprehensive audits on flagged transactions, verifying legitimacy or uncovering discrepancies that warrant additional scrutiny.
- Investigated reported fraud cases, documenting findings and recommending actions.
Education
Associate of Science - Business Communication
Union County College
Cranford, NJ01-2024
Associate of Science - Business Administration And Management
Institute Of Project Management
Phoenix, AZ05-2021
High School Diploma -
Barringer High School
Newark, NJ06-2007
Skills
- Data verification
- Settlement negotiations
- Disability claims process
- Microsoft Office Suite
- Investigative skills
- Healthcare procedures
- Disability processing
- Claims evaluation
- Decision-making
- Critical thinking
- Denied claims identification
- File and record management
- Litigation support
- Casualty and property loss
- Investigation management
- Negotiation and mediation
- Property damage assessment
- Multitasking Abilities
- Time management
- Settlement negotiation
- Accredited claims adjuster (ACA)
- Marketing management
Timeline
Claims Examiner
Sedgwick Claims Management
10.2025 - Current
Retention Specialist
Charter Communnications
05.2023 - 09.2025
Litigation Legal Assistant
US Collections West
02.2023 - 12.2023
Fraud Prevention Representative
CardWorks Servicing
09.2022 - 02.2023
Associate of Science - Business Communication
Union County College
Associate of Science - Business Administration And Management
Institute Of Project Management
High School Diploma -
Barringer High School