Summary
Overview
Work History
Education
Skills
Certification
Timeline
AdministrativeAssistant
Shenika Richardson

Shenika Richardson

Gainesville,FL

Summary

Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Overview

8
8
years of professional experience
1
1
Certification
5
5
years of post-secondary education

Work History

Desk Adjuster

Nationwide Insurance Company
11.2022 - 12.2024
  • Documented and communicated claim activity to clients
  • Assessed damage to properties
  • Interviewed and corresponded with claimants, witnesses, police and physicians
  • Calculated data to inform organizational operations
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage
  • Examination of water, mold, asbestos, fire contents, fire water, pack in and pack out, and tree removal restoration estimates
  • Writes comparative estimates for claims involving program and non-program vendors
  • Reviews EMS invoices for accuracy following vendor estimating guidelines, service level agreements and/or IICRC guidelines and negotiates as warranted
  • Conducts reviews to ensure proper documentation from vendors
  • This includes dry logs, photos, and other related EMS documents
  • Mitigate large loss water and fire claims
  • Recommend proper payment amounts to desk adjusters
  • Maintains expected case load
  • Communicating with management, customers, vendors, and other coworkers via Zoom

Property Claims Adjuster

State Farm
09.2021 - 11.2022
  • Examined property damage to determine the liability
  • Interviewed claimants and witnesses for investigative purposes
  • Prepared investigative reports and reported findings
  • Determined insurance coverage by analyzing claims records
  • Jurisdiction and O&L
  • Property large loss CAT and Daily
  • Negotiated fair settlements with internal and external parties
  • Corresponded with property owners and determined the validity of titles to property
  • Handling a variety of property claims flood, wind and hail, backup if sewage, fill up and drains, loss of rent, death, winter claims, water, and theft/vandalism
  • Work PA/Attorney on claims that are in litigation to achieve favorable outcome
  • Send NOI to appropriate parties/Review NOI and send Acknowledgment
  • Send out demand letters
  • Communicating with management, customers, vendors, and other coworkers via Zoom

Property Claims Adjuster

Nationwide Ins
09.2018 - 09.2021
  • Handled property claims with loss severity from light- moderate including coverage investigations and policy interpretations
  • Evaluated and negotiated property estimates within the scope of damages
  • Explained property coverage of loss and assisted policyholders with itemization of damages, emergency repairs, and additional living arrangements
  • Negotiated fair settlements with internal and external parties Virtual Property Catastrophe adjusting
  • Property large loss CAT and Daily
  • Handled Moderate to severe complexity claims with settlement authority up to $70,000
  • Prepared and presented Policyholder Release documents to come to an agreed settlement and claim closure
  • Communicated with legal counsel on claims requiring litigation Settled, authorized and denied payments for property and casualty claims based on coverage

Insurance Service Analyst II

Nationwide Ins
09.2016 - 09.2018
  • Responsible for the servicing of multiple personal lines property/casualty insurance products via direct (inbound) telephone and/or internet contact with existing customers/agents in multiple states
  • Provides counseling regarding insurance needs and product availability
  • Processes related policy changes
  • Performs outbound calls and follow-up work as required to service policyholder requests
  • Training in Claims (CAT), Payments, instinctive billing breakdowns and changes, collections
  • Verifying insurance coverage
  • General office duties
  • Communicating with management, customers, vendors, and other coworkers via Zoom
  • Upselling offering other insurance needs that customers may not have

Education

High School -

Eastside High School
Gainesville, FL
06.2000

Bachelor of Arts - Criminal Justicee

Saint Leo University
Saint Leo, FL
08.2000 - 12.2005

Skills

  • Excellent People Skills
  • Critical Thinking
  • Settlement Determinations
  • Xactimate/Symbility
  • Active Listening
  • Complex Problem Solving
  • Liability Determination
  • Larger Loss Property and Commercial
  • Estimating Software
  • Litigation
  • IICRC Mitigation
  • Verbal and Written Communication
  • Claims Evaluation
  • Decision Making
  • Xactanalysis
  • Policy interpretation
  • Workflow management
  • Microsoft office
  • Liability determination
  • Investigation techniques
  • Document management
  • Prioritization
  • Claims analysis
  • Property damage assessment
  • Rules of evidence
  • Automobile claims specialist
  • Insurance fraud expertise
  • Casualty and property loss
  • Policy investigations
  • Property claims

Certification

  • Florida
  • Texas
  • Mississippi
  • Alabama
  • South Carolina
  • Minnesota
  • Montana
  • Michigan
  • Kentucky
  • Utah
  • Oklahoma
  • Oregon
  • North Carolina
  • Louisiana

Timeline

Desk Adjuster

Nationwide Insurance Company
11.2022 - 12.2024

Property Claims Adjuster

State Farm
09.2021 - 11.2022

Property Claims Adjuster

Nationwide Ins
09.2018 - 09.2021

Insurance Service Analyst II

Nationwide Ins
09.2016 - 09.2018

Bachelor of Arts - Criminal Justicee

Saint Leo University
08.2000 - 12.2005

High School -

Eastside High School

Similar Profiles

CREATE PROFILE
Shenika Richardson