Shikina Garvin
Columbia
Summary
Independent Insurance Adjuster skilled in investigating claims, evaluating coverage, and guiding policyholders through the claims process. Expertise in documentation analysis, interviewing, and interpreting policy provisions for accurate claims handling. Strong communication and problem-solving abilities developed through clinical experience as LPN student.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Independent Insurance Adjuster
Severe RPMS Claims Adjusters
Orlando
10.2024 - 12.2024
- Investigated claims by gathering information, reviewing documentation, and interviewing involved parties.
- Facilitated timely claim resolution by coordinating with stakeholders to remove barriers and streamline processes.
- Served as primary contact for customers, guiding them through claims process to ensure clarity and support.
- Explained insurance policies and claim procedures in clear, understandable language.
- Handled high-volume caseload while consistently meeting productivity goals and adhering to strict deadlines.
- De-escalated difficult situations through active listening and conflict resolution techniques.
- Managed confidential customer information, ensuring compliance with company policies and regulations.
- Documented all customer interactions and investigative findings in electronic systems.
Independent Insurance Adjuster
Davies
Coppell
04.2023 - 07.2023
- Investigated claims through interviews, documentation review, and policy evaluation for accuracy.
- Coordinated with stakeholders to expedite claim resolution by removing barriers.
- Clarified insurance policies, coverage decisions, and settlement options for customers.
- Utilized active listening and conflict resolution skills to resolve difficult situations.
- Primary contact for customers, guiding and supporting the claims process with professionalism.
- Handled high-volume caseloads while meeting productivity goals and deadlines.
- Documented customer interactions and claim decisions accurately in electronic systems.
- Managed confidential information, ensuring compliance with company policies and regulations.
Independent Insurance Adjuster
Creative Adjusting
Cedar Hill
10.2021 - 03.2022
- Investigated claims by gathering information, reviewing documents, and evaluating policy coverage.
- Facilitated timely resolutions by coordinating with stakeholders to remove barriers and expedite claims.
- Explained policies, coverage decisions, and settlement options in clear, understandable terms.
- Served as primary contact for customers, guiding them through claims process to ensure clarity and satisfaction.
- Resolved difficult situations through active listening and conflict resolution to maintain customer trust.
- Managed confidential customer information in compliance with company policies and regulations.
- Documented customer interactions and investigative findings in electronic claims management systems.
- Handled high-volume caseload while meeting productivity goals and strict deadlines.
Medical Benefits Specialist
SCDHHS
Columbia
09.2020 - 07.2021
- Reviewed case files to ensure compliance with state regulations and maintain program integrity.
- Processed benefits applications, facilitating timely client access to essential services.
- Assisted clients in navigating healthcare options and determining eligibility criteria.
- Coordinated with healthcare providers to verify client information and coverage details.
- Conducted outreach initiatives to educate the community on available benefits programs.
- Managed benefit enrollment forms, including changes and terminations, with precision.
- Maintained thorough records of client interactions and benefit determinations for accurate reporting.
- Prepared occupational classifications, job descriptions, and salary scales to support staffing needs.
Benefits Specialist
Randstad (Aon Heweitt)
Charlotte
01.2017 - 05.2017
- Coordinated benefits communications and open enrollment events to ensure employee engagement.
- Evaluated benefit plans for compliance with company policies and regulations.
- Collaborated with team members to efficiently resolve benefits-related issues, enhancing employee satisfaction.
- Researched and addressed employee inquiries regarding benefits programs.
- Conducted new hire orientations to explain available benefits packages.
- Processed benefit enrollments and maintained employee records in the system.
- Oversaw enrollment of new employees and annual enrollment periods.
- Explained benefits information to assist employees in making informed selections, improving overall understanding of available options.
Document Control Specialist
Shaw Engineering
Aiken
04.2009 - 05.2011
- Maintained document control processes to ensure compliance with industry standards.
- Reviewed incoming documents for accuracy and completeness before distribution.
- Collaborated with engineers to update technical documents and specifications.
- Coordinated document reviews and approvals across departments to streamline workflow.
- Conducted audits of documents to verify adherence to company policies.
- Archived project documentation to facilitate efficient retrieval by team members.
- Developed templates for standardized reports and documentation formats to enhance consistency.
- Managed release of confidential information in compliance with legal regulations.
Education
High School Diploma -
Aiken High School
Aiken, SC06-1991
Some College (No Degree) - LPN
Augusta Technical College
Augusta, GASkills
- Claims processing
- Policy evaluation
- Claims management
- Negotiation tactics
- Confidential information management
- Problem solving
- Time management
Certification
- Adjuster's License
Timeline
Independent Insurance Adjuster
Severe RPMS Claims Adjusters
10.2024 - 12.2024
Independent Insurance Adjuster
Davies
04.2023 - 07.2023
Independent Insurance Adjuster
Creative Adjusting
10.2021 - 03.2022
Medical Benefits Specialist
SCDHHS
09.2020 - 07.2021
Benefits Specialist
Randstad (Aon Heweitt)
01.2017 - 05.2017
Document Control Specialist
Shaw Engineering
04.2009 - 05.2011
High School Diploma -
Aiken High School
Some College (No Degree) - LPN
Augusta Technical College