Erica Williams
Conyers,GA
Summary
Motivated and detail-oriented Licensed Claims Adjuster with over 5 years of experience delivering exceptional customer service. Proven ability to investigate claims thoroughly and resolve issues efficiently while adhering to company and regulatory standards. Expertise in implementing best practices for claims management and policy research. Resourceful and organized team player thriving in fast-paced environments.
Overview
15
15
years of professional experience
Work History
Independent Staff Adjuster
Assurant
08.2023 - Current
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Balanced competing priorities in a fast-paced environment, ensuring timely completion of all assigned tasks without compromising quality or attention to detail.
- Conducted regular audits on closed claim files to verify adherence to company policies and regulatory requirements, minimizing risk exposure for the organization.
Property Desk Adjuster
Alacrity Solutions
10.2022 - 08.2023
- Demonstrated adaptability by managing various types of property claims, ranging from minor residential damages to large-scale commercial losses.
- Regularly participated in industry seminars and workshops in order to stay updated on new policies, regulations, and best practices within the field.
- Conducted thorough investigations of reported losses, gathering essential information from policyholders to accurately determine coverage eligibility.
- Maintained compliance with industry regulations while processing claims, ensuring accurate documentation and adherence to company guidelines.
- Improved overall department efficiency by contributing innovative ideas during team meetings aimed at streamlining processes or enhancing client services.
Teamleader/Worker's Comp AR Rep
Piedmont Urgent Care by Wellstreet
09.2019 - 10.2023
- Supervised a team of 10 employees to ensure efficient handling of Workers' Compensation accounts receivable.
- Implemented strategies that successfully reduced outstanding accounts by 20% within six months.
- Trained and mentored new team members on processes and best practices for Workers' Compensation AR.
- Collaborated with cross-functional teams to resolve complex billing and reimbursement issues promptly.
- Proficient in managing accounts receivable for worker's compensation claims, ensuring accurate billing and timely payments.
- Skilled in communicating with insurance carriers and employers to facilitate claim reimbursement and resolve billing issues.
- Demonstrated ability to maintain detailed records and documentation to support claim payment and collection activities.
Team Leader
Piedmont Urgent Care By Wellstreet
09.2019 - 10.2022
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Managed conflict resolution among team members, fostering a positive and collaborative work environment.
- Maintained an inclusive and diverse team culture, promoting respect and understanding among all members.
- Followed up with customers on unresolved issues.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Desk Claims Adjuster
The Cerny Group
08.2010 - 03.2015
- Managed 75-100 windstorms, hail and water claims 90% processing accuracy within an average of 10 business days.
- Achieved 98% accuracy for claim processing by conducting initial intake calls, reviewing policies, and analyzing coverage.
- Demonstrated excellent negotiation skills and attention to detail for financial transactions and timely settlement of claims.
- Effectively communicated with the insured weekly via phone and email correspondences to maintain a strong relationship.
- Review coverage, investigating claims, establish liability, and conduct settlement conversations.
- Manage high volume claims and calls in a collaborative team environment using company software.
- Provide superior customer service by initiating prompt contact, setting expectations, and utilizing technology.
- Diligently research, investigate, and review pertinent claim information and update files to closure.
- Set up claims and billing, investigate fraud and subrogation, and maintain accurate records.
- Promoted to Lead Licensed Claims Adjuster III. Claims Adjuster, Policy Coverage, Investigation, Team Leadership, Administrative Support, Training and Development, Research and Assessment, Coordination & Collaboration, Coverage Analysis, Data Collection & Analysis, Customer Service Excellence, Insurance Policy Knowledge, Financial Acumen, Record Management & Filing, Compliance & Claim Filing Procedures
Scheduling Coordinator
Digestive Health Center
01.2015 - 01.2022
- Utilized advanced software tools like Excel, Outlook, and scheduling-specific platforms to effectively manage comprehensive appointment calendars.
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
- Managed daily scheduling conflicts to reduce operational backlogs and support full shift-coverage.
- Communicated scheduling changes to staff members, implementing proof-of-receipt to reduce errors.
Education
Graduate Certificate - Medical Billing And Coding
Ashworth College
Norcross, GA04-2019
Skills
- Claims processing
- Attention to detail
- Negotiation skills
- Communication
- Customer service
- Documentation
Languages
English
Timeline
Independent Staff Adjuster
Assurant
08.2023 - Current
Property Desk Adjuster
Alacrity Solutions
10.2022 - 08.2023
Team Leader
Piedmont Urgent Care By Wellstreet
09.2019 - 10.2022
Teamleader/Worker's Comp AR Rep
Piedmont Urgent Care by Wellstreet
09.2019 - 10.2023
Scheduling Coordinator
Digestive Health Center
01.2015 - 01.2022
Desk Claims Adjuster
The Cerny Group
08.2010 - 03.2015
Graduate Certificate - Medical Billing And Coding
Ashworth College
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