ERIKA DIGGINS
Hurst
Summary
Skilled claims processing professional with extensive experience in reviewing and validating insurance claims. Strong focus on accuracy, problem-solving, and effective communication. Known for collaborative approach and adaptability to changing needs. Proficient in claims software, data entry, and customer service. Recognized for reliability and achieving results in team environments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
CAT Claims Processor (Contractor)
AllState
07.2024 - 09.2025
- Utilized various software and tools to streamline processes and optimize performance.
- Reviewed and processed incoming insurance claims to ensure accuracy and completeness.
- Processed insurance claims efficiently, ensuring compliance with company policies and regulatory requirements.
- Efficiently processed insurance property claims for catastrophe support using Xactimate and Nextgen software
- Evaluated claim documentation for accuracy, identifying discrepancies and facilitating resolution.
Insurance Verification Specialist (Contractor)
Caremetx
06.2023 - 06.2024
- Verified medical and pharmacy insurance coverage, enhancing patient access to care and improving claim accuracy.
- Collaborated with healthcare providers and insurers to optimize coverage verification and minimize claim rejections.
- Update patient records with accurate and current insurance information.
- Contact insurance companies to obtain and confirm coverage details, including co-pays, deductibles, and exclusions.
- Streamlined patient intake procedures, reducing processing times and enhancing service delivery.
Claims Reviewer/Title's Specialist
Sedgwick
06.2022 - 06.2023
- Reviewed title documents to ensure legal compliance, mitigate risks, and enhance reliability.
- Worked closely with legal and underwriting teams to resolve challenging title issues.
- Proposed and implemented strategies to manage high-volume claim periods, boosting team productivity.
- Processed receipts, auto repair statements, hotel/car rental expenses for claim reimbursements.
- Reviewed claims for accuracy, ensuring compliance with policies and procedures.
Claims Examiner
Rober Half
09.2021 - 05.2022
- Reviewed and processed unemployment claims, ensuring timely and accurate benefits distribution.
- Collaborated with team members to streamline claim adjudication, improving response times.
- Provided empathetic support to claimants and mentored new team members for quick integration.
- Conduct interviews with claimant's to gather further details or resolve discrepancies.
- Evaluated unemployment claims for compliance with state regulations and eligibility requirements.
Fleet Service Coordinator
Matheson Tri-Gas
06.2019 - 08.2021
- Coordinated fleet maintenance schedules, enhancing vehicle uptime and operational efficiency.
- Managed scheduling for service delivery, ensuring timely execution of client requests.
- Served as a primary point of contact for clients, addressing inquiries, providing updates, and ensuring overall satisfaction with services rendered.
- Analyzed fleet performance data to improve service delivery and reliability.
- Collaborated with vendors to ensure timely repairs and maintained high service standards.
- Ensure that all vehicles meet state and federal regulatory requirements, including safety standards, emissions, and registration.
Invoice Dispute Representative
XPO Logistics
11.2017 - 05.2019
- Resolved complex invoice disputes, enhancing client satisfaction and reducing resolution time.
- Developed comprehensive dispute resolution guidelines, ensuring consistency and elevating client communications.
- Issued credit memos, revised invoices, or adjustments as necessary.
- Ensure that product/services billed match what was agreed upon or delivered.
- Increased customer satisfaction by addressing and resolving complaints in a timely manner.
Legal Assistant
Rochlin Law Firm
09.2016 - 10.2017
- Managed legal databases, ensuring data accuracy and accessibility.
- Organized case files and maintained document management systems for efficient information retrieval.
- Provided administrative support to the legal team, handling sensitive information with confidentiality.
- Drafted legal documents, including pleadings and discovery requests, ensuring compliance with court rules.
- Enabled successful case outcomes by accurately compiling and organizing evidence and supporting documentation.
Education
Associate's - Accounting
Asher College
Dallas, TX06.2021
Skills
- Negotiation
- Communication
- Problem Solving
- Claims review
- Conflict Resolution
- Data Entry
- Analytical
- Quality Assurance
- Time-management
- Active Listening
- Typing speed 40 WPM
- Attention to Detail
- Prior authorization
- Insurance verification
- Medical terminology
Certification
- TX All Lines Adjuster License, 3170458
- FL Adjuster License, G224834
- TX Life and Health Agent License, 3378173
Timeline
CAT Claims Processor (Contractor)
AllState
07.2024 - 09.2025
Insurance Verification Specialist (Contractor)
Caremetx
06.2023 - 06.2024
Claims Reviewer/Title's Specialist
Sedgwick
06.2022 - 06.2023
Claims Examiner
Rober Half
09.2021 - 05.2022
Fleet Service Coordinator
Matheson Tri-Gas
06.2019 - 08.2021
Invoice Dispute Representative
XPO Logistics
11.2017 - 05.2019
Legal Assistant
Rochlin Law Firm
09.2016 - 10.2017
Associate's - Accounting
Asher College