Jamielah Huggins
Kenmore,NY
Summary
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 13 years of experience interviewing specialists, witnesses and claimants to compile information. Competent PIP adjuster with years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with Medical Providers and expedites claims processes. Expertise in accurately processing bills with procedure and diagnosis codes into insurance software to generate payments.
Overview
13
13
years of professional experience
1
1
Certification
Work History
PIP Adjuster
GEICO
Getzville, NY
11.2010 - Current
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Enhanced customer satisfaction by providing timely updates and effectively resolving claim disputes.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Streamlined workflow for faster claim resolution by coordinating with various internal departments and external agencies.
- Reduced the number of fraudulent claims by implementing advanced investigative techniques and collaborating with law enforcement when necessary.
- Maintained strong relationships with policyholders, agents, and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Ensured timely payments through submission of accurate and complete claims.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
Education
Bachelor of Science - Business Management
SUNY Empire State College
Buffalo, NY05.2026
No Degree - Nail Technician
The Salon Professional Academy - Tonawanda
Tonawanda, NY03.2021
Associate of Applied Science - Business Administration
Erie Community College
Buffalo, NY06.2005
Skills
- Claims Investigation
- Policy Interpretation
- Claims Processing
- Data Analysis
- RI Claims Adjuster License
- Coverage assessments
- HIPAA Compliance
- Medicare and Medicaid process
- Medical coding knowledge
- 50 WPM
- Critical Thinking
- Insurance claims processing
Certification
- Licensed Nail Technician - 3 1/2 years
- Licensed PIP adjuster
Love to read and travel
I LOVE reading because it is a great way for me to acquire a wonderful source of knowledge on any topic, i'd say Sci-Fi, Thriller, and Motivational are my favorite Genres.
My second love is traveling, my favorite thing to do is visit the Zoo in any city I visit.
Timeline
PIP Adjuster
GEICO
11.2010 - Current
Bachelor of Science - Business Management
SUNY Empire State College
No Degree - Nail Technician
The Salon Professional Academy - Tonawanda
Associate of Applied Science - Business Administration
Erie Community College