Job Search Status
Open to workDesired start date: 2 weeks notice
Open To Work
Verified
This profile is verified using an email address.
Jamielle Williamson
Glenn Heights,TX
Work Preference
Summary
Claims specialist with expertise in customer-focused claims processing and regulatory compliance. Proficient in data analysis, decision making, and conflict resolution to ensure accurate documentation and efficient claim resolutions. Committed to enhancing operational effectiveness and fostering positive client relationships to support organizational success.
Overview
16
16
years of professional experience
1
1
Certification
Work History
CLAIMS SPECIALIST
Geico
08.2024 - Current
- Analyzed complex claims documentation to identify discrepancies and enhance accuracy.
- Analyzed intricate policy details to determine claim eligibility with precision and enhance compliance adherence.
- Facilitated claim documentation processing and coordinated cross-departmental efforts to expedite settlements.
- Assessed claim details with a focus on fraud indicators to enhance risk management protocols.
- Evaluated claim discrepancies to ensure precise adjustments and uphold policy compliance.
- Clarified policyholder information during claims intake to enhance investigation efficiency.
- Streamlined communication between claimants and service providers to enhance claim resolution processes.
- Conducted thorough investigations of claim inconsistencies through detailed interviews and evidence collection.
- Facilitated claim follow-ups with medical providers to verify treatment details and enhance data accuracy.
- Oversaw claim status updates to swiftly identify delays and implement timely interventions.
- Facilitated collaboration between legal and underwriting teams to resolve complex claims issues.
- Analyzed claims data to ensure compliance with company policies and industry regulations.
- Facilitated effective communication between claimants, agents, and third-party vendors.
CUSTOMER SERVICE
State Farm
07.2022 - 08.2024
- Validated customer account information during inquiries to enhance transaction accuracy.
- Verified policy details and coordinated claim information to expedite accurate processing, improving overall customer satisfaction and reducing follow-up inquiries.
- Resolved complex billing inquiries with precision, ensuring accurate account adjustments.
- Resolved diverse policy inquiries promptly, fostering clearer communication that increased customer retention and strengthened client relationships.
- Assisted customers with policy updates and endorsements, accelerating service delivery and enhancing overall operational efficiency.
- Processed customer requests for new insurance quotes, accelerating response times and increasing customer engagement through personalized service delivery.
- Maintained accurate customer records during interactions, ensuring seamless communication flow and supporting faster resolution of policy-related inquiries.
- Issued detailed policy clarifications to customers, enhancing their understanding of coverage options and boosting confidence in their insurance decisions.
- Provided exceptional customer service, assisting with vehicle issues and inquiries.
- Provided excellent customer service to exceed customer expectations.
92G
U.S Army
05.2010 - 10.2013
- Conducted thorough inspections and maintenance of vehicle systems to guarantee mission readiness.
- Worked effectively in fast-paced environments.
- Self-motivated, with a strong sense of personal responsibility.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness, and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
Education
High School Diploma -
H. Grady Spruce
Dallas, TX07.2008
Skills
Assisted in processing customer claims with a focus on accuracy and efficiency Supported data analysis efforts to identify trends and improve service delivery Managed documentation to ensure compliance with regulatory standards
Assisted in processing claims to ensure timely resolution Supported team members in gathering necessary documentation for claims Contributed to maintaining accurate records of claims submissions
Processed claims efficiently to support timely resolution of customer inquiries Assisted team members in managing documentation and data entry for claims Collaborated with departments to streamline claims processing workflows
Conducted thorough investigations into claims to ensure accuracy and compliance
Facilitated effective verbal communication to enhance team collaboration
Utilized Microsoft Office applications to assist in document creation and data management Supported team members in organizing presentations and reports Aided in maintaining accurate records and schedules
Executed settlement determinations to ensure compliance with legal standards
Assisted in conducting coverage assessments to identify gaps in service delivery Supported teams in analyzing data to improve coverage strategies Contributed to the development of reports summarizing assessment findings
Analyzed and interpreted policies to ensure compliance and clarity
Conducted comprehensive analysis of claims to identify trends and discrepancies
Certification
License All line adjuster
Timeline
CLAIMS SPECIALIST
Geico
08.2024 - Current
CUSTOMER SERVICE
State Farm
07.2022 - 08.2024
92G
U.S Army
05.2010 - 10.2013
High School Diploma -
H. Grady Spruce