Summary
Overview
Work History
Education
Skills
Timeline
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Jamillah  Badger

Jamillah Badger

Copiague,NY

Summary

Results-driven professional with over 15 years of combined experience in insurance claims (PIP), customer service, and retail business management. Proven ability to manage high-volume caseloads, investigate and process Personal Injury Protection (PIP) claims efficiently, and deliver exceptional service to clients, policyholders, and vendors. Strong background in leading customer-facing teams, resolving complex issues, and driving operational excellence in fast-paced environments. Skilled in claims systems, CRM platforms, and workforce management tools such as Atlas, Cisco Finesse, and Microsoft Office Suite. Adept at cross-functional communication, process improvement, and fostering positive customer and employee relationships.

Overview

14
14
years of professional experience

Work History

PIP Claims Adjuster

GEICO, Government Employees Insurance
02.2025 - Current

The GEICO PIP Claims Adjuster is responsible for investigating, evaluating, and resolving PIP claims efficiently and accurately. PIP adjusters handle medical-related claims resulting from auto accidents, ensuring compliance with state-specific no-fault laws, policy provisions, and internal procedures.

Key Responsibilities:

  • Review and investigate personal injury protection (PIP) claims arising from automobile accidents.
  • Evaluate medical bills, lost wage claims, and other benefits under no-fault laws.
  • Communicate with policyholders, claimants, attorneys, and medical providers to gather relevant documentation and clarify claim details.
  • Interpret medical records, reports, treatment plans, and billing codes (such as CPT/ICD-10).
  • Apply knowledge of state-specific laws and regulations to process claims accurately and timely.
  • Set appropriate reserves and make settlement recommendations based on liability and medical documentation.
  • Maintain detailed documentation of claim activity in the claim management system.
  • Participate in arbitration or litigation support when necessary.
  • Collaborate with other departments (e.g., SIU – Special Investigations Unit) to identify and handle potential fraud.
  • Deliver exceptional customer service during the claim handling process.

Customer Relations Representative

Shelterpoint Life Insurance
06.2023 - 02.2025


  • Handled customer inquiries and suggestions courteously and professionally.
  • Answered constant flow of customer calls with minimal wait times
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Updated account information to maintain customer records.
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints.
  • Participated in team meetings and training sessions to stay informed about product updates and changes.
  • Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
  • Educated customers about billing, payment processing and support policies and procedures.
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Participated in available trainings to improve software knowledge.
  • Generated quotes and proposals for clients to match individual needs.

Customer Education & Brand Specialist

Bloomingdale's
02.2022 - 06.2023
  • Created and led sales promotions and advertising strategies to boost profits and bring in new customers.
  • Developed and nurtured lasting relationships with clients through dedicated assistance, issue resolution and customer retention tactics
  • Evaluated data on stock levels, customer sales and other factors, assessed trends and reported on findings to help senior management make effective operational decisions.
  • Mentored new sales associates to contribute to store's positive culture.
  • Educated staff on strategies for handling difficult customers and challenging situations.
  • Examined incoming inventory, merchandised shelves and prevented shrinkage.
  • Engaged with approximately 50-100 customers per day by answering questions about services and products offered.
  • Budgeted, audited and balanced cash handlings to secure cash drawer.

Business Manager/Beauty Stylist

Neiman Marcus, Estée Lauder
03.2019 - 01.2021


  • Develops strategic plans to grow daily business and execute sales goal -Successfully planned out and executed exclusive monthly events
  • Guides the Client through the whole purchasing experience, and ensures customer satisfaction
  • Used Style Boards, Zoom, and Virtual Meetings to Virtually connect with clients throughout global pandemic
  • Coaches associates to deliver consistent selling behaviors
  • Grow sales and loyalty through“Client Connect”
  • Designed and implemented strategic business plans to achieve growth and sales goals while managing sales team and building long-lasting customer relationships.
  • Assisted in recruiting, hiring and training of team members.

Customer Education & Brand Advisor

Nordstrom, Kiehl’s
04.2015 - 01.2019
  • Developed strategic plans to grow daily business and execute sales goal -Successfully planned out and executed exclusive monthly events
  • Grew sales and loyalty through“Personal Book”system
  • Trained new employees on proper protocols and customer service standards.
  • Assisted in recruiting, hiring and training of team members.
  • Quickly and accurately answered customer questions, suggested effective solutions and resolved issues to increase customer satisfaction
  • Liaised with sales, marketing and management teams to develop solutions and accomplish shared objectives.

Business Manager

Macy’s
01.2012 - 03.2015
  • Responsible for managing and securing an annual revenue of $400K in volume
  • Coached and developed all team members ensuring future success of the company
  • Maintained steady communication with buyers
  • Documented team members monthly schedules, calculating revenue, and coordinating counter and team goals
  • Event preparation and execution on booking and follow up with skin care events such as, trend shows on products for business promotion
  • Hired & trained teammates on company’s policies and procedures

Education

Bachelors of Science - Business Management & Technology

SUNY Farmingdale
Farmingdale, NY
05.2010

Skills

    🔹 Insurance PIP Adjuster Skills

    Claims Investigation & Evaluation

    Medical Records Review

    Liability Assessment

    Negotiation & Settlement

    Knowledge of No-Fault/PIP Laws

    Fraud Detection

    Policy Coverage Interpretation

    Reserve Setting & Exposure Management

    Report Writing & Documentation

    Familiarity with ISO,Cisco, Finesse, Atlas, Peak, Edge, Slack, ISO, ICD-CODE, WebEX, Slack, Microsoft Outlook/Teams, Sharepoint/Onedrive, RightFax

    🔹 Call Center / Customer Service Skills

    High-Volume Call Handling

    Conflict Resolution

    CRM Tools (Salesforce)

    Call Center Systems (Cisco Finesse, Atlas)

    First Call Resolution (FCR)

    Active Listening & Empathy

    Escalation Management

    Customer Satisfaction (CSAT) Improvement

    Data Entry Accuracy

    Multi-tasking in Fast-Paced Environments

    🔹 Retail Business Manager Skills

    Staff Training & Supervision

    KPI & Sales Goal Achievement

    Inventory Control & Loss Prevention

    Budgeting & Profit Margin Management

    POS System Operation

    Visual Merchandising

    Team Leadership & Motivation

    Scheduling & Shift Management

    Vendor Relations

    Customer Retention Strategies

Timeline

PIP Claims Adjuster

GEICO, Government Employees Insurance
02.2025 - Current

Customer Relations Representative

Shelterpoint Life Insurance
06.2023 - 02.2025

Customer Education & Brand Specialist

Bloomingdale's
02.2022 - 06.2023

Business Manager/Beauty Stylist

Neiman Marcus, Estée Lauder
03.2019 - 01.2021

Customer Education & Brand Advisor

Nordstrom, Kiehl’s
04.2015 - 01.2019

Business Manager

Macy’s
01.2012 - 03.2015

Bachelors of Science - Business Management & Technology

SUNY Farmingdale