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.
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:
🔹 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