NICOLE CUTAIA
EHT,NJ
Summary
Detail-oriented PIP Claims professional with extensive experience in managing PIP claims, medical billing, and documentation. Strong ability to identify discrepancies, ensure compliance with regulations, and effectively communicate with all parties involved. Aiming to leverage this expertise to transition into a PIP Adjuster role.
Overview
28
28
years of professional experience
Work History
PIP ASSISTANT
New Jersey Manufacturers Insurance Group
09.2025 - Current
- Support the administration and processing of Personal Injury Protection (PIP) claims in accordance with established procedures and requirements.
- Apply medical billing and healthcare documentation knowledge to support accurate PIP claim processing.
- Develop and apply knowledge of New Jersey PIP regulations, claims procedures, medical billing practices, and insurance requirements.
- Assist with the evaluation and processing of medical bills associated with PIP claims.
- Review claim documentation, medical bills, records, and supporting information for accuracy and completeness.
- Identify discrepancies or missing information and assist with obtaining documentation necessary for claim processing.
- Assist with claim correspondence, documentation, follow-up, and resolution of outstanding claim-related issues.
- Communicate with medical providers, attorneys, internal departments, adjusters, and other parties involved in the claims process.
- Maintain accurate claim records while ensuring confidentiality, accuracy, and attention to detail.
BILLING MANAGER
Coastal Neurosciences
Somers Point, NJ
01.1999 - Current
- Processed and managed PIP and Workers’ Compensation claims, including documentation, billing, follow-up, and claim resolution.
- Managed medical billing and insurance-related processes for a busy medical practice, developing expertise directly applicable to PIP claims.
- Communicated with insurance carriers, medical providers, attorneys, patients, and other parties to resolve complex claim and billing matters.
- Reviewed medical bills, treatment documentation, insurance information, and supporting records for accuracy and completeness.
- Verified insurance coverage and benefits and obtained required pre-certifications and prior authorizations.
- Managed accounts receivable and followed up on unpaid or disputed claims to facilitate appropriate reimbursement.
- Conducted billing audits to identify discrepancies, errors, and potential reimbursement issues.
- Managed Letters of Protection (LOPs) and coordinated related documentation and communications with attorneys.
- Maintained and reviewed medical records and supporting documentation to ensure accurate billing and claims processing.
Education
Bachelor of Business -
Stockton University
01-1993
Associates Degree -
Atlantic Community College
01-1991
Skills
- PIP Claims Administration
- Medical Bill & Records Review
- Claim Documentation
- Claims Follow-Up
- Insurance Verification
- Prior Authorizations & Pre-Certifications
- Provider Communication
- Attorney Communication
- Adjuster Communication
- Workers Compensation
- Billing & Reimbursement Analysis
- Dispute Resolution
- Analytical and Critical Thinking
- Organization & Time Management
Timeline
PIP ASSISTANT
New Jersey Manufacturers Insurance Group
09.2025 - Current
BILLING MANAGER
Coastal Neurosciences
01.1999 - Current
Bachelor of Business -
Stockton University
Associates Degree -
Atlantic Community College