Nikia Miller
Orange Park,FL
Summary
Detail-oriented Claims Adjuster with proven skills in claims investigation, policy interpretation, and customer service. Committed to delivering accurate coverage decisions based on thorough analysis and regulatory compliance.
Overview
13
13
years of professional experience
Work History
Claims Adjuster
GEICO, Government Employees Insurance
Jacksonville , FL
10.2021 - Current
- Handle claims investigations by gathering facts and evidence related to boat losses.
- Interpret policy language to determine coverage eligibility.
- Deliver coverage decisions based on factual loss details and applicable state laws.
Site Specialist
Curative Medical
Clay , FL
03.2021 - 10.2021
- Delivered exceptional customer service by verifying patient insurance and identification, ensuring smooth registration and scheduling.
- Conducted temperature checks and maintained office sanitation to enhance patient comfort and safety.
Non-Clinical Agent
EviCore Healthcare formerly Care Core National
Bluffton, SC
03.2017 - 05.2018
- Managed patient verifications including prior authorizations and pre-certifications to facilitate healthcare access.
- Ensured HIPAA compliance by safeguarding patient privacy and accurately inputting data into medical software systems
Client Advocate
Quicken Loans
Detroit , MI
08.2016 - 01.2017
- Engaged clients to discuss account details and provided comprehensive follow-up, improving client satisfaction.
- Educated clients on mortgage options and financial products available through the company.
- Managed client accounts, ensuring accurate record-keeping and timely updates.
Customer Service Representative
Alorica
El Paso, Texas
08.2014 - 05.2016
- Assisted clients with account inquiries and directed calls to appropriate departments for resolution
- Resolved customer complaints through effective communication and problem-solving skills.
Front Desk Guest Service Agent
Extended Stay America
Bel Air, Maryland
09.2012 - 12.2013
- Welcomed and registered guests, provided stay information, processed payments, and managed room schedules.
- Managed reservation system to ensure accurate bookings and guest information.
- Handled guest complaints with professionalism, ensuring swift resolutions to issues.
Education
Some College (No Degree) - General Studies
Central Texas College
Killeen, TXSkills
- Claims investigation
- Policy interpretation
- Customer service
- Communication skills
- Data analysis
- HIPAA compliance
Timeline
Claims Adjuster
GEICO, Government Employees Insurance
10.2021 - Current
Site Specialist
Curative Medical
03.2021 - 10.2021
Non-Clinical Agent
EviCore Healthcare formerly Care Core National
03.2017 - 05.2018
Client Advocate
Quicken Loans
08.2016 - 01.2017
Customer Service Representative
Alorica
08.2014 - 05.2016
Front Desk Guest Service Agent
Extended Stay America
09.2012 - 12.2013
Some College (No Degree) - General Studies
Central Texas College