Tiffany Grippin
Quinlan
Summary
Experienced auto claims adjuster with a several-year track record of providing exceptional customer service to auto claims customers. Excellent knowledge of policies and claim settlement procedures. Laid back and relaxed to handle irate customers with ease and professionalism.
Overview
6
6
years of professional experience
2003
2003
years of post-secondary education
1
1
Certification
Work History
Auto Claims Adjuster
GEICO
Richardson
02.2022 - Current
- Evaluated auto claims to determine coverage and liability issues.
- Investigated accident details by gathering statements from involved parties.
- Reviewed repair estimates for accuracy and compliance with company standards.
- Communicated claim decisions clearly to policyholders and service providers.
- Documented claims progress using internal case management systems effectively.
- Investigated and analyzed auto insurance claims to determine validity, accuracy, and coverage.
- Provide customer support to members, providers, billing departments and other insurance agency's regarding claims, appeals and eligibility.
- Interviewed claimants, witnesses, police officers, medical professionals and other parties involved in the claim.
- Researched and verified insurance policy coverage.
- Coordinate benefits while applying applicable deductibles, co-insurance and out of pocket costs.
- Utilized claims software and databases for tracking and managing active claims.
- Trained new claims adjusters on company policies, procedures, and best practices in claims handling.
- Communicated effectively with policyholders, explaining claim processes and decisions clearly.
Medical Assistant
Lake Pointe Womens Centre
Forney
03.2019 - 02.2022
- Assisted physicians with patient examinations and medical procedures.
- Managed patient scheduling and maintained appointment records efficiently.
- Collected and documented patient medical histories and vital signs accurately.
- Educated patients on treatment plans, medications, and health maintenance.
- Prepared examination rooms and ensured proper sterilization of instruments.
- Coordinated with healthcare team to provide comprehensive patient care.
- Processed insurance claims and verified patient coverage details promptly.
- Utilized electronic health record systems for accurate data entry and management.
- Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
- Administered injections, medications and treatments as directed by the physician.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Scheduled appointments for patients via phone and in person.
- Collected samples from patients for laboratory testing purposes.
- Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
- Educated patients about medications, procedures and physician's instructions.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Answered phones, scheduled appointments, greeted patients and ordered supplies.
- Collected, labeled and stored laboratory specimens properly prior to testing.
Education
Medical Assistant - Medical Assistant
The Bryman School
Phoenix, AZ 11.2005 - 08.2006
Shadow Mountain High School
Phoenix, AZSkills
- Claims evaluation
- Liability assessment
- Policy coverage verification
- Claims documentation
- Claims software utilization
- Customer service
- Communication skills
- Investigation techniques
- Analytical thinking
- Conflict resolution
- Team training
- Time management
- Attention to detail
- Data entry accuracy
- Interpersonal skills
- Claims handling
- Damage assessment
- Policy interpretation
- Claims investigations
- Multi-line phone system
- Insurance regulations
- Insurance regulations knowledge
- Fraud detection
- Risk assessment
Certification
Multiple licenses
- Texas
- Oklahoma
- New Mexico
- Florida
- South Carolina
- North Carolina
- Connecticut
- Rhode Island
- Delaware
- Kentucky
- Louisiana
- New Hampshire
- Vermont
- Wyoming
Timeline
Auto Claims Adjuster
GEICO
02.2022 - Current
Medical Assistant
Lake Pointe Womens Centre
03.2019 - 02.2022
Medical Assistant - Medical Assistant
The Bryman School
11.2005 - 08.2006
Shadow Mountain High School