Tiffany J. Harris
Atlanta,GA
Summary
Accomplished PIP Claims Specialist with a robust background in information technology and helpdesk management, honed at State Farm. Expert in medical billing and claims management, demonstrating critical thinking and team leadership. Achieved efficient resolution of insurance claims, surpassing compliance requirements. Excelled in quality & risk management, ensuring streamlined operations and customer satisfaction.
Overview
8
8
years of professional experience
1
1
Certification
Work History
PIP Claims Specialist
State Farm
Atlanta, GA
01.2023 - Current
- Investigate, evaluate, and resolve insurance claims efficiently
- Adjudicate Florida PIP claims, ensuring compliance with state requirements
- Address and settle lawsuits within deadlines
- Assign District Attorneys to lawsuits
- Process medical bill payments, liens, and PIP demands within policy limits
- Maintain and close claims after full review
LOA Coordinator
Sedgwick
Atlanta, GA
01.2022 - 01.2023
- Managed and adjusted workers’ compensation claims for Bank of America employees
- Evaluated medical reports and tracked vocational rehabilitation
- Processed FMLA/LOA claims, ensuring compliance with company policies
- Closed an average of 35 claim files daily
Tech Control Operator
Comtech Solutions ISA
Bahrain
01.2019 - 01.2020
- Tracked and resolved outstanding technical issues
- Developed and presented daily reports for military personnel
- Monitored and mitigated technology risks
- Strengthened collaboration between service owners and technology officers
Help Desk Manager
Envistacom
Duluth, GA
01.2018 - 01.2019
- Provided advanced troubleshooting for network hardware and software
- Improved HR processes, including policy administration and database management
- Managed workstation upgrades and network connectivity issues
- Ensured timely completion of deliverables within budget constraints
Catastrophe/Quality Assurance
Crawford
Atlanta, GA
01.2017 - 01.2018
- Developed and implemented quality assurance policies
- Conducted audits and inspections to ensure compliance
- Investigated customer complaints and implemented corrective actions
- Monitored risk management activities and prepared monthly reports
Education
Bachelor of Arts - Psychology
Fort Valley State University
Fort Valley, GA01.2011
Skills
- Information Technology & Helpdesk Management
- Quality & Risk Management
- Remote Troubleshooting & Problem-Solving
- Budgeting & Strategic Planning
- ServiceNow Ticketing System
- Medical Billing & Claims Management
- Microsoft Office Suite
- Critical Thinking & Team Leadership
Certification
- COMPTIA SECURITY +
- P & C ADJUSTER LICENSE
Timeline
PIP Claims Specialist
State Farm
01.2023 - Current
LOA Coordinator
Sedgwick
01.2022 - 01.2023
Tech Control Operator
Comtech Solutions ISA
01.2019 - 01.2020
Help Desk Manager
Envistacom
01.2018 - 01.2019
Catastrophe/Quality Assurance
Crawford
01.2017 - 01.2018
Bachelor of Arts - Psychology
Fort Valley State University