Customer Service Claims Adjuster

Jamia Reddick

Locust Grove, GA 678-***-**** ***.********@*****.***

Professional Summary

Motivated and empathetic professional with over 5 years of remote customer service and data accuracy experience, seeking to transition into a remote claims adjuster role. Proven ability to handle sensitive information with discretion, communicate effectively with clients, and manage detailed documentation under strict compliance standards (HIPAA). Adept at working independently in high-volume, fast-paced environments with a commitment to accuracy, customer advocacy, and timely resolution.

Core Skills & Competencies

- Claims Intake & Case Management (Trainee Level)

- Investigative Communication & Documentation

- Customer Service & Conflict Resolution

- HIPAA Compliance & Data Accuracy

- Remote Workflow & Multisystem Navigation

- Microsoft Office Suite & CRM Platforms

- Time Management & Detail Orientation

- Adaptability & Problem Solving

Professional Experience

Maximus – Enrollment Specialist (Remote)

Jan 2024 – Present

- Supported insurance claims team by ensuring accurate data entry and document handling.

- Maintained HIPAA compliance while assisting members with state and federal healthcare programs.

- Interfaced with clients regarding enrollment issues, preparing for potential claims scenarios.

MOHELA – Loan Specialist (Remote)

Feb 2021 – Jan 2024

- Conducted client needs assessments and reviewed eligibility, similar to claims review processes.

- Communicated complex financial information in a clear, empathetic manner.

- Ensured full compliance with federal loan protocols and provided timely resolutions.

Crate & Barrel – Brand Specialist (Remote)

Aug 2019 – Feb 2021

- Managed client communications, resolved service-related complaints, and documented resolutions.

- Developed skills in virtual collaboration and product-focused troubleshooting.

Education

Strayer University – Morrow, GA

Bachelor’s Degree in Healthcare Administration (Expected Dec 2024)

Southern Crescent Technical College – McDonough, GA

Associate’s Degree in Early Childhood Care and Education (May 2019)

Technical Skills

Microsoft Office CRM Systems Claims Intake Systems (training-ready) Remote Communication Tools

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