Higherself21 4444
@higherself214444
Experienced PIP Adjuster with a strong commitment to claims resolution.
What I'm looking for
With over 15 years of hands-on experience as a PIP Adjuster, I have developed a deep expertise in managing complex PIP claims under Florida’s statutory requirements. My career has been marked by a strong commitment to fair and efficient claims resolution, ensuring compliance with Florida’s No-Fault laws. I pride myself on my ability to communicate effectively with claimants, attorneys, medical providers, and third parties, which has been crucial in validating treatment necessity and negotiating settlements.
Throughout my tenure at Pearl Holding Group, I have successfully managed high-volume caseloads while consistently meeting or exceeding departmental performance metrics. My skills in fraud detection and medical billing review have allowed me to identify potential fraudulent activity and ensure accurate settlements. I am dedicated to maintaining regulatory compliance and have a proven track record of documenting all claim activity meticulously, which supports coverage and liability decisions.
Experience
Work history, roles, and key accomplishments
PIP & Pre-Litigation Claims Adjuster
Pearl Holding Group
Aug 2009 - Present (15 years 11 months)
Investigated and adjusted PIP claims in compliance with Florida statutes, including timely payment requirements under the 14-day rule and utilization of the Florida fee schedule. Managed high-volume caseloads while ensuring timely and accurate claim handling, consistently meeting or exceeding departmental performance metrics and regulatory deadlines.
Customer Service Representative
FedEx Kinkos
Jul 2007 - Present (18 years)
Provided front-line customer service by assisting clients with shipping, printing, copying, and packaging needs, ensuring accuracy and satisfaction with each transaction. Operated and maintained printing equipment including copiers, large format printers, and binding machines to produce professional-quality documents.
Education
Degrees, certifications, and relevant coursework
Miami Lakes Technical High School
Diploma, General Studies
Completed high school education, earning a diploma. Developed foundational knowledge and skills across various subjects.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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