Jodi Mccombs
State Farm Insurance
Normal
19
years of professional experience
Work History
Bodily Injury Claims Adjuster
1 Year 10 Months- Evaluated bodily injury claims for accuracy and compliance with company policies.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Reviewed medical records to assess liability and determine settlement amounts.
- Communicated with claimants and medical professionals to gather necessary documentation.
- Negotiated settlements with claimants or their representatives in accordance with state laws and insurance policies.
- Assessed medical records and other relevant documents to determine the extent of injuries sustained.
- Investigated liability issues related to bodily injury claims.
- Collaborated with legal teams to resolve complex claims and disputes effectively.
- Conducted thorough investigations to uncover facts related to each claim filed.
- Interviewed and spoke with claimants, witnesses, police officers, doctors and other parties to determine claim settlement or denial.
- Investigated questionable claims to determine payment authorization.
- Attended mediations and court hearings as required by law or requested by the client.
- Communicated with personnel and legal counsel on claims involving litigation.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Prepared detailed reports outlining findings and recommendations for management review.
- Prepared detailed reports on investigation findings and claim status for internal use.
- Maintained detailed documentation regarding all activities related to each claim file.
- Provided timely updates to clients regarding status of claims being handled by the office.
- Reviewed medical bills for accuracy and appropriateness of services rendered.
- Actively sought out new sources of information which could be used to support a claim decision.
- Analyzed data obtained from accident reports, witness statements, medical bills in order to make appropriate decisions on claim resolution.
- Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability.
- Performed special projects as assigned by supervisor or manager.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
Claims Associate – Express Team
3 Years 11 Months- Claims Adjuster Licensed. Coordinating vehicle repairs with Insured, claimants, repair facilities and estimators.
- Establishing liability from facts of loss, police reports and statements from all parties involved.
- Communicate effectively in a team environment and mentor others with claim handling.
- Troubleshoot customer complaints in a kind and effective manner.
- Reviewing policy details and explaining coverages to policy holder.
- Establish rental reservations, repair assignments and vehicle tow assignments.
- Payments made as needed per guidelines established and followed.
- Follow rules and regulations for every claim.
Certified Medical Assistant
3 Years 11 Months- Transferred to the Urgent Care Clinic from the Emergency room for day shift hours.
- Rooming patients, obtaining vitals, patient history, medication and allergy reconciliation and patient education.
- Clinic skills: EKG, Lab/blood draws, POCT testing, Immunizations, IM injections of medications, administering oral medication.
- Splinting and stabilizing broken bones, ear and eye care.
- Sterile procedure and suture set up, removing staples and sutures.
- EPIC system user. Answering phone calls, Triage phone calls, Schedule Appointments and Labs.
- Process Insurance Plans, Customer Service excellence ALWAYS!
- Collecting insurance and ID information and processing the information in the EMR.
- Provided support as Patient Services Representative by handling phone inquiries and patient registrations.
- Stocking supplies and cleaning rooms.
Emergency Medical Tech/ Certified Medical Assistant
11 Years 8 Months- As an Emergency Medical Technician in the Emergency room. Assisted Physicians and RN's with patient care.
- Assisted in Code blue, trauma codes, STEMIs and Stroke Codes.
- Performed EKG's, patient vitals, Blood/lab draws and collection.
- Point of Care testing and sterile procedures such as suture set up and urinary catheterization, spinal tap procedure and intubation.
- PALS Training, BLS Training, Advanced Life Support Training.
- Hazardous/Decontamination Team.
- Facilitated trauma and flight transfers to other hospitals.
- Part of the ER has a designated Mental Health wing where ER staff monitored patients, obtained labs and POCT.
- Conversing with patients and family to make them feel safe and comfortable.
- ER registration of patients and gathering all pertinent information needed.
- Assisted other departments when they had a difficult patient to obtain labs and tests from.
- EMR super user. Review patient charts for accuracy of healthcare professional notes and orders at the end of each shift.
- Answering phones and directing calls to the appropriate staff member.
Emergency Medical Technician
2 Years 1 Month- Emergency Medical Technician - Respond to all medical calls with ambulance.
- Perform medical interventions such as EKG, CPR, Airway management, wound care, lift assists, splinting limbs, glucose emergencies and more.
- I worked this position in correlation while working in the ER.
Skills
Proficiency of bodily injury claims
Claims evaluation
Claims investigation
Insurance policy coverage knowledge
Liability assessment
Risk assessment
Critical thinking
Detail orientation
Effective communication
Negotiation
Conflict resolution
Timeline
Bodily Injury Claims Adjuster
State Farm Auto Insurance Co.
10.2024 - CurrentRead More
Claims Associate – Express Team
State Farm Insurance
09.2022 - CurrentRead More
Certified Medical Assistant
Carle BroMenn Immediate Care
02.2019 - 01.2023Read More
Emergency Medical Technician
Dale Township Fire and EMT Service
05.2010 - 06.2012Read More
Emergency Medical Tech/ Certified Medical Assistant
Carle BroMenn Medical Center
08.2007 - 04.2019Read More