Kirkisha Johnson
Glendale ,AZ
Summary
Innovative professional with over 20years of experience as an insurance claims adjuster, known for delivering legendary customer service to both internal and external clients. Proven expertise in investigation, problem-solving, decision-making, negotiation, interdepartmental collaboration, and cost management. Results-driven and adaptable, with a strong ability to thrive in ambiguous situations. Skilled in time management, multitasking, and fostering a positive work environment. Recently trained in behavioral health services, enabling me to handle patients with behavioral/mental and substance abuse disorders.
Overview
16
16
years of professional experience
Work History
Claims Specialist
State Farm
01.2024 - Current
- Review and analyze insurance claims insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Investigate complex and high value injury claims to identify discrepancies and fraud indicators.
- Research medical records to evaluate claim validity and verify the existence of pre-existing conditions.
Lead Behavioral Health Technician
United Family Clinic
12.2022 - 01.2024
- Lead facilitator specializing in developing and delivering specific behavioral treatments, including coping skills and anger management.
- Lead and facilitate groups providing educational courses that align with substance abuse and mental disorder treatments.
- Manage program schedules and tailor care to meet the unique needs of each client.
Behavioral Health Technician
Elevate
10.2022 - 07.2023
- Provide compassionate care to individuals with mental health issues, substance abuse challenges, and developmental disorders.
- Support nurses in guiding patients toward positive outcomes within their communities.
Auto Claims Adjuster
Kemper
11.2018 - 09.2022
- Conducted thorough investigations and evaluations of first and third-party auto physical damage claims in a fast-paced environment.
- Collaborated with other carriers, insurers, and body shops to ensure timely claims resolution while adhering to insurance laws.
Auto Claims Adjuster
USAA
06.2010 - 09.2018
- Delivered world-class customer service to USAA members through active listening, comprehensive investigation, research, and effective negotiation for auto claims.
- Coordinated with various departments, government agencies, and insurance companies to make decisions benefiting clients and minimizing costs for the organization.
Education
Master's - criminal justice
Capella University
OnlineBachelor of Interdisciplinary Studies - undefined
Arizona State University
Tempe, AZ06.2010
Skills
- Microsoft Office Suite
- Classroom Facilitation
- Critical Thinking
- Problem solving
- Claims and Compliance
- Leadership
Timeline
Claims Specialist
State Farm
01.2024 - Current
Lead Behavioral Health Technician
United Family Clinic
12.2022 - 01.2024
Behavioral Health Technician
Elevate
10.2022 - 07.2023
Auto Claims Adjuster
Kemper
11.2018 - 09.2022
Auto Claims Adjuster
USAA
06.2010 - 09.2018
Master's - criminal justice
Capella University
Bachelor of Interdisciplinary Studies - undefined
Arizona State University