Ricky Richardson
Compton,CA
Summary
Experienced Claims Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 4+ years of experience and willingness to take on any challenge.
Overview
6
6
years of professional experience
Work History
Claims Specialist
AAA Auto Club South
Long Beach, CA
11.2021 - Current
- Followed up with customers on unresolved issues.
- Reviewed new files to determine current status of property damage claim and to develop plan of action.
- Reviewed over 20 claims per week and verified insurance coverage information.
- Represented insureds in court for property damage claims.
- Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
Applied Behavioral Analysis Therapist
Behavioral Learning Network
12.2019 - 10.2021
- Acquired baseline data and implemented approved programs using behavioral technology appropriately, neutrally and consistently.
- Implemented individualized treatment plans developed by clinical supervisors to serve patients with diverse needs.
- Developed and maintained clear, individualized documentation on each patient.
- Maintained neutrality when supporting patients despite difficult behavior.
- Performed behavioral therapy assessments and treatments in patients' homes without direct supervision.
Claims Specialist II
Mercury Insurance
01.2017 - 11.2019
- Conducted 25 + full claim investigations weekly.
- Promoted to Bodily Injury Adjuster within 6 months of being Claims Specialist I
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Managed large volume of medical claims on daily basis.
- Negotiated injury settlements with attorneys and unrepresented claimants
- Paid or denied medical claims based upon established claims processing criteria.
Education
Bachelor of Arts - Psychology
California State University - Long Beach
Long Beach, CA05.2016
Skills
- Critical Thinking
- Fraud Detection
- Microsoft Office
- Performance Feedback
- Negotiation
- Service-Orientation
- Writing
- Great Mathematical Skills
- Time Management
Timeline
Claims Specialist
AAA Auto Club South
11.2021 - Current
Applied Behavioral Analysis Therapist
Behavioral Learning Network
12.2019 - 10.2021
Claims Specialist II
Mercury Insurance
01.2017 - 11.2019
Bachelor of Arts - Psychology
California State University - Long Beach
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