Juanita Ricks
Lawrenceville
Summary
Dynamic Claim Specialist with State Farm, adept at policy interpretation and claims assessment. Recognized for effectively resolving complex issues while delivering exceptional customer service. Proven ability to analyze claims and ensure legal compliance, fostering strong relationships through clear communication. Committed to upholding high standards in financial acumen and professionalism.
Overview
1
1
Certification
Work History
Claim Specialist
State Farm
Atlanta
03.2025 - Current
- Reviewed incoming claims for accuracy and completeness in accordance with policy provisions.
- Determined liability, compensability, and benefits due on each claim.
- Ensured that all documentation was accurately entered into the system.
- Drafted statements of loss to summarize payments, underlying policy coverages and damages.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Attended continuing education courses related to insurance regulations and best practices.
- Examined automobile policies with third-party liability, accident benefits, and collision benefits.
- Provided excellent customer service throughout the entire claims process.
- Signed payment approvals accepted claims.
- Responded to inquiries from claimants, attorneys, medical providers. regarding the status of their claim.
- Assessed damages sustained by insureds due to property loss or personal injury.
- Processed payments accurately according to established timelines.
- Identified potential fraud indicators and escalated to appropriate personnel for further investigation.
- Developed effective relationships with customers through communication via phone or email.
- Resolved difficult issues promptly while maintaining a high level of professionalism.
Education
Bachelor of Arts - Film And Media Arts
Temple University
Philadelphia, PA06-2000
Skills
- Policy interpretation
- Claims Assessment
- Legal compliance
- Financial acumen
- Claims analysis
- Verbal and written communication
Affiliations
- Avid Reader
- At home caregver
Certification
- AEI - Theft Certificate
- Licensed in PA, OK. WY, DE, SC, NM, TX, GA, RI, OK
Languages
Spanish
Elementary
Timeline
Claim Specialist
State Farm
03.2025 - Current
Bachelor of Arts - Film And Media Arts
Temple University
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