Insurance Adjuster
Resume:
Rikki L Gonzalez
Insurance Claims Adjuster
West Warwick, RI 02893
**************@*****.***
I am a versatile professional with a blend of experience in fraud detection, insurance coordination, and customer service. Proven track record in risk compliance management and detailed documentation across diverse industries. Licensed in Property & Casualty, Workers' Compensation, and Crop Adjusting, combining technical expertise with strong analytical skills. Excels in negotiation and problem-solving. Demonstrates adaptability and attention to detail in high-pressure environments, ensuring accurate claim processing and fraud prevention. Committed to continuous learning and process improvement. EXPERIENCE
Hexagon Manufacturing Intelligence, Inc., Rhode Island- Accounts Payable/ Receivable September 2024- PRESENT
● Process and manage incoming invoices and outgoing payments while ensuring accuracy and compliance with company policies.
● Perform regular reconciliations of accounts payable/receivable, resolving any discrepancies and ensuring timely follow-ups on overdue accounts.
● Monitor and track payments, ensuring timely collection from clients and processing vendor payments to maintain strong relationships.
● Maintain organized financial records and ensure proper documentation for audits and compliance purposes.
● Collaborate with internal departments and external stakeholders to ensure smooth financial operations.
Lavender Inkwell, Remote- Notary Public
April 2023- PRESENT
● Complete notarizations for various legal documents and contracts, ensuring accuracy and adherence to state regulations.
● Apply meticulous attention to detail in document notarizations, ensuring legal integrity.
● Maintain 100% compliance with Alabama state laws through precise document review.
● Built a reputation for reliability and professionalism, resulting in repeat client engagements. Lavender’s Sweets, Remote- Owner/Baker
January 2019 - PRESENT
● Oversee all aspects of daily operations, including inventory management, staff coordination, and financial planning.
● Build and maintain strong relationships with diverse clientele, ensuring repeat business and customer loyalty.
● Provide personalized service to customers, addressing inquiries and resolving issues promptly.
● Implemented an efficient inventory management system, reducing waste and improving profitability.
● Expanded customer base through successful marketing strategies and community engagement initiatives.
● Consistently met and exceeded customer expectations, resulting in high customer satisfaction rates and positive reviews.
Southern Dentistry, Robertsdale, AL - Insurance Coordinator November 2023 - March 2024
● Managed medical billing and insurance claims for multi-specialty clinic, ensuring accurate submission and timely follow-up.
● Verified patient insurance coverage and eligibility, resolving billing discrepancies promptly.
● Utilized electronic health record (EHR) systems and billing software to streamline administrative tasks and maintain compliance with HIPAA regulations.
● Optimized revenue cycle management through effective collaboration with healthcare providers and insurance companies.
● Reduced claim denials by implementing a thorough pre-authorization process.
● Improved patient satisfaction by providing exceptional customer service and addressing billing inquiries promptly.
Navy Federal Credit Union, Remote- Fraud Specialist January 2022- August 2023
● Detected and prevented fraudulent activities on members' accounts, showcasing a proactive and vigilant approach.
● Collaborated with law enforcement agencies to mitigate fraud losses. Analyzed account transactions to identify fraud patterns, enhancing security protocols.
● Developed and implemented new fraud detection strategies, resulting in a significant reduction in fraudulent activities.
● Led cross-functional team initiatives to improve fraud prevention measures across multiple departments.
● Conducted training sessions for staff on latest fraud detection techniques and best practices.
Collins Aerospace, Foley, AL- Process Technician
June 2018- December 2019
● Operated and maintained manufacturing equipment in accordance with safety protocols.
● Contributed to continuous process improvement initiatives, demonstrating commitment to efficiency.
● Implemented process improvements that increased production efficiency.
● Maintained perfect safety record throughout tenure, adhering strictly to company protocols. United States Postal Service, Foley - Mail Carrier May 2015- June 2018
● Ensured accurate sorting and timely delivery of mail, demonstrating reliability and attention to deadlines.
● Maintained a high level of customer service and safety standards. Trained new hires in mail sorting procedures.
● Consistently met or exceeded delivery time targets, maintaining high customer satisfaction.
● Recognized for exceptional customer service and ability to handle challenging weather conditions.
● Successfully trained and mentored new hires, improving team efficiency and morale. Licenses
Property & Casualty (incl. WC & Crop) Adjuster, Alabama- License No. 300-***-**** EFFECTIVE DATE: 04/09/2024 EXPIRATION DATE: 07/31/2025 Property & Casualty (incl. WC & Crop) Adjuster, Rhode Island- License No. 300-***-**** EFFECTIVE DATE: 08/30/2024 EXPIRATION DATE: 07/31/2026 Alabama Notary Public
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