Summary
Overview
Work History
Skills
License
Timeline
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BRIGITTE JOHNSON

Summary

Talented Claims Adjuster who is an energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment.

Overview

24
24
years of professional experience

Work History

Personal Injury Protection Adjuster

GEICO
02.2019 - Current
  • Investigate, gather and review claim documentation to assess the validity of personal injury protection claims, including medical records, police reports, and other relevant documents.
  • Liaison with customers, medical providers, legal representatives, and other stakeholders in the claims process to obtain essential information and documentation.
  • Assess injuries, medical care, and time out of work to calculate the applicable personal injury protection coverage.
  • Manage end-to-end lifecycle of medical claims, maintaining accurate documentation and ensuring adherence to company policies and regulatory standards.
  • Held additional positions as a Claims Adjuster.

Senior Business Consultant

Anthem Inc.
10.2013 - 02.2017
  • Contributed to the development and approval process of requirements for vendor analytics implementations and upgrades.
  • Worked closely with cross-functional teams to contribute to key projects, ensuring the success of diverse and important initiatives.
  • Managed all aspects of product specific indoctrination, direction, and forecasting including state, federal mandates, and various system products.
  • Facilitated project evaluations for performance enhancement.
  • Supervised a team of analysts in supporting agents and enhancing company systems.
  • Led the initiative to establish gender-neutral specifications for healthcare providers and implemented necessary updates on NASCO processing system, resulting in 100% compliance.

Benefit Implementation Supervisor

Horizon Blue Cross Blue Shield of NJ
11.2000 - 10.2013
  • Management of 20+ staff members to meet/exceed all targeted annual budget goals
  • Produced and initiated successful key product process improvements associated with coding, testing and audits
  • Responsible for expedited turnaround times and increased quality exponentially
  • Maneuvered partnerships and networking relationships with management, clients, internal/external partners, vendors, operations, IT, and sales/enrollment team
  • Defined the creative design, coding, documentation, and training of staff for prominent prosthesis and orthotic mandate system installation.
  • Held positions as Claims Representative and Benefit Coder

Skills

  • Professional Communication
  • Company Core Values Oriented
  • Policy Interpretation
  • Claims Investigation
  • Insurance fraud expertise
  • Highly motivated
  • Claims file management processes
  • Caseload Management
  • Medical terminology specialist

License

Health, Accident and Life Insurance License: Florida

Timeline

Personal Injury Protection Adjuster

GEICO
02.2019 - Current

Senior Business Consultant

Anthem Inc.
10.2013 - 02.2017

Benefit Implementation Supervisor

Horizon Blue Cross Blue Shield of NJ
11.2000 - 10.2013

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BRIGITTE JOHNSON