Deneen Johnson
Lawrenceville,GA
Summary
Independent, Serviced-oriented Claims Analyst with extensive background in the Insurance, Healthcare, and Financial Industry. Bringing over 15 years experience in adjusting, auditing, supervising, compliance, training, researching, developing and mentoring team members. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
6-20 All Lines Adjuster
License States: Florida, Texas, Georgia, South Carolina, North Carolina, Virginia, Louisiana, Alabama, Mississippi
Canada Certification
Overview
19
19
years of professional experience
1
1
Certificate
Work History
CAT Complex Property Adjuster
Ryze Claims Solutions
02.2023 - 11.2023
- Appropriately manage litigated and other complex or high exposure claims through coverage analysis, investigation, damage evaluation, reserving, and resolution.
- Develop positive business relationships with panel counsel and work with them closely to develop cost efficient approaches to litigation process and develop action plans to manage cases to early conclusion.
- Prepare and present large loss reports.
- Establish timely and accurate claim and expense reserves.
- Negotiate and convey claim settlements within authority limits of $100,000.00 and supported successful litigations for advanced issues.
- Attend mediations and trials.
- Write denial letters, Reservation of Rights and other complex correspondence.
- Maintain effective diary system and document claim file activities in accordance with established procedures.
- Manage file inventory to ensure timely resolution of cases.
- Handle files in compliance with state regulations.
- Provide excellent customer service to meet needs of insured, agent and all other internal and external customers.
- Perform administrative functions such as document preparation, expense accounts, time off reporting, etc. as required
Litigation/Subrogation Adjuster
Bradley Stinson & Associates Inc
06.2021 - 11.2022
- Responsible for handling subrogated and salvage claims.
- Identifies legal liability and pursues, negotiates, and settles subrogation collection.
- Responsible for making payments to cover all expenses such as LAE and expert expense.
- Interacts with policyholders, claimants, witnesses, and underwriters to recommend and document necessary information to close file.
- Verified insurance claims and determined fair amount for settlement.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Gathers claims information for subpoenas, subrogation and litigation cases.
- Researches paid claims,answers inquiries,and coordinates with other departments, insurance adjusters,attorneys, and members.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Substantiated legitimate claims and denied unjustified claims.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Partnered with legal counsel on litigation cases.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Duties also included identifying damaged items that were considered totaled under 1st party claims and selling them back to insured for settlement offset.
- Synthesized data into comprehensive quarterly written reports for management.
- Reconciled data in direct collection system with accounting system to address discrepancies.
- Testified on behalf of agency as part of criminal and civic proceedings.
- Used coordination and planning skills to achieve results according to schedule.
Software Consultant, Workday
Healthcare IT Leaders
08.2022 - 10.2022
- Worked with software development and testing team members to design and develop robust solutions to meet client requirements for functionality, scalability and performance.
- Discussed project progress with customers, collected feedback on different stages and directly addressed concerns.
- Partnered with development team on product development and application support plans.
- Introduced agile methodologies and development best practices to division to enhance product development.
- Provided guidance and mentored less-experienced staff members.
- Provided direction and guidance to process improvements and established policies.
- Updated old code bases to modern development standards, improving functionality.
- Conducted regression testing and submitted observations to development team.
- Collaborated with management, internal and development partners regarding software application design status and project progress.
- Coordinated efficient large-scale software deployments.
- Designed, tested, installed and monitored new systems.
- Proctored training via in-person and online venues for Workday.
- Aided in Workday implementation for clients in Healthcare Industry, providing setup and initial training services.
Remote Desk Adjuster
Colonial Claims
06.2021 - 12.2021
- Initiated first contact, send work assignments and collaborations using Xactanalysis.
- File reviewer approving estimates, IA invoices, and formatting.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Issued payments for claim to insured, emergency vendors, and or contractors.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Scoped and photographed properties for defects and damage.
- Used Microsoft Word and other software tools to create documents and other communications
- Ordered and reviewed ISO and public reports for potential overlap on all files
Remote Desk Examiner
NC Claims Service
09.2020 - 12.2020
- Reviewed new files to determine current status of property claim and to develop plan of action.
- Prepared summaries of damage, payments and policy coverage.
- Initiated first contact, send work assignments and collaborations using Xactanalysis.
- File reviewer approving estimates, IA invoices, and formatting.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Issued payments for claim to insured, emergency vendors, and or contractors.
- Responsible for reading over policies to confirm levels of coverage and then determine if claim would receive approval or denial by citing policy language in letter.
- Assigned Edjuster accounts to examine photographs and statements to settle contents.
Residential Desk Adjuster
Catastrophe Response Unit
05.2020 - 09.2020
- Initiated first contact, send work assignments using Xactanalysis, and policy review
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- File reviewer
- Process payments for approved estimates, contents, and emergency services
File Reviewer
Holland & Knight
08.2018 - 05.2020
- Reviewer over 1,000+ files
- Initiated first contact, scheduled appointments and return calls for adjusters to phone scope
- Effectively communicated with Independent adjusters, desk adjusters, attorneys, and other experts to gather pertinent information
- Prepared files, letters and notices
- Confirmed appraisal status and moved claim forward
- General AOB handling
- Reviewed supplement damages and issued payments accordingly
- Tracked progress of all outstanding insurance claims
Licensed Mortgage Loan Officer
Navy Federal Credit Union
06.2017 - 04.2019
- Developed prospects for new loans by conducting 100 plus cold calls weekly
- Worked with underwriters to fix application problems and resolve issues.
- Explained different types of loans pertaining to client situations.
- Recruited, interviewed, hired and trained many employees and implemented mentoring program to promote positive feedback and engagement
- Compiled database of loan applicants' credit histories, corporate financial statements and other financial information
- Recommended loan approvals and denials based on customer loan application reviews
- Enhanced branch production rates by handling staff conflicts, evaluations, hiring/termination processes, coaching employees on company protocol and payroll operations
- Originated, reviewed, processed, closed and administered customer loan proposals
- Complied with regulatory requirements, including Bank Secrecy Act, Anti Money Laundering, OFAC, USA Patriot Act, Privacy Act and Community Reinvestment Act
- Guided clients from beginning to end of home buying process in choosing right property
Desk Examiner
Groovers Insurance
04.2017 - 08.2018
- Reviewed Claims in detail to assist in sorting appropriate litigation team
- Managed task and initial examining operations to assign to appropriate adjuster
- Negotiated settlements with named insured and/or their representative within policy limits
- Process daily flood claims and water mitigation claims when available
- QA non weather related losses
- Handled over 4000+ claims to resolution
- Initiated first contact
- Review estimates and public adjuster demands
- Claims settling and subrogation
Branch Operations Supervisor
Navy Federal Credit Union
03.2005 - 04.2017
- Coordinated engagements with outside vendors and assisted with data gathering for auditors, actuaries and consultants.
- Led and conducted reviews of branch policies and procedures for compliance.
- Completed financial statements and prepared write-up describing financials for executive management.
- Configured general ledger to record transactions.
- Maintained scheduling for main branch to keep shifts appropriately staffed.
- Ordered supplies, created purchase orders and entered orders into inventory.
- Coordinated and assigned service call requests.
- Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.
- Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Recruited, interviewed, hired and trained over 200 employees and implemented mentoring program to promote positive feedback and engagement.
- Gathered and reviewed customer feedback to improve operations.
Independent Adjuster
One Call Claims
01.2013 - 06.2015
- Handled over 4000+ claims to resolution
- Initiated first contact
- Reviewed estimates and public adjuster demands
- Negotiating appraisal and selecting appraisers
- Property/Auto Desk adjuster
- Property/Auto Field Adjuster
- Examined properties with damages caused by wind and hail
- Resolutions team
- Total Loss and Liability Handling
- Appraisal reports, actual cash value, Depreciation, Subrogation reimbursements and payouts
- Age/Brittle test Slope Determination
- Supplemental Damages
- Original estimate reviews and issuing payments attached to mortgagee
- Daily Claims
- Claim settling and subrogation
- Reviewed salvage and issued payments to insured's contractors, attorneys and public adjusters
Education
Pensacola State College
Pensacola, FL01.2013
Associate of Arts - Business Management Certificate
The University of West Florida
Pensacola, FL08.2009
Bachelor of Arts - Business Leadership
Ashford University
San Diego, CA01.2012
Skills
- Claims auditing
- Claims files management processes
- Strong banking ethics
- Strong organizational skills
- Loan officer
- Practiced at FHA loan process
- Cash handling expertise
- Human resources knowledge
- Content valuation and management
- Agile
- Web-based software engineering
- CAD development
- Operational analysis
- Program testing software
- Scrum methodology
- Personal, Casualty And Property Loss
- Negotiation And Mediation Skills
- Legal Proceedings Knowledge
Certification
- Agile Scrum Master
- Supply Chain and Management
- Workday Consultant
- TWIA
- Claims Specialist
- NICTA
- Xactimate
- Federated National Field Certification
- Lexis Nexis
- California Fair Practices
- Citizens
- NFIP
- MS Plans
Timeline
CAT Complex Property Adjuster
Ryze Claims Solutions
02.2023 - 11.2023
Software Consultant, Workday
Healthcare IT Leaders
08.2022 - 10.2022
Litigation/Subrogation Adjuster
Bradley Stinson & Associates Inc
06.2021 - 11.2022
Remote Desk Adjuster
Colonial Claims
06.2021 - 12.2021
Remote Desk Examiner
NC Claims Service
09.2020 - 12.2020
Residential Desk Adjuster
Catastrophe Response Unit
05.2020 - 09.2020
File Reviewer
Holland & Knight
08.2018 - 05.2020
Licensed Mortgage Loan Officer
Navy Federal Credit Union
06.2017 - 04.2019
Desk Examiner
Groovers Insurance
04.2017 - 08.2018
Independent Adjuster
One Call Claims
01.2013 - 06.2015
Branch Operations Supervisor
Navy Federal Credit Union
03.2005 - 04.2017
Pensacola State College
Associate of Arts - Business Management Certificate
The University of West Florida
Bachelor of Arts - Business Leadership
Ashford University
- Agile Scrum Master
- Supply Chain and Management
- Workday Consultant
- TWIA
- Claims Specialist
- NICTA
- Xactimate
- Federated National Field Certification
- Lexis Nexis
- California Fair Practices
- Citizens
- NFIP
- MS Plans
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