Jenna Johnson
Mobile,Al
Summary
Employee Qualifications Proven experience working Insurance claims adjusting. Experienced in working with various types of claims for multiple carrier as well as experience working with represented claims. Employee Qualifications Proven experience working in a managerial position in a clinical or medical setting. Strong understanding of healthcare administration and management. Familiar with administrative and EMR software for healthcare systems. Excellent verbal and written communication skills.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Catastrophe Claims Adjuster
Mid-America-UPC Receivership Claims-FIGA
06.2023 - Current
- Negotiated Public Adjuster and Attorney settlement agreements to resolve disputes.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Documented all investigation activity and presented reports to management.
- Substantiated legitimate claims and denied unjustified claims.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Negotiated Public Adjuster and Attorney settlement agreements to resolve disputes.
- Directed claims negotiations and supported successful litigations for advanced issues.
Catastrophe Claims Adjuster
Mid-America Catastrophe-Hurricane Ian-Frontline
01.2023 - 06.2023
- Negotiated Public Adjuster and Attorney settlement agreements to resolve disputes.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Documented all investigation activity and presented reports to management.
- Substantiated legitimate claims and denied unjustified claims.
Catastrophe Claims Adjuster
Mid-America Catastrophe-Hurricane Ian-Slide
09.2022 - 01.2023
- Negotiated Public Adjuster and Attorney settlement agreements to resolve disputes.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Documented all investigation activity and presented reports to management.
- Substantiated legitimate claims and denied unjustified claims.
Catastrophe Claims Adjuster
Mid-America Catastrophe Services- Fednat
08.2021 - 11.2021
- Trained regularly in flight simulator to prepare for unexpected flight situations.
- Met with other crew members to plan missions prior to flight and review results following completion.
- Reviewed aeronautical charts and used navigational instruments during each flight and maintained strong knowledge of government and company regulations.
- Attained detailed weather reports prior to planning flights.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Documented all investigation activity and presented reports to management.
- Substantiated legitimate claims and denied unjustified claims.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Organized, planned and documented materials for [Type] claims.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Catastrophe Claims Adjuster
Pilot Catastrophe, Texas Freeze-AllState
02.2021 - 05.2021
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Practice Management Coordinator, COA, Supervisor, Certified STAR Laser Operator, Ophthalmic Scrub Assistant
Premier Medical Group
01.2019 - 01.2020
- Manage and oversee the business and clinical affairs of healthcare practice
- Supervise and oversee the overall staff performance
- Screen and interview candidates for job openings
- Provide training and educational material for staff
- Ensure legal obligations are always met
- Handle patient complaints and concerns
- Greet Patients who enter practice with warmth
- Maintain updated medical records on patients
Ophthalmic Technician, COA, Head Technician, and Ophthalmic Scrub Assistant
Southern Eye Group of Alabama
01.2012 - 01.2019
- Maintain ophthalmic instruments or equipment
- Measure visual acuity, including, near, distance, pinhole, or dynamic visual acuity, using appropriate tests
- Measure and record lens power using lensometers
- Take and document patient’s medical histories
- Administer topical ophthalmic or oral medications
- Operate ophthalmic equipment such as autorefractors, phoropters, tomographers, A- scans, OCT, or visual field
- Conduct Tonometry tests to measure patient’s intraocular pressure
- Assist as scribe role to record doctor’s comments in chart
- Assists in recruiting, hiring, and disciplinary action of technical personnel under supervision of office manager
- Supervises technical personnel, including preparing and monitoring job descriptions and personnel evaluations
- Develops and maintains a training program for clinical staff, including the immediate supervision of untrained employees
- Organizes and conducts regular meeting of technical staff; participates in regular management team meetings
- Consults with practice administrator on problems and interpretation of policies to ensure patient needs are met
- Develops and implements protocols for continuing education of technical staff
- Maintains inventory levels; orders all clinical supplies
- Troubleshoots malfunctioning equipment; calls repair companies as necessary
- Provides back-up support to other technicians, including returning patient’s phone calls and managing prescription refills
- Assists with check-in and check-out as needed
- Assists with appointment scheduling and surgery scheduling as needed
- Assist physicians in performing ophthalmic procedure, including surgery
- Assist members of surgical team with gowning and gloving
- Monitor and maintain aseptic technique throughout procedures
- Cover patients with surgical drapes to create and maintain a sterile operative field
- Gather, arrange, or assemble instruments or supplies
- Obtain or inspect sterile or non-sterile surgical equipment, instruments, or supplies
- Pass instruments or supplies to surgeon during procedure
- Verify the identity of patient and operative site.
Ophthalmic Technician, Head Technician
Retina Specialty Institute
01.2009 - 01.2012
- Record patient’s Medical history, vital statistics, or information such as test results in medical records
- Prepare treatment rooms for patient examinations, keeping the rooms neat and clean
- Authorize drug refills and provide prescription information to pharmacies
- Clean and sterilize instruments and dispose of contaminated supplies
- Explain treatment procedures, medications, and physicians instructions to patients
- Help physicians examine and treat patients, handing them instruments or materials or performing such tasks as prepping eye for injections or laser treatment
- Contact medical facilities or departments to schedule patients for tests or admission
- Perform general office duties, such as answering telephones, facilitating dictations, and insurance and disability forms
- Performing diagnostic testing such as Optical Coherence Tomography and Fluorescein Angiography.
Receptionist/Front Desk
Vision America
01.2008 - 01.2009
- Performing general tasks for front of office such as answering phones, making appointments, and checking patients into office
- Verifying insurance and obtaining insurance referrals and prior authorizations needed for patient to be seen
- Taking payments and explaining financial questions to patients
- Working with referring doctors to maintain communication throughout patients management of care.
Alabama Adjuster Resident License, WC & Crop
- 1 1
- Effective Date:12/09/2020, Renewed Effective 10/01/2022-Expiration 9/, License Number: 3001107903, NPN: 19709515
- Deployments: Mid
Education
High School Diploma -
South Lamar High School
Millport, AL05.2005
Skills
- Customer Satisfaction
- Insurance Policy Coverage Knowledge
- Represented Claims Experience
- Property Adjusting
Certification
- Florida Non-Resident License
- Texas Non-Resident License
- Louisiana Non-Resident License
- Mississippi Non-Resident License
- Georgia Non-Resident License
- South Carolina Non-Resident License
- West Virginia Non-Resident License
- North Carolina Non-Resident License
Timeline
Catastrophe Claims Adjuster
Mid-America-UPC Receivership Claims-FIGA
06.2023 - Current
Catastrophe Claims Adjuster
Mid-America Catastrophe-Hurricane Ian-Frontline
01.2023 - 06.2023
Catastrophe Claims Adjuster
Mid-America Catastrophe-Hurricane Ian-Slide
09.2022 - 01.2023
Catastrophe Claims Adjuster
Mid-America Catastrophe Services- Fednat
08.2021 - 11.2021
Catastrophe Claims Adjuster
Pilot Catastrophe, Texas Freeze-AllState
02.2021 - 05.2021
Practice Management Coordinator, COA, Supervisor, Certified STAR Laser Operator, Ophthalmic Scrub Assistant
Premier Medical Group
01.2019 - 01.2020
Ophthalmic Technician, COA, Head Technician, and Ophthalmic Scrub Assistant
Southern Eye Group of Alabama
01.2012 - 01.2019
Ophthalmic Technician, Head Technician
Retina Specialty Institute
01.2009 - 01.2012
Receptionist/Front Desk
Vision America
01.2008 - 01.2009
Alabama Adjuster Resident License, WC & Crop
- 1 1
High School Diploma -
South Lamar High School
- Florida Non-Resident License
- Texas Non-Resident License
- Louisiana Non-Resident License
- Mississippi Non-Resident License
- Georgia Non-Resident License
- South Carolina Non-Resident License
- West Virginia Non-Resident License
- North Carolina Non-Resident License
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