Work Preference
Professional Summary
Overview
Work History
Education
Skills
Timeline
Open To Work

KRISTIAN JOHNSON

State Farm
San Antonio,TX
KRISTIAN JOHNSON

Work Preference

Desired Job Title

Licensed Claims AdjusterProject ManagerQuality Assurance Analyst

Work Type

Full Time

Location Preference

HybridOn-Site

Location:

San Antonio, TX

Open to relocation:

Yes

Important To Me

Work-life balance
14
years of professional experience

Highly motivated and detailed-oriented individual with a strong foundation proven ability to learn quickly and adapt to new challenges. Strong communication, organizational, and problem-solving skills to contribute effectively to a dynamic team environment. Dedicated and results-driven professional. Enthusiastic and resourceful individual with a strong work ethic.

Work History

Licensed Claims Adjuster

3 Years 8 Months
State Farm | 10.2022 - Current
  • Masterfully navigated the intricate landscape of total loss claims, ensuring every resolution adhered to stringent state regulations and company directives.
  • Deciphered true vehicle valuations with precision, leveraging industry-leading platforms like CCC One to secure equitable outcomes.
  • Cultivate trust and clarity through compelling communication, guiding policyholders and stakeholders seamlessly through complex total loss scenarios.
  • Orchestrated the swift and meticulous progression of a high-volume claim portfolio, from initial notification to conclusive settlement, with unwavering attention to detail.
  • Executed precise financial disbursements, ensuring every claim payment was processed with impeccable accuracy and within regulatory frameworks.

Project Manager

5 Years 10 Months
Magellan Health | 11.2016 - 09.2022
  • Spearheaded critical initiatives to bridge communication gaps across diverse segments, cultivating a seamless operational "assembly line"
  • End-to-end project lifecycles from strategic inception and stakeholder alignment to execution and post-implementation review, consistently delivering impactful solutions.
  • Robust cross-functional collaboration, uniting disparate teams and departments to drive shared objectives and optimize project outcomes.
  • Developed and Implemented innovative communication strategies, ensuring clarity, transparency, and timely information exchange to accelerate decision-making and mitigate risks.

Quality Assurance Analyst

4 Years 10 Months
CVS Caremark | 01.2012 - 11.2016
  • Directed units of coders and testers, meticulously refining claim adjudication processes to unlock peak operational performance and ensure data accuracy.
  • Established and enforce quality frameworks, validating the integrity of all coding and testing to guarantee deployment of critical client systems.
  • Precise and Seamless delivery of pharmacy benefits for a diverse portfolio of enterprise clients, reliable support.
  • Comprehensive documentation, ensuring detailed notes and records were maintained for all processes, findings, and resolution.

Education

High School Diploma

Maricopa Community Colleges, Glendale Community College | Glendale, AZ

High School Diploma Mountain Pointe High School Phoenix,AZ

May 2007

Participated in Student Government, Debate Club

Skills

Claims investigation
Policy interpretation
Insurance regulations
Customer service
Centers for Medicare and Medicaid Services (CMS)
SQL
MS Office
Quality Assurance
Supervision

Timeline

Licensed Claims Adjuster

State Farm
10.2022 - CurrentRead More

Project Manager

Magellan Health
11.2016 - 09.2022Read More

Quality Assurance Analyst

CVS Caremark
01.2012 - 11.2016Read More

Maricopa Community Colleges, Glendale Community College

High School Diploma
Read More
KRISTIAN JOHNSON