SAMONE JOHNSON
Duluth,Georgia
Summary
Accountable Insurance Representative with excellent client management and insurance plan promotion. Highly effective juggler of multiple competing responsibilities simultaneously. Proven history of exceptional time management and customer service.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Pet /Property Claims Adjuster
EJC Financial Group
06.2021 - 12.2023
- Assisted TPA's in processing backlogged pet claims for (Lemonade, Healthy Paws, Pumpkin) over 100 per day
- Verified insurance claims and determined fair amount for settlement.
- Medical record review for pet claims
- File Reviewer for Legacy Carriers property claims- Progressive & State Farm
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- First-party & indemnity claims
- Researched claims and incident information to deliver solutions and resolve problems.
- Resolved complex, severe exposure claims using high service-oriented file handling.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Claims Adjuster
QA Claims, Inc.
03.2021 - 11.2022
- Negotiate and conclude CAT claims.
- Manage caseload of approximately 100 claim files, some with multiple claimants
- Review loss details and determine coverage based on policy
- Policy Review and explain coverage to insureds
- Preparing detailed claim reports while utilizing successful methods
- Loss Draft Claims
- File Reviewer
Pet Claims Adjuster
Administrative Strategies
07.2019 - 06.2021
- Professionally manages indemnity medical claim
- Processed over 100 claims per day
- Fulfill contractual policy obligations
- Determine coverage based on policy
- Provided excellent service through timely claim settlement
- Advanced medical terminology and veterinary standard operating procedures
- Veterinary medical record review
Claims Adjuster
EJC Financial Group
08.2017 - 07.2019
- Delivered world-class customer service with challenging environment
- First line of contact for claims reception
- Interview, Investigate, and Determine facts of claims
- Managed over 150 calls per day
- Prepared detailed case notes, successful negotiations while minimizing liability and settling losses.
Healthcare Enrollment Agent
HGS Colibrium
09.2015 - 08.2017
- Enrolled insured into QHP - approx 15 per day
- Reviewed plans and options
- Updated, entered, and reviewed customer data.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Fostered new business relationships through inbound lead follow-up.
- Displayed consistent, positive attitude toward customers, peers and other personnel, even during high-stress situations.
Education
Associate of Arts - Biblical Studies
Pensacola Christian College
Pensacola, FL05.1999
Skills
- Excellent verbal and written communication and interpersonal skills
- Excellent computer and analytical skills
- Ability to multi-task in fast-paced environment
- Claims Processing
- Insurance industry experience
- Client Prospecting
- Insurance Policy Sales
- Medical Terminology
Certification
- P&C Adjuster License
- Introduction to Claims Adjusting Processes
- Xactimate 28 Training for CAT Claims Adjusting
- NFIP Adjuster FCN Card
- State Farm Auto, Property & Estimatics Certification
- Licensed Life, Health, P&C Insurance Agent
- Medical Terminology Certification
Timeline
Pet /Property Claims Adjuster
EJC Financial Group
06.2021 - 12.2023
Claims Adjuster
QA Claims, Inc.
03.2021 - 11.2022
Pet Claims Adjuster
Administrative Strategies
07.2019 - 06.2021
Claims Adjuster
EJC Financial Group
08.2017 - 07.2019
Healthcare Enrollment Agent
HGS Colibrium
09.2015 - 08.2017
Associate of Arts - Biblical Studies
Pensacola Christian College
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