Alishia K. Johnson

Pet insurance claims adjuster with hands-on experience adjudicating claims, reviewing invoices and medical notes, and confirming coverage details. Supports accurate reimbursements, resolves policy questions, and coordinates with veterinary offices to keep claims moving efficiently and in line with compliance guidelines.

Pet Processor Claims Adjuster - Wagmo Pet Insurance - New York, NY

(2024-06)

• Processed Wagmo pet insurance claims and reviewed supporting veterinary documentation.
• Reviewed invoices, receipts, and medical notes for claim accuracy.
• Collaborated with veterinary offices to ensure accuracy of treatment and billing details for claims processing.
• Assisted members with inquiries regarding benefits, reimbursements, and policy status to enhance customer satisfaction.
• Escalated complex claim issues to supervisors and support teams.
• Maintained confidential pet insurance records and compliance documentation.
• Ensured compliance with all applicable regulations, laws, and guidelines.
• Organized and filed documents to maintain accurate records. to maintain records and files.

PET INSURANCE CLAIMS PROCESSOR - BIVVY PET INSURANCE, CUNA MUTUAL GROUP(TRUSTAGE) - MADISON, WI

(2020-03 - 2024-03)

• Processed and adjudicated pet insurance claims, ensuring accurate and timely resolution for clients.
• Researched and analyzed veterinary medical records to determine coverage eligibility and conditions.
• Communicated effectively with veterinary clinics to retrieve medical records, enhancing claims processing efficiency.
• Experience with clinical veterinary & medical terminology. Able to work independently Input veterinary medical records with appropriate conditions and accurate coverage determinations based on analysis of the records.
• 5 years of experience in a Veterinary Clinic setting.
• Wisconsin License in Property, Casualty and life Insurance as an Intermediary Individual.
• Managed processes during company acquisition
• Executed tasks in a remote work environment

CUSTOMER SERVICE REPRESENTATIVE (LICENSED INSURANCE AGENT) - AMERICAN FAMILY INSURANCE AGENCY IN MCFARLAND, WI ANDREW PEART AGENCY - MCFARLAND, WI

(2012-07 - 2020-03)

• Sell a variety of insurance products to businesses and individuals.
• Sold auto, homeowners, and life insurance to new customers and upgraded policies for established customers.
• Customize insurance programs to suit individual customers, often covering a variety of risks.
• Consult with customers to evaluate needs and determine best options.
• Explain features of policies and both advantages and disadvantages of various policies.
• Counsel customers on options for service and coverage.
• Upgraded service plans and presented additional coverage options to enhance customer value.
• Answer any questions or concerns policyholders have with their insurance claims.
• Responded to service inquiries and escalated complex issues to ensure customer satisfaction.
• Resolved customer conflicts and concerns, leading to improved satisfaction and loyalty.

ADMINISTRATIVE SUPPORT/RECEPTIONIST - OREGON VETERINARY CLINIC - OREGON, WI

(2007-10 - 2012-05)

• Welcomed customers upon arrival, offering assistance and relevant information to enhance their experience.
• Answered calls and scheduled patient appointments at Oregon Veterinary Clinic.
• Greeted clients and checked in pets for veterinary visits.
• Verified client information and updated medical records at front desk.

High School Diploma - Belleville High School (1998-05)