Yvette Johnson Email & Phone Number

Indianapolis, Indiana, United States

Evaluate and process group insurance claims for payment or denial according to the terms and conditions of each policy.

Indianapolis, Indiana, United States

Provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments.*Analyzed and approved assigned claims and determine benefits due pursuant to a disability plan.*Reviewed and analyzed complex medical information to determine if the claimant is disabled as defined by the disability plan.*Trained new hires on short term disability case management process.

Indianapolis, In

Performed review of applications in light of the program’s regulations. * Analyzed documentation about the applicant business.* Reviewed the qualifications and expertise of the business owner.* Prepared necessary reports to document findings of fact and made recommendations.* Presented denial recommendations to the Certification Review Committee.* Prepared correspondence to external customers regarding certification.* Conducted on-site visits with applicants.

Indianapolis, Indiana Area

Focused on leave of absence, disability benefits and payroll Human Resource Specialist activities. Ensured compliance with special provisions of collective bargaining agreements. Promoted in 2015 and adding duties to support training of Disability Case Manager I. Mentor Disability Case Manager I, provide ongoing support and serve as a resource for complex issues. *Collaborated in development of short-term disability payroll process, reducing time to validate payments by 300 hours.*Met or exceeded all quality and performance management metrics contributing to Leave of Absence Executive Dashboard 98.6% accuracy rating.*Provided first call resolutions, reducing departmental call volumes and contributing to 90% Service Level Target for leave finalization within 5 days of receipt.*Trained and mentored Disability Case Manager I in case management and payroll process, producing higher audit scores from failing audits of 60% to passing audits of 80% or higher.

Indianapolis, Indiana Area

*Answered incoming calls regarding various tax issues.*Analyzed taxpayer’s ability to pay delinquent taxes. *Proposed reasonable payment agreements for federal tax balance due.

Indianapolis, Indiana Area

Handled casualty claims of moderate to severe complexity. Trained new hires on job procedures and computer system. Investigated cause and origin of automobile accidents and homeowner liability losses.*Negotiated 90% of bodily injury claims without litigation proceedings, saving company cost of $85 to $150 per hour in defense attorney fees.*Proactively handled claims, contributing to local branch exceeding target 62.5% superior customer satisfaction rating.*Collaborated with Special Investigation Unit during investigations of potentially fraudulent claims, saving company thousands of dollars in unnecessary payouts.*Selected by manager to serve as subject matter expert during company transition from paper to paperless computer file system, assisting co-workers by sharing tips, shortcuts, and systems information.*Recovered thousands of dollars in payouts by identifying claims with subrogation and contribution potential.*Made independent decisions to resolve conflicts and avoid litigation, with authorization to settle claims up to $25K.*Managed caseload efficiently, remaining current and assisting co-workers to meet schedule expectations.*Participated in arbitration hearings, determining outcome for disputed claims in-house and as member of Arbitration Forums.

*Prepared ancillary lease documents for mall tenants. *Monitored payments for mall tenants that filed Chapter 11 bankruptcy.

*Prepared and filed Chapter 7 and 13 bankruptcy petitions.*Prepared complaints, discovery pleadings and personal injury demand packets.

Bachelor'S Degree, Legal Administration

Activities and Societies: Paralegal AssociationSecretary for Student Paralegal Association Scheduled vendor advertisements to be played.

Associate In Claims