Johna D.
Senior Claims Adjuster @Kin
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WORK HISTORY
Senior Claims Adjuster @Kin
Handle complex residential property claims including Catastrophe (CAT), daily water losses, and attorney- and public adjuster-represented claims, ensuring compliance with policy terms, internal guidelines, and regulatory requirementsMonitor and manage claim workflows using Xactimate and XACTanalysis, maintaining accuracy, timeliness, and audit-ready documentationPerform detailed file reviews to validate coverage determinations, estimates, payments, and adherence to claim-handling standardsConduct claim investigations including recorded statements, site inspections, estimate evaluations, and document analysis to support coverage decisions and regulatory alignmentIdentify compliance gaps, risk exposures, and process breakdowns impacting claim outcomes, customer experience, and financial accuracySupport Managed Repair Program (MRP) and Option to Repair (OTR) claims, ensuring scope accuracy, vendor compliance, pricing integrity, and policy adherenceCollaborate with adjusters, supervisors, vendors, and legal representatives to resolve disputed issues, outstanding compliance concerns, and workflow delaysPrepare and maintain audit-ready claim files, including detailed activity logs, correspondence, estimates, and payment recordsSupport appraisal and mediation processes by preparing compliant documentation, summaries, and payment justificationsApply working knowledge of multi-state insurance regulations, ethical standards, and best practices in daily claim handlingPartner with vendors to ensure covered repairs meet approved scope, pricing, and quality requirementsContribute to training initiatives, quality reviews, and special projects focused on operational consistency and continuous improvement
EDUCATION
St. Petersburg College
Bachelor’s Degree, Business Administration and Finance
St. Petersburg College
Associate of Arts (AA), Business Administration and Management, General
ABOUT JOHNA D.
Senior Property Claims professional with extensive experience in claims compliance, quality auditing, and operational risk within P&C insurance. Known for evaluating claim accuracy, documentation integrity, and regulatory adherence with a practical understanding of real-world claims operations—especially in Florida’s complex regulatory environment.I bring a data-driven, controls-focused approach to identifying trends, reducing exposure, and strengthening claim outcomes through audit findings, root-cause analysis, and actionable recommendations. Experienced in partnering with claims leadership, training, and product teams to improve consistency, defensibility, and regulatory alignment.Passionate about supporting insurers through transparent audits, effective controls, and continuous improvement that protect policyholders while strengthening long-term portfolio stability.
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