Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
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Chauntay Barber

Hampton

Summary

Seasoned claims benefit specialist with excellent planning and problem solving abilities. Offering several years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.

Overview

20
20
years of professional experience
2
2
years of post-secondary education

Work History

Claims Benefit Specialist

Aetna, a CVS Health Company
Hampton
01.2022 - 04.2026
  • Reviews and adjudicates routine claims in accordance with claim processing guidelines.
  • Reviewed and verified claims or referral submissions to ensure compliance with guidelines, coding, member identification, diagnosis, and pre-coding requirements.
  • Analyzed claims for accuracy and compliance with company policies.
  • Updated knowledge of relevant laws, regulations, policies, and procedures related to benefit programs to ensure accurate claims processing.
  • Trained new team members on claims processing procedures to enhance team knowledge and efficiency.

Customer Care Specialist

WPS Health Solutions
Hampton
07.2017 - 01.2018
  • Resolved customer complaints through effective communication and problem-solving techniques, enhancing customer satisfaction and loyalty.
  • Assisted customers with inquiries about health plans and coverage options, ensuring clarity and understanding of available benefits.
  • Educated clients on benefits and services offered by WPS Health Solutions.
  • Establish and build rapport with beneficiaries and providers to provide a corporate image while responding in a timely manner
  • Monitored incoming calls and ensured timely responses to customer needs.
  • Processed claims and maintained accurate records in customer management systems, contributing to streamlined operations and reduced errors.

CUSTOMER SERVICE REPRESENTATIVE

TRG Customer Solutions
Hampton
08.2006 - 04.2012
  • Handled escalated calls, ensuring satisfactory resolutions and customer retention.
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Assisted customers with inquiries and resolved issues promptly.
  • Educated customers on products and services while resolving billing inquiries.
  • Developed strong customer relationships to encourage repeat business.
  • Managed customer accounts and updated information accurately.
  • Maintained positive attitude while managing high call volumes to enhance customer experience.

Education

Bachelor of Science - Health Care Administration

University of Phoenix
Tempe, AZ
08.2024 - 05.2026

High School Diploma -

Phoebus High School
Hampton, VA

Skills

  • Insurance Claims Processing
  • Claims processing
  • Regulatory Compliance
  • Customer Service
  • Customer Care
  • Call Center
  • Data Analysis
  • Data Entry
  • Excel
  • Microsoft Word
  • Computer Literacy
  • Office Experience
  • Time Management

Personal Information

Work Permit: Authorized to work in the US for any employer

Timeline

Bachelor of Science - Health Care Administration

University of Phoenix
08.2024 - 05.2026

Claims Benefit Specialist

Aetna, a CVS Health Company
01.2022 - 04.2026

Customer Care Specialist

WPS Health Solutions
07.2017 - 01.2018

CUSTOMER SERVICE REPRESENTATIVE

TRG Customer Solutions
08.2006 - 04.2012

High School Diploma -

Phoebus High School
Chauntay Barber