Results-driven professional effective in implementing positive change while overseeing multiple tasks. A team player with great time management and organizational skills. Pursuing a position with an established company.
Overview
27
27
years of professional experience
Work History
Claims Analyst II
Elevance Health
Norfolk
03.2022 - 03.2025
Reviewed member claims, identified discrepancies and determined appropriate course of action.
Processed member claims.
Data Network Specialist
Elevance Health
Norfolk
01.2020 - 03.2022
Assisted in synchronization of data among multiple claims systems and application of business rules as they apply to each database.
Validated the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertained to contracting, network management and credentialing
Provider A Claims Rep
Elevance Health
Virginia Beach
10.2019 - 01.2020
Investigated and provided feedback to members and providers regarding claims
Pharmacy Customer Care Representatives
Elevance Health
Virginia Beach
03.2019 - 10.2019
Built sustainable relationships of trust through open communication with members
Assisted members and pharmacists with discrepancies concerning medication scripts.
Ensured compliance with data protection regulations when handling member information.
Customer Care Representative
Elevance Health
Virginia Beach
09.2018 - 03.2019
Assisted members with selecting a PCP and setting doctor’s appointments
Ensured compliance with company policies regarding privacy laws and data protection regulations.
Licensed Insurance Agent
GEICO
Virginia Beach
05.2000 - 08.2018
Ensured compliance with all federal, state, local laws and regulations regarding insurance practices.
Collaborated with internal teams such as Underwriters and Claims Adjusters to ensure accuracy.
Educated policyholders on the importance of insurance and carrying the appropriate limits.
Assisted in the sell and service of auto, motorcycle, and RV policies.