Summary
Overview
Work History
Education
Skills
Timeline
Generic

Karen Basnight

Virginia Beach

Summary

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.

Part Time Instructor

Tidewater Technical
Chesapeake
06.1998 - 06.2000
  • Taught math and basic business courses.

Education

Bachelor of Science - Mathematics

Norfolk State University
Norfolk, VA
05-1990

Skills

  • Claims processing
  • Data validation
  • Regulatory compliance
  • Discrepancy resolution
  • Lean Six Sigma
  • Word
  • Excel

Timeline

Claims Analyst II

Elevance Health
03.2022 - 03.2025

Data Network Specialist

Elevance Health
01.2020 - 03.2022

Provider A Claims Rep

Elevance Health
10.2019 - 01.2020

Pharmacy Customer Care Representatives

Elevance Health
03.2019 - 10.2019

Customer Care Representative

Elevance Health
09.2018 - 03.2019

Licensed Insurance Agent

GEICO
05.2000 - 08.2018

Part Time Instructor

Tidewater Technical
06.1998 - 06.2000

Bachelor of Science - Mathematics

Norfolk State University
Karen Basnight