Alarice Coston
Denham Springs,LA
Summary
Analytical and relationship-driven insurance professional with 5+ years of experience in claims processing, renewals coordination, and customer communication. Skilled in policy review, documentation accuracy, and collaborative problem-solving. Adept at working cross-functionally with brokers, providers, and internal partners to support renewal actions, negotiate rate adjustments, and ensure accurate coverage determinations. Strong proficiency in Excel, reporting, and multi-system navigation. Seeking to contribute analytical, organizational, and interpersonal strengths as a Renewal Support Specialist.
Overview
8
8
years of professional experience
Work History
Claims Processor I
Bluecross Blueshield of Louisiana
12.2024 - Current
- Analyze and adjudicate member claims, ensuring alignment with plan design, policy provisions, and regulatory guidelines.
- Collaborate with internal partners and provider network teams to resolve complex claim inquiries, reprocess claims, and maintain accuracy in financial outcomes.
- Translate claim outcomes into clear, professional written communications for members and brokers.
- Manage high-volume workloads and report on productivity, quality metrics, and turnaround standards.
- Utilize internal systems and Excel for tracking, reporting, and analysis to support renewal and claims integrity.
Intake Coordinator I
Bluecross Blueshield of Louisiana
10.2022 - 12.2024
- Reviewed referral documentation and verified member benefits for authorization and coverage determinations.
- Partnered with providers, brokers, and internal departments to clarify policy details and ensure timely renewals of coverage.
- Prepared accurate, compelling documentation to support case decisions and recommendations.
- Facilitated consistent communication with customers and teams, modeling strong relationship management and customer service.
Service Desk Team Lead
Sparkhound
05.2019 - 09.2022
- Led a team supporting corporate clients, maintaining high standards for communication, documentation, and service-level compliance.
- Created productivity and issue-tracking reports using Excel and system-generated data.
- Facilitated cross-department collaboration to enhance issue resolution processes and client satisfaction.
- Provided training and mentoring to enhance efficiency and professional growth.
Shift Lead
Walgreens
10.2017 - 09.2019
- Managed daily store operations, compliance activities, and cash audits.
- Supported staff performance management, customer issue resolution, and operational documentation.
- Ensured operational consistency across shifts, contributing to team and customer satisfaction.
Education
Certificate - Medical Billing And Coding
DeVry University
Naperville, IL04-2021
Skills
- Renewal & Quoting Support
- Policy & Coverage Review
- Rate & Benefit Comparison
- Claims Data Analysis & Reporting
- Broker & Client Relationship Management
- Negotiation & Communication
- Process Improvement & System Administration
- MS Office (Excel, Word, Outlook) & Multi-System Navigation
- Time Management & Multi-Tasking
- Independent Decision-Making & Strategic Thinking
Timeline
Claims Processor I
Bluecross Blueshield of Louisiana
12.2024 - Current
Intake Coordinator I
Bluecross Blueshield of Louisiana
10.2022 - 12.2024
Service Desk Team Lead
Sparkhound
05.2019 - 09.2022
Shift Lead
Walgreens
10.2017 - 09.2019
Certificate - Medical Billing And Coding
DeVry University