Summary
Overview
Work History
Education
Skills
Certifications
Volunteer Experience
Timeline
Generic

Chantille Burney

Maryland Heights,MO

Summary

Committed healthcare professional with over 10 years of experience in the healthcare insurance field. Experienced in service account management and resolving escalated issues. Highly accurate and efficient with strong time management skills and a reliable, leadership nature. Focused on creating innovative solutions and department operational efficiency.

Overview

5
5
years of professional experience

Work History

E&I Resolving Analyst Appeals, Claims

UnitedHealthcare
08.2023 - Current
  • Serve as the liaison to a complex customer base to manage resolution of escalated appeals.
  • Identifies and resolves operational problems using defined processes, expertise and judgment.
  • Analyzes and identifies trends for all appeals and grievances.
  • Research Information Related to Claims Appeals or Grievances.

Navigator

Unitedhealthcare
01.2020 - 08.2023
  • Address and solve complex health care issues and customer service.
  • Manage ongoing relationships and optimal service delivery to every member.
  • Work as a Team Lead working hand and hand with Supervisor to oversee team and assist with coaching and performance.
  • DA for Training Supervisor assisting with New Hire Training Classes.
  • Provide premium level service, removing burdens and providing end-to-end resolution for members.
  • Research complex issues across multiple databases and finding support resources to resolve member issues.
  • Manage 125 Participating Active members while meeting daily goals.
  • Utilize tools and resources to support each members' unique situation until resolution is provided.
  • Complete special projects to assist each team member with individual production goals and meeting metrics more efficiently.
  • Lead and Create presentations to present educational materials on Social Determinants of Health (SDoH) best practices.

Account Manager

BJC Healthcare
08.2021 - 08.2023
  • Increased client satisfaction by building strong rapport relationships and addressing their needs promptly.
  • Provide expertise and customer service support to patients
  • Serve as the liaison to a complex patient base to manage first level response and resolution of escalated issues.
  • Investigate and resolve all patient issues
  • Providing improvement opportunities to team members

Education

Normandy High School
St Louis, MO

Healthcare Management -

Meramec
Valley Park, MO

Skills

  • Leadership Management
  • Communication verbal and written
  • Active listening
  • Rapport, relationship building
  • Proficiency with Windows, Word, Excel, and Teams
  • Professional verbal and written communication skills
  • Analyzing and solving problems, resolution specialist
  • Managed care, service account manager
  • Escalations
  • Prioritize & organize
  • Multitasking
  • Customer service support

Certifications

CPR and First Aid

Compliance Champion Certified

M&R Level 3 Professional

Volunteer Experience

Mentor Leader

Herbert Hoover Boys and Girls Club, St. Louis, MO Summer 2015 to current

  • Coordinated, mentored, and trained individuals
  • Community outreach

Timeline

E&I Resolving Analyst Appeals, Claims

UnitedHealthcare
08.2023 - Current

Account Manager

BJC Healthcare
08.2021 - 08.2023

Navigator

Unitedhealthcare
01.2020 - 08.2023

Normandy High School

Healthcare Management -

Meramec

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Chantille Burney