Annbriana Jones
Griffin,GA
Summary
Experienced with analyzing and processing diverse claims accurately and efficiently. Utilizes strong investigative skills and attention to detail to ensure fair settlements. Track record of maintaining compliance with industry regulations and providing excellent customer service.
Overview
6
6
years of professional experience
Work History
Claims Specialist
Assurant
Remote- GA
07.2022 - Current
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Provided exceptional customer service by addressing client inquiries promptly and professionally.
- Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
- Remote
Prior Authorization Specialist
Sedgwick
Remote- GA
03.2021 - 07.2022
- Conducted regular audits of patient accounts to maintain accuracy, minimize errors, and prevent revenue loss due to correct billing practices.
- Streamlined patient registration process for increased efficiency and reduced wait times.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Maintained accurate patient records with diligent data entry and effective communication with healthcare professional.
- Remote
Chat Support Representative
Innovative Solution
Remote- GA
01.2020 - 02.2021
- Monitor customer conversations and provide timely, knowledgeable assistance via live chat.
- Respond to inquiries with accurate information about products and services, ensuring customer satisfaction.
- Document customer information accurately in the system with dated notes for future reference.
- Remote
Education
High School Diploma - General Education
Hampton High School
Hampton, GA05.2020
Skills
- Customer Service
- Inbound and Outbound Calling
- Insurance Verification
- Typing Proficiency
- Claims Analysis
- Medical Billing Software
- ICD-10 Proficiency
- Prior Authorization Process
- Remote
- Data Entry and Analysis
- Claims Processing
- Microsoft Office Suites
- Communication
- Call Center
- Complex Problem-Solving
- Multi-tasking
- Attention to Detail
- Time Management
- Data Organization
- Teamwork and Collaboration
- Researching
- Claims analysis
- Documentation review
Timeline
Claims Specialist
Assurant
07.2022 - Current
Prior Authorization Specialist
Sedgwick
03.2021 - 07.2022
Chat Support Representative
Innovative Solution
01.2020 - 02.2021
High School Diploma - General Education
Hampton High School