Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Antanae Brown

Wesley Chapel,FL

Summary

Results-driven specialist with strong background in claims management. Proven ability to navigate complex regulatory environments and ensure compliance. Skilled in assessing claims, coordinating with medical professionals, and delivering optimal outcomes. Strong collaborator who adapts to change and consistently achieves team goals.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Short Term Disability Claims Specialist

USAA
04.2023 - 05.2025
  • Served as the primary contact for client by managing leave of absence administration (FMLA, STD, Worker Comp) as determined by client contract.
  • Processed and administered all leave-of-absence requests and disability.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Enhanced customer satisfaction with timely communication and empathetic support during the claims process.
  • Effectively negotiated settlements for disputed claims, minimizing company exposure while maintaining client satisfaction levels.
  • Informed claimants of documentation required to process claims, required time frames and claim status information.

Injury Adjuster

USAA
04.2022 - 04.2023
  • Adjusted non-attorney involved soft tissue bodily injury claims, as well as all auto physical damage associated with those claims.
  • Identified, confirmed, and made coverage decisions on soft tissue claims.
  • Investigated loss details, determined legal liability, evaluated, negotiated, and arrived at claim settlement within appropriate authority guidelines.
  • Provided advice and set expectations into next steps to members.
  • Support workload surges and/or Catastrophe Operations as needed.
  • Collaborated and support team members to resolve issues and identify appropriate matters for escalation.

Healthcare Customer Service Expert - Fax Intake

CareCentrix
07.2018 - 03.2022
  • Handled the intake for discharge patients with discharge information to coordinate services.
  • Responsible for managing received referrals.
  • Reviewed clinical discharge information, redacted any PHI information before uploading to view in internal database.
  • Processed the faxed referrals into internal databases for staffing.
  • Aided rehabilitation facilities, hospitals, service provider’s doctor’s offices, and potential patients with managing service requests for patients.
  • Resolved referral source, patient, & service provider inquiries.
  • Participated in special projects and performed other duties.

Billing & Collections Representative

CareCentrix
01.2017 - 07.2018
  • Resolved concerns and questions from discharged patients, financially responsible parties, providers, and carriers with ideal customer service.
  • Provided out-of-pocket estimates, detailed explanation of patient’s responsibility for services coordinated by CareCentrix, and CareCentrix role.
  • Assist Lead Collector with training of newly hired associates.
  • Analyzed and solved customers’ problems.

General Medicare Tier 1 Representative

General Dynamics Information Technology
03.2015 - 01.2017
  • Maintained up-to-date knowledge of COB, COB-R, and MSP regulations and policies as they apply to inquiries handled by the call center.
  • Adhere to the Privacy Act and HIPAA laws and regulations as they relate to the confidentiality of information released.
  • Provided knowledgeable responses to escalated, high priority, or supervisor calls in a courteous and professional manner.
  • Cross-trained agents (Recovery/Data Collection) may be asked to process BIL emails, which involves following a step by step process to review the request, conduct necessary research and make valid updates to beneficiaries' records.

Education

GED -

Gary Adult High School
Tampa, FL

Skills

  • Organizational growth
  • Claims processing proficiency
  • Self-motivation and initiative
  • Goal-oriented mindset
  • Data entry proficiency
  • Customer service
  • Time management
  • Multitasking
  • Critical thinking
  • Medical terminology

Certification

  • Licensed Adjuster- All Lines - 6/17/2022-9/30/2026

Timeline

Short Term Disability Claims Specialist

USAA
04.2023 - 05.2025

Injury Adjuster

USAA
04.2022 - 04.2023

Healthcare Customer Service Expert - Fax Intake

CareCentrix
07.2018 - 03.2022

Billing & Collections Representative

CareCentrix
01.2017 - 07.2018

General Medicare Tier 1 Representative

General Dynamics Information Technology
03.2015 - 01.2017

GED -

Gary Adult High School

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