Summary
Overview
Work History
Education
Skills
Certification
Timeline

Aubrianna Flores

Carrollton,TX

Summary

Analytical professional with extensive experience in managing and resolving claims efficiently. Proven track record of delivering accurate assessments and fair settlements, ensuring client satisfaction and compliance. Known for excellent teamwork and adaptability in dynamic settings, with keen eye for detail and strong problem-solving abilities.

Claims Management Specialist with substantial experience in handling complex claims processes and mitigating risks. Known for strong analytical skills, strategic problem-solving, and effective communication. Adept at fostering team collaboration and adapting to evolving requirements to drive results. Proven track record in policy interpretation, negotiation, and customer satisfaction.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Claims Management Specialist

Rab
09.2025 - Current
  • Evaluated claims to ensure compliance with company policies and regulatory standards.
  • Facilitated effective communication between clients and internal departments to resolve claim issues.
  • Analyzed claim data to identify trends and recommend process improvements.
  • Oversaw training programs for junior staff on best practices in claims management.

Inside Sales

Bell and McCoy
06.2021 - 08.2025
  • Revenue generation through soliciting or obtaining orders, interpreting technical requirements, providing technical information, and developing new accounts.
  • Development of sales opportunities through research and identification of potential accounts, building rapport with clients and companies, providing technical information, and preparing and providing quotes.
  • Sourcing news sales opportunities through inbound sales leads, follow-up, cold calls, and emails.
  • Assessment of competitors through the analysis and summarization of competitor information, trends, and the development of inside sales opportunities.
  • Knowledge of multiple quoting databases, including Hubble, Atkore, Cantex, and Acme.
  • Fulfillment of orders involves communicating the expected delivery date and explaining stockouts.
  • Closing new accounts through fax, emails, and verifying/entering account information.
  • Managed the Inside Sales pipeline, ensuring a steady flow of qualified leads for the sales team to close deals effectively.
  • Evaluated key performance metrics regularly to identify areas for improvement within the inside sales process.
  • Mentored junior team members on best practices for inside sales techniques, fostering a culture of continuous improvement within the department.
  • Assisted in training new hires on best practices in inside sales estimation, contributing to overall team success.
  • Worked closely with inside sales team members to maximize lead generation efforts and drive overall sales growth.

Lead Medical assistant

Girls to Women Young Men’s Health
03.2019 - 05.2021
  • Assist six different providers, including an OB specialist.
  • Supported the physician in exam rooms by taking vitals, administering injections, collecting and completing urinalysis, and sterilizing and stocking medical equipment.
  • Escorted patients to exam rooms and provided physician instructions to patients for follow-up and aftercare.
  • Ensured all related reports, labs, and information were accurately filed in patients’ medical records.
  • Triaged and processed messages from patients, providers, and physicians.
  • Accurately collected and sent specimens for lab testing in a timely, concise manner.
  • EMR (eClinicalWorks)
  • Ordering inventory, ensuring vaccines are not expired.
  • Prepping the clinic for the following day, confirming appointments by phone, sending out text messages regarding patient paperwork, and checking voicemails.
  • Have the patient and chart ready before the provider goes into the room.
  • Supervised and trained medical assistants to enhance patient care and service delivery.
  • Implemented streamlined patient intake processes, improving workflow efficiency in clinic operations.
  • Coordinated scheduling of patient appointments, optimizing provider availability and reducing wait times.
  • Developed educational materials on health topics for young men, promoting awareness and engagement in health management.

Medical assistant

Be Well Primary Care
01.2017 - 02.2019
  • Performed nursing procedures under the supervision of office physician including but not limited to ear irrigation, excisions, and mole removal.
  • Supported physician in exam rooms by taking vitals, administering injections, collecting cultures, phlebotomy, monitoring A1C1, completing Uranalysis, and sterilizing/stocking medical equipment.
  • Escorted patients to exam rooms and provided physician instructions to patients for follow up and aftercare.
  • Ensured all related reports, labs and information was accurately filed in patients’ medical record.
  • Triaged and process messages from patients and providers to physicians.
  • Accurately collected and sent specimens for lab testing in a timely and concise manner.
  • EMR (E clinical Works) Trained
  • Managed electronic health records, ensuring accuracy and compliance with healthcare regulations.
  • Administered patient care and assisted with examinations to enhance overall clinic efficiency.

Education

BA - Business Administration And Management

University of Phoenix, Tempe, AZ
11-2027



  • 3.5 GPA

Certified Medical Assistant - undefined

Pima Medical Institute
01.2017

Skills

  • Sales
  • Performance driven inside sales, quotes/contracting in manufacturing and distribution, Referral building/generation of new client accounts, Multitasking, Complex analysis, Problem solving, and Exceeding or meeting sales goals to increase revenue
  • Administration
  • Experienced in front office check in, Patient scheduling, Prior authorizations, General and Specialist referrals, Pharmaceutical medication requests
  • Communication
  • Excellent communication through Emails, Faxes, Reminder Calls, Incoming/Outgoing mail, Team work, Outstanding Customer Service
  • Claims investigation
  • Claims analysis

Certification

  • CMA - Certified Medical Assistant

Timeline

Claims Management Specialist - Rab
09.2025 - Current
Inside Sales - Bell and McCoy
06.2021 - 08.2025
Lead Medical assistant - Girls to Women Young Men’s Health
03.2019 - 05.2021
Medical assistant - Be Well Primary Care
01.2017 - 02.2019
Pima Medical Institute - Certified Medical Assistant,
University of Phoenix - BA, Business Administration And Management
Aubrianna Flores