Job Search Status
Open to workDesired start date: Flexible
Desired Job Title
Sr. Claims AnalystWork Type
Full TimeConsultingLocation Preference
RemoteHybridOn-SiteLocation: St Louis, MO, US
Open to relocation: No
Open To Work
Brandy Hill
St Louis,MO
Work Preference
Summary
Results-driven Sr. Claims Analyst with 20+ years of experience in complex claims adjudication, regulatory compliance, and process improvement. Proven ability to increase efficiency, improve accuracy and streamline workflows through data driven solutions. Recognized for strong negotiation skills, mentoring team members, and implementing reporting tools that enhance operational performance. Trusted subject matter expert known for delivering consistent, high quality results in a fast paced environments.
Overview
23
23
years of professional experience
Work History
Sr. Claims Analyst
American Water
St Louis, MO
11.2002 - 03.2026
- Managed and analyzed complex claims to ensure compliance with company policies and industry regulations, consistently maintaining high accuracy standards.
- Developed and implemented reporting tools to track key performance indicators, enhancing visibility into team performance and operational trends.
- Streamlined claims workflows, improving processing efficiency to 90% and reducing turnaround time by 24 hours.
- Identified discrepancies in claim documentation and recommended resolutions, reducing errors and improving claim quality.
- Mentored and trained junior analysts, strengthening team capabilities and supporting professional development.
- Conducted audits to ensure adherence to to regulatory requirements and internal policies.
- Implemented best practices in claims adjudication, contributing to operational efficiency gains.
- Negotiated claims outcomes using strong analytical and communication skills, contributing to fair and effective resolutions.
- Delivered high level customer service by addressing client concerns promptly and maintaining clear communication throughout the claims process.
- Created standardized templates and documentation processes, increasing efficiency and consistency across the team.
- Served as a subject matter expert for complex claims, providing guidance and support to colleagues and leadership.
Education
High School Diploma -
Lincoln Sr High
East Saint Louis, ILSkills
Claims Adjudication & Investigation
Regulatory Compliance & Audit Readiness
Process Improvement & Workflow Optimization
Data Analysis & Reporting
Risk Assessment & Resolution Strategy
Negotiation & Settlement Outcomes
Claims Management Systems
Team Mentorship & Training
Customer Relations & Conflict Resolution
Strong negotiation skills
Critical thinking
Professionalism and integrity
Strategic Decision-making
Ethical conduct standards
Accomplishments
Improved claims processing efficiency by 100% through workflow enhancements and process standardization.
Developed reporting tools that increased tracking and accountability of key performances.
Recognized as a go to expert for complex claims analysis and resolution.
Played a key role in mentoring and developing junior team members.
Timeline
Sr. Claims Analyst
American Water
11.2002 - 03.2026
High School Diploma -
Lincoln Sr High