Brenda Ejiobi
Houston
Summary
Detail-oriented Leave and Disability Analyst with extensive expertise in medical documentation management, provider communication, insurance coordination, and regulatory compliance. Proven ability to collaborate effectively with physicians, employers, and insurance partners to secure accurate records, verify eligibility, and address documentation gaps. Highly skilled in HIPAA compliance, case analysis, and enhancing workflow efficiency in fast-paced environments. Currently pursuing a Master's degree in Security Management while demonstrating a commitment to delivering precise and timely disability assessments through thorough review of medical records and collaboration with interdisciplinary teams.
Overview
15
15
years of professional experience
Work History
Leave and Disability Examiner
The Standard Insurance Company
07.2023 - Current
- Request, collect, review, and reconcile medical records, clinical notes, and supporting documentation for compliance.
- Communicate daily with physicians, medical staff, and employer representatives to verify required documentation.
- Analyze diagnostic and medical documentation for eligibility decisions under FMLA, state leave laws, and insurance rules.
- Manage high-volume caseloads, track pending documentation, and prevent delays in claims processing.
- Identify recurring issues, escalate trends, and maintain documentation accuracy in fast-paced environments.
Customer Service Advocate, Disability Claims
Guardian Life Insurance Company
06.2021 - 07.2023
- Reviewed and analyzed medical, vocational, and financial records to determine benefit eligibility.
- Coordinated with healthcare providers to collect missing records and resolve discrepancies.
- Supported accurate claim investigations while maintaining strict confidentiality and compliance standards.
- Provided clear communication and guidance to clients navigating complex medical and personal situations.
Customer Service Representative
Continuum Global Solutions
01.2021 - 06.2021
- Managed high-volume inquiries and documented resolutions in alignment with policy and compliance standards.
- Delivered customer support while maintaining quality and accuracy expectations.
- Used analytical and communication skills to resolve issues efficiently.
Floor Supervisor
United Friends Group Home
03.2019 - 12.2020
- Addressed operational issues using sound judgment and clear communication.
- Engaged with diverse individuals to maintain a stable and professional environment.
- Improved workflow efficiency through structured processes.
Branch Coordinator & Customer Service Supervisor
House of Tara International
01.2011 - 01.2019
- Managed service operations, customer support, and sales execution.
- Maintained accurate customer data and documented interactions in compliance with company standards.
- Fostered collaborative teamwork aligned with organizational goals.
Education
Master of Science - Security Management
University of Houston
Houston, TX05-2026
Bachelor of Science - Business Administration
North American University
Cotonou, Republic of Benin09-2010
Skills
- Medical Documentation Review
- HIPAA Compliance
- Claims Analysis
- Eligibility Verification
- Provider & Physician Communication
- Insurance Coordination
- Data Accuracy
- Prior Authorization Support
- Case Management
- Issue Resolution
- Microsoft Office
- Record Tracking
- High-Volume Processing
Timeline
Leave and Disability Examiner
The Standard Insurance Company
07.2023 - Current
Customer Service Advocate, Disability Claims
Guardian Life Insurance Company
06.2021 - 07.2023
Customer Service Representative
Continuum Global Solutions
01.2021 - 06.2021
Floor Supervisor
United Friends Group Home
03.2019 - 12.2020
Branch Coordinator & Customer Service Supervisor
House of Tara International
01.2011 - 01.2019
Master of Science - Security Management
University of Houston
Bachelor of Science - Business Administration
North American University