BRYAN BIBLE
United Healthcare
Afton,TN
24
years of professional experience
Dynamic claims specialist prepared for a supervisory role, with a proven track record in managing claims processes with precision and regulatory compliance. Recognized for a collaborative approach that fosters teamwork and drives consistent results, enhancing overall operational efficiency. Expertise in conflict resolution and strategic planning supports effective decision-making and problem-solving in high-pressure environments. Committed to delivering exceptional service while mentoring and guiding teams toward achieving organizational goals.
Work History
Claims Adjustment Representative
1 Year 2 Months- Reviewed approximately 20 complex medical claims cases for coverage, eligibility, and benefit accuracy daily.
- Investigated claim issues using member records, provider data, and internal systems.
- Communicated resolution details to providers and internal teams with clear documentation.
- Part of the Processing Information Efficiency Project team.
Associate Claims Representative
1 Year 1 Month- Processed medical claims accurately, applying benefit plans, coding rules, and plan guidelines.
- Interpreted policy language and procedural updates to ensure compliant claim handling.
- Mentored new associates on claims processing procedures and systems.
- Acted as team point of contact for the Sophia processing system.
Customer Service Advocate / Government Operations
8 Months- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
- Supported call center associates by taking on escalated calls, handling complex concerns and achieving customer satisfaction targets.
- Met monthly metrics and exceeded team metric standards.
Direct Support Professional
1 Year 4 Months- Supported individuals with daily living activities, promoting independence and dignity.
- Assisted clients with housekeeping and meal preparation.
- Provided transportation to and from daily living activities.
Handler
4 Months- Worked within tight deadlines and a fast-paced environment to load/unload large quantities of packages from aircraft, trailers, vans.
- Used hand-held scanners and physical logs to accurately track item movements.
- Handled hazardous materials with care by following relevant safety guidelines to avoid environmental hazards.
Personal Care Provider
6 Months- Coordinated personal care routines, supporting bathing, grooming, dressing, and mobility assistance with dignity and consistency.
- Adapted care approaches to changing needs, ensuring continuity, comfort, and adherence to service plans.
- Responded promptly to emergent situations involving client's health or well-being, coordinating care with appropriate medical personnel when necessary.
Customer Service Representative / State Services
3 Months- Resolved member inquiries regarding benefits, eligibility, claims, and prior authorization policies.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
- Supported call center associates by taking on escalated calls, handling complex concerns and achieving customer satisfaction targets.
Developmental Technician
5 Years 10 Months- Scheduled and accompanied clients on recreational outings to enhance social engagement.
- Led day-to-day oversight of approximately 10 technicians as needed to support efficient operations.
- Managed facility data entry on monthly basis to maintain accurate documentation.
- Contributed to monthly support team discussions by sharing input and coordinating collaboration to address client needs.
Education
Associate of Science - Computer Science
- Graduated with honors.
Skills
Critical thinking
Task management
Quality assurance
Team collaboration
Advanced technology skills
Timeline
Claims Adjustment Representative
United Healthcare
08.2025 - CurrentRead More
Associate Claims Representative
United Healthcare
07.2024 - 08.2025Read More
Customer Service Advocate / Government Operations
United Healthcare
09.2022 - 05.2023Read More
Direct Support Professional
State of Tennessee Dept of Disability and Aging
09.2014 - 01.2016Read More
Handler
Fedex
11.2011 - 03.2012Read More
Personal Care Provider
Maxim CareFocus
07.2009 - 01.2010Read More
Customer Service Representative / State Services
UnitedHealthcare
02.2009 - 05.2009Read More
Developmental Technician
State of Tennessee Dept of Disability and Aging
10.2002 - 08.2008Read More
Herzing University
Associate of Science from Computer Science
Read More