Curneal Brennen
Trustmark
Midlothian,VA
16
years of professional experience
Professional claims consultant prepared for impactful contributions. Experienced in managing complex claims processes, ensuring compliance, and fostering client relationships. Known for effective team collaboration, adaptability, and results-driven approach, leveraging analytical and communication skills.
Work History
Claims Consultant
1 Year 5 Months- Examine and process contestable life and annuity claims, ensuring compliance with policy provisions and state and federal regulations.
- Manage complex claim activities, including regulatory compliance checks and resolution of high-level complaints.
- Analyze medical, financial, and legal documents to facilitate accurate claims processing and informed decision-making.
- Identify and initiate additional reviews for claims requiring further examination, ensuring compliance with departmental time standards.
Life Claims Associate
1 Year 11 Months- Managed assigned caseload of claims independently, ensuring fair and ethical handling that prioritized customer security and well-being.
- Utilized investigative tools, including medical examinations and surveillance, to resolve complex claims and deliver accurate determinations efficiently.
- Processed claim benefit payments accurately and within authority limits, adhering to policy provisions and regulatory requirements.
- Composed clear, professional communications for various stakeholders, consistently exceeding departmental standards for timeliness and accuracy.
Insurance Phone Processor
11 Months- Processed and reviewed insurance policy applications, ensuring compliance with mandates and policy provisions while maintaining accurate records.
- Managed policyholder inquiries and processed updates related to insurance and benefits, including address, billing, and owner changes.
- Generated and distributed Net Asset Value (NAV) and Accumulation Unit Value (AUV) reports using Excel to support regulatory reporting.
Appeals Intake Specialist
3 Months- Ensured compliance with federal, state, and organizational regulations during the review and processing of grievances and appeals.
- Managed complaints and grievances, resolving issues through root cause analysis and timely solutions, enhancing customer satisfaction.
- Performed data entry and analysis for regulatory reporting and information requests, ensuring accuracy and compliance.
Compensation Processing Specialist
6 Months- Analyzed client records and sponsor accounts to ensure accuracy in compensation processing.
- Collaborated with cross-functional teams to resolve data discrepancies and enhance communication.
Reimbursement Specialist
8 Months- Analyzed and processed reimbursement claims, resulting in timely and accurate billing statements for insurance claims.
- Coordinated with insurance management to enhance claims processes through effective communication and detailed case evaluation.
- Entered and maintained provider payment data in a statewide database, supporting accuracy and consistency in reimbursement operations.
Benefit Claims Specialist
6 Months- Reviewed and adjudicated claims per state regulations, processed settlements, and verified insurance coverage to ensure compliance and accuracy.
- Calculated and processed death benefits for annuitants and beneficiaries, conducting research on death reports from the Social Security Administration to support timely benefit distribution.
- Analyzed and processed insurance claims, ensuring compliance with company policies and regulations.
- Collaborated with cross-functional teams to streamline claim processing workflows and improve efficiency.
- Reviewed documentation for accuracy, identifying discrepancies and resolving issues promptly.
Claims Coordinator
4 Months- Managed evaluation, processing, and handling of insurance claims, facilitating communication among organizations, insurance providers, and policyholders.
- Resolved escalated issues to improve customer satisfaction while ensuring claims met regulatory compliance through thorough analysis and documentation.
- Processed claims to ensure timely resolution and compliance with regulatory standards.
- Analyzed claim documentation for accuracy, identifying discrepancies and facilitating corrections.
Operations Supervisor
9 Months- Managed the daily operations of the information management department, ensuring data protection, digital storage, and regulatory compliance for high-level clients.
- Monitored staff productivity and prepared performance reports to support informed decision-making, utilizing Kronos for time tracking and approvals.
- Mentored team members in deposit-processing tasks, improving accuracy and efficiency within the team.
Contract Administrator
2 Years 5 Months- Managed and analyzed contract-related documents to ensure compliance with terms and agreements.
- Collaborated with legal, sales, and client services teams to review and refine contracts, improving operational procedures and service delivery.
- Processed contract renewals and beneficiary enrollments, maintaining accurate records in SharePoint and Excel to support operational integrity.
Vault Administrator
1 Year 5 Months- Coordinated with Vault Manager and Client Services Manager to manage risks and ensure data privacy, resolving client inquiries efficiently via phone and email.
- Conducted annual audits of vaulted materials and maintained accurate records in Jaguar system to support compliance and operational integrity.
- Implemented document management systems, enhancing retrieval efficiency and data accuracy.
Claim Resolutions & Adjustments Clerk
1 Year 1 Month- Updated diagnosis, procedure, and national drug codes in National Coding Registry to ensure accurate and timely coding edits per directives from Atlanta Centers for Disease Control.
- Adjusted denied Medicaid claims for payment using TriZetto Facets, reviewed claims for accuracy, and compiled data to generate reports on incoming checks and claims.
- Managed inventory records using ERP systems, streamlining order fulfillment processes.
- Coordinated with cross-functional teams to resolve customer inquiries and improve service quality.
Data Capture Clerk
1 Year 11 Months- Verified and corrected patient information from dental and medical claims, ensuring data accuracy and integrity within Formwork system to support operational effectiveness.
- Managed entry of patients’ demographic and financial information into billing system, facilitating return of denied claims to providers for timely resubmission.
- Captured and verified data accuracy using advanced data entry software.
Education
Bachelor of Science - BS - Interdisciplinary Studies
Associate of Science - AS - Insurance Billing and Coding
Skills
Claims examination
Claims assessment
Teamwork and collaboration
Customer service
Regulatory compliance
Claims evaluation
Policy analysis
Timeline
Claims Consultant
Trustmark
03.2025 - CurrentRead More
Life Claims Associate
OneAmerica
03.2023 - 02.2025Read More
Insurance Phone Processor
New York Life Insurance Company
11.2021 - 10.2022Read More
Appeals Intake Specialist
WellCare Health Plans
08.2021 - 11.2021Read More
Compensation Processing Specialist
Advisor Group
10.2020 - 04.2021Read More
Reimbursement Specialist
Early Learning Coalition of Hillsborough County
02.2020 - 10.2020Read More
Benefit Claims Specialist
MetLife
08.2019 - 02.2020Read More
Claims Coordinator
Hancock Claims Consultants
02.2019 - 06.2019Read More
Operations Supervisor
Iron Mountain
11.2017 - 08.2018Read More
Contract Administrator
Iron Mountain
06.2015 - 11.2017Read More
Vault Administrator
Iron Mountain
01.2014 - 06.2015Read More
Claim Resolutions & Adjustments Clerk
Hewlett Packard Enterprise
12.2012 - 01.2014Read More
Data Capture Clerk
Hewlett Packard Enterprise
01.2011 - 12.2012Read More
Fortis College-Centerville
Associate of Science - AS from Insurance Billing and Coding
Read More
Liberty University
Bachelor of Science - BS from Interdisciplinary Studies
Read More