DAZESHA MCNEAL
Oak Park
Summary
Detail-oriented professional with over 5 years of experience in customer support and healthcare operations, currently working as a Medical Claims Analyst with Centene Corporation. Experienced in remote work environments, data verification, claims analysis, and maintaining high quality standards while managing sensitive information. Known for strong problem-solving skills, effective communication, and the ability to work independently while meeting performance goals. Currently pursuing a degree in Computer Science Engineering with a concentration in Data Analytics and seeking opportunities to transition into the technology field where analytical thinking, data skills, and technical knowledge can be applied to innovative and impactful solutions.
Overview
7
7
years of professional experience
Work History
Medical Claims Analyst
Centene Corporation
Tempe, AZ, United States
02.2025 - Current
- Review and analyze medical claims for accuracy, completeness, and policy compliance.
- Verify member eligibility and provider information prior to claim processing.
- Investigate claim discrepancies and resolve billing or coding issues.
- Process and adjudicate medical claims according to company policies and regulatory guidelines.
- Collaborate with internal departments and provider offices to resolve claim inquiries.
- Maintain detailed records of claim reviews, corrections, and adjustments.
- Ensure claims are processed within required turnaround times and quality standards.
- Communicate effectively with providers and internal teams regarding claim status and documentation requirements.
- Identify potential errors, duplicate claims, or inconsistencies in billing data.
- Maintain confidentiality of patient and provider information in compliance with HIPAA regulations.
- Work remote while maintaining productivity, accuracy, and compliance with company performance metrics.
Customer Service
Centene Corporation Envolve Dental
Tempe, AZ, United States
03.2022 - 02.2025
- Take phone calls from customers and respond to them.
- Answering customer questions about their accounts.
- Customer data verification and validation.
- Supplying information in accordance with clients' needs and demands.
- Work remote.
- Communicate effectively with staff, patients, and provider’s office.
- Managed a high volume of calls while meeting or exceeding quality standards.
- Maintain customer confidence and protect operations by keeping information confidential.
Customer Service & Claims Processor
Robert Half Michigan Unemployment
Troy, MI, United States
06.2021 - 02.2022
- Phone calls with applicants to collect information and explain the benefits process.
- Sorted jobs that were relevant to candidates' interests and forwarded the information to them.
- Used computer software to enter all gathered information and researched data on applicants into a computer system.
- Reviewed applications for various aid programs and determined which individuals met the eligibility requirements.
- Was in charge of the processing of all benefit claim applications.
- Worked remote.
- Entered information about customer interactions into computer software to track requests, document problems, and keep track of solutions provided.
- Double-checked documentation for accuracy and validity on updated systems.
- Worked with the claims department and industry anti-fraud organizations to resolve claims.
- Claim adjustments, submitting, and processing.
Customer Service
StockX Corporate Headquarters
Detroit, MI, United States
09.2019 - 01.2021
- Interact with customers to provide product and service information, take orders, close accounts, and obtain information about complaints.
- Reviewed files, records, and other documents obtained in order to respond to customer requests.
- Collaborated effectively with coworkers in fast-paced and intense situations.
- Maintained a high level of professionalism and calmness with all personnel even in high-stress situations.
- Worked remotely.
Press Operator & Line Leader
Oakwood Group
Taylor, MI, United States
01.2019 - 09.2019
- Was in charge of the production process and the production schedule.
- Collected excess materials for reuse or placed them in removal bins during and after runs.
- Was in charge of supervising and motivating employees.
- Double-checked orders to ensure their quality and accuracy.
- Examined printed products for clarity, color accuracy, and adherence to specifications.
- Removed completed loads from the press as soon as possible.
- Gathered parts for assembly.
- I'm in charge of meeting production deadlines.
- Managed team performance by training, mentoring, disciplining, and motivating employees.
- Maintained the necessary level of communication between shifts.
Education
Computer Science Engineering - Data Analytics
Southern New Hampshire University
Manchester, NH03.2029
Paralegal Studies - undefined
Kalamazoo Valley Community College
Kalamazoo, MIHigh School -
John Glenn High School
Westland, MI01.2017
Skills
- Team building
- Maintains confidentiality
- Problem resolution
- Data entry
- Customer service
- Written and oral communication
- Leadership
- Detail-oriented
- MS Office
- Conflict resolution
- Professional and mature
- Quick learner
Timeline
Medical Claims Analyst
Centene Corporation
02.2025 - Current
Customer Service
Centene Corporation Envolve Dental
03.2022 - 02.2025
Customer Service & Claims Processor
Robert Half Michigan Unemployment
06.2021 - 02.2022
Customer Service
StockX Corporate Headquarters
09.2019 - 01.2021
Press Operator & Line Leader
Oakwood Group
01.2019 - 09.2019
Paralegal Studies - undefined
Kalamazoo Valley Community College
Computer Science Engineering - Data Analytics
Southern New Hampshire University
High School -
John Glenn High School