Summary
Overview
Work History
Education
Timeline
Generic

Deandria Brown

Phenix City,AL

Summary

To be a part of a company that indulges professional growth which provides challenging and rewarding career while allowing me to utilize my knowledge and skills.

Overview

12
12
years of professional experience

Work History

Claim Benefit Specialist Ops

Aetna Medicaid Administrators
06.2022 - Current
  • Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.

Captioning Assistant

Hamilton Relay
08.2019 - 06.2022
  • Facilitated telephone conversations between individuals with hearing impairments and hearing individuals by accurately typing what is said on one end and reading it aloud on the other, essentially acting as a live interpreter on the phone line; this often involves working in a call center environment and adhering to specific relay service protocols to ensure clear and efficient communication for users with diverse needs.


Customer Service Representative I

Aflac
03.2019 - 09.2019
  • Under general supervision, received inbound calls, email, or chats regarding Aflac products and services; provided thorough and accurate responses to policy-holders or field force inquiries regarding policy or claim issues for Aflac products and services. Accurately processed Point of Call transactions including, but not limited to, customer name changes, transfers, cancellations, and beneficiary changes.

Customer Service Representative I

Anthem Blue Cross Blue Shield of Georgia
08.2018 - 03.2019
  • Provided customer service to New York BCBS members through various communication channels, including phone, email, and chat. Assisted members with inquiries, address concerns, and provide information about healthcare plans, coverage, and benefits. In addition, guided members to understand the claims process and directed them through filing claims, ensuring that legitimate claims are processed accurately and efficiently.

Customer Care Representative

AFNI
05.2018 - 08.2018
  • Delivered world-class customer service to Verizon cell phone carriers by responding to inbound calls, providing product knowledge, troubleshooting issues, resolving customer concerns with empathy and efficiency, and identified sales opportunities to proactively offer solutions that meet customer need. Included in the customer service experience agents also processed orders, updated customer accounts, and ensured accurate records in internal systems.

Customer Service Representative I

TSYS
08.2017 - 03.2018
  • Responded to customer inquiries via telephone, email, SMS and Chat to provide problem resolution in accordance with the organization's service standards. Received and/or placed telephone calls which were predominantly routine, but may have required deviation from standard screens, scripts, and procedures.

Substitute Teacher

Phenix City Board of Education
11.2015 - 12.2017
  • Followed lesson plans provided by the regular Teacher to create a cohesive and consistent learning experience for students. Supervised students in and out of the classroom, including in the halls, on the playground and in the cafeteria. Managed the classroom effectively to encourage student participation, minimized distractions and maintained a positive learning environment.

Cashier

Sears
10.2016 - 12.2016
  • Processed customer purchases at the register, accurately handled cash transactions, provided excellent customer service, and ensured a smooth checkout experience while adhering to company policies, all while maintaining a positive and welcoming demeanor for customers at the Sears store.

Sales Associate

Dollar General
05.2014 - 12.2014
  • Operated cash register and scanner to itemize and total customer’s purchase, collected payment from customers and make change, bag merchandise, and assist customers with merchandise as necessary. Cleaned the store, took out trash, dust and mopped store floors, cleaned restroom and receiving room, and helped set up sidewalk displays.

Sales Associate

Citi Trends
05.2013 - 12.2013
  • Provided proper customer service such as, but not limited to, greeting customers, abiding by fitting room policies, ringing customers in a timely fashion, and balanced cash register according to company policy. Processed freight and assisted with taking price changes/markdowns.

Education

Bachelor of Science - Biology

Stillman College
05.2015

High School Diploma -

Russell County High School
05.2011

Timeline

Claim Benefit Specialist Ops

Aetna Medicaid Administrators
06.2022 - Current

Captioning Assistant

Hamilton Relay
08.2019 - 06.2022

Customer Service Representative I

Aflac
03.2019 - 09.2019

Customer Service Representative I

Anthem Blue Cross Blue Shield of Georgia
08.2018 - 03.2019

Customer Care Representative

AFNI
05.2018 - 08.2018

Customer Service Representative I

TSYS
08.2017 - 03.2018

Cashier

Sears
10.2016 - 12.2016

Substitute Teacher

Phenix City Board of Education
11.2015 - 12.2017

Sales Associate

Dollar General
05.2014 - 12.2014

Sales Associate

Citi Trends
05.2013 - 12.2013

Bachelor of Science - Biology

Stillman College

High School Diploma -

Russell County High School

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Deandria Brown