Deiandra Smail
Baytown,TX
Summary
Collaborative individual with expertise in providing exemplary service regarding benefits support. Multitasking Benefits Specialist knowledgeable in state and federal regulations and maintaining client confidentiality.
Overview
6
6
years of professional experience
Work History
Medical Sales Representative
Lincare
02.2021 - 07.2021
- Verified patient insurance coverage and benefits for medical claims.
- Identified and resolved discrepancies between patient information and claims data.
- Responded to correspondence from insurance companies.
- Conducted routine product demonstrations to verify proper utilization and improve patient outcomes.
- Monitored weekly sales to write reports for senior leadership and streamline operational processes.
- Managed over 60 calls per day and increased sales by 25%
Member Service Representative
Aetna, A CVS Health
10.2018 - 01.2020
- Reviewed benefits paperwork for accuracy and completeness.
- Managed continuous enrollment processes, as well as yearly enrollment periods.
- Directed and medical, dental, and vision benefit packages.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Handled complaints with prompt, courteous service to uphold professional reputation.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Researched and resolved complex medical claims issues to support timely processing.
Assistant Manager
Advance America
09.2015 - 09.2019
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Completed regular inventory counts to verify stock levels, address discrepancies, and forecast future needs.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
Loan Processor
ACE Cash Express Inc.
08.2015 - 09.2016
- Reviewed loan files for completeness, identified missing documentation, and generated condition lists for applicants.
- Prepared documents for underwriting by verifying client income, credit reports, and other information.
- Worked with customers in person and via telephone to answer questions, process transactions, and resolve issues.
- Set up and completed loan submission packages.
Education
High School Diploma -
Robert E Lee High School
Baytown, TX06.2009
No Degree - Medical Administration
Lee College
Baytown, TX01.2011
Skills
- Document Control
- Critical Thinking
- Research Proficiency
- Information Protection
- Customer Service
- Data Entry
- Records Management
- Customer Transactions
- Microsoft Office
- Policy Requirements and Eligibility
Timeline
Medical Sales Representative
Lincare
02.2021 - 07.2021
Member Service Representative
Aetna, A CVS Health
10.2018 - 01.2020
Assistant Manager
Advance America
09.2015 - 09.2019
Loan Processor
ACE Cash Express Inc.
08.2015 - 09.2016
High School Diploma -
Robert E Lee High School
No Degree - Medical Administration
Lee College