Deshaila Wheeler
Grand Prairie,TX
Summary
Analytical Claims Specialist with proven experience investigating health insurance claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities, claims practices and superior interpersonal skills.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Claims Specialist
Medica
10.2023 - Current
- Generated reports on health insurance claims processing activities and results.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Monitored and updated claims status in claims processing system.
- Resolved disputes between claimants and providers through negotiation.
Data Entry Clerk
Aston Carter
01.2023 - 10.2023
- Managed and organized documents for data entry tasks.
- Streamlined workflow with automation techniques, reducing manual input time and minimizing potential for human error.
- Maintained strict confidentiality of sensitive client information, ensuring compliance with industry regulations and company policies.
- Coded and processed applications into required electronic formats.
Customer Service Representative
Genpact
08.2021 - 12.2022
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Investigated and resolved accounting, service and delivery concerns.
- Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Flight Attendant
Envoy Airlines
06.2019 - 08.2021
- Streamlined the boarding process by assisting passengers with seat assignments and providing clear directions during busy flights.
- Supported passengers with special needs and provided assistance to wheelchair passengers.
- Collected trash, tidied up aisles and wiped down surfaces during and in between flights to keep cabin clean.
- Demonstrated flexibility and adaptability amidst schedule changes, delays, or challenging situations while maintaining a positive attitude.
Education
High School Diploma -
Mansfield Timberview
Mansfield, TX05-2014
Skills
- Decision-making capabilities
- Active Listening
- Continuous learning mindset
- Attention to Detail
- 10-Key Touch
- Prior authorization processing
- New Policies Processing
- Documentation processing
Certification
Cybersecurity - Udacity
Timeline
Claims Specialist
Medica
10.2023 - Current
Data Entry Clerk
Aston Carter
01.2023 - 10.2023
Customer Service Representative
Genpact
08.2021 - 12.2022
Flight Attendant
Envoy Airlines
06.2019 - 08.2021
High School Diploma -
Mansfield Timberview