Ieshia Brooks
Houston,TX
Summary
Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Specialist
Blue Cross And Blue Shield
04.2020 - Current
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
Benefits Specialist
Aetna
12.2018 - 04.2020
- Coordinated and conducted employee orientations to promote understanding of coverage and options.
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
- Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties.
- Analyzed and reported on employee benefits data to identify trends and develop strategies for improvement.
Customer Service Representative
United Health Group
08.2016 - 12.2018
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Supported accounts receivable operations within assigned functions.
- Identified, analyzed and researched systemic issues and made recommendations for resolution.
Education
Bachelor of Science - Psychology
University of Houston
Houston, TX12.2021
High School Diploma -
Klein High School
Klein, TX06.2016
Skills
- Data Entry Accuracy
- Empathy and Compassion
- Teamwork Abilities
- Regulatory Compliance Awareness
- Customer Service Orientation
Certification
- CAP - Certified Administrative Professional
Timeline
Claims Specialist
Blue Cross And Blue Shield
04.2020 - Current
Benefits Specialist
Aetna
12.2018 - 04.2020
Customer Service Representative
United Health Group
08.2016 - 12.2018
Bachelor of Science - Psychology
University of Houston
High School Diploma -
Klein High School
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