Kieara Braxton
Baltimore,MD
Summary
Dynamic Senior Claims Analyst at Natera with a proven track record in enhancing claims processing efficiency and implementing strategic improvements. Skilled in statistical analysis and critical thinking, I excel in resolving complex issues and fostering teamwork, driving organizational success through data-driven insights and effective communication.
Overview
9
9
years of professional experience
Work History
Senior Claims Analyst
Natera
2024.05 - 2025.02
- Analyzed complex claims data to identify trends and improve processing efficiency.
- Collaborated with cross-functional teams to resolve discrepancies in claims documentation.
- Developed comprehensive reports detailing claims performance metrics for management review.
- Implemented process improvements that enhanced accuracy in claims adjudication workflows.
- Trained junior analysts on best practices for claims evaluation and compliance standards.
- Managed escalated claims issues, providing strategic recommendations for resolution pathways.
- Contributed to policy improvements by identifying areas of potential risk exposure based on historical claim data analysis.
Care Management Analyst
Empirx Health
2022.03 - 2024.05
- Analyzed operational processes to identify areas for improvement and enhance efficiency.
- Collaborated with cross-functional teams to develop strategic recommendations for project implementation.
- Conducted data analysis using statistical tools to support decision-making and optimize performance metrics.
- Assisted in the preparation of reports and presentations for stakeholder meetings, ensuring clarity and accuracy.
- Streamlined documentation processes, improving access to key project information across departments.
- Developed training materials that educated staff on new systems and procedures, fostering a culture of continuous improvement.
- Provided expert guidance on best practices, resulting in improved overall organizational effectiveness.
Supervisor, Member Advocate
Versant Health
2020.11 - 2022.03
- Supervised daily operations, ensuring compliance with safety standards and procedures.
- Trained new team members on operational processes and equipment usage.
- Monitored workflow efficiency and implemented improvements to enhance productivity.
- Coordinated schedules and assigned tasks to optimize team performance.
- Conducted regular inspections to maintain quality control across operations.
- Resolved conflicts and provided support to team members in high-pressure situations.
- Provided feedback to management on staff performance and operational challenges.
- Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Developed staff skills through targeted training programs, resulting in improved performance and career growth opportunities.
Supervisor, Pharmacy Technician
United Healthcare
2018.10 - 2020.11
- Managed daily pharmacy operations, ensuring compliance with safety and regulatory standards.
- Trained new staff on pharmacy protocols and best practices for medication dispensing.
- Assisted pharmacists in preparing and dispensing medications accurately and efficiently.
- Maintained inventory levels, performing regular audits to prevent shortages or discrepancies.
- Utilized pharmacy management software to process prescriptions and manage patient records effectively.
- Collaborated with healthcare professionals to optimize patient medication therapies and outcomes.
- Assisted with the implementation of a medication therapy management program, resulting in improved patient adherence to prescribed treatments.
- Optimized workflow efficiency by delegating tasks appropriately among team members based on their skillsets and experience level.
- Collaborated with healthcare providers to resolve any discrepancies or issues related to prescription orders, ensuring optimal patient outcomes.
Pharmacy Technician II
Cardinal Health
2015.10 - 2017.05
- Processed prescriptions accurately and efficiently, ensuring compliance with pharmacy regulations.
- Assisted pharmacists in medication management, enhancing overall workflow and patient care.
- Operated pharmacy software systems to maintain accurate inventory records and streamline operations.
- Educated patients on proper medication usage and potential side effects, improving adherence to treatment plans.
- Trained new pharmacy staff on operational procedures and safety protocols, promoting a knowledgeable work environment.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
- Provided exceptional customer service, fostering positive relationships with both new and returning patients at the pharmacy counter.
Education
Bachelor Of Science - Applied Psychology
Coppin State University
Baltimore, MD05.2017
Skills
- Claims processing efficiency
- Strong negotiation skills
- Critical thinking
- Professionalism and integrity
- Statistical analysis techniques
- Continuous improvement mindset
- Regulatory compliance awareness
- Insurance industry acumen
- Team leadership experience
- Claims review
- Claims analysis
- Claims
- Customer service
- Problem-solving
- Teamwork and collaboration
- Excellent communication
- Decision-making
- Verbal and written communication
Timeline
Senior Claims Analyst
Natera
2024.05 - 2025.02
Care Management Analyst
Empirx Health
2022.03 - 2024.05
Supervisor, Member Advocate
Versant Health
2020.11 - 2022.03
Supervisor, Pharmacy Technician
United Healthcare
2018.10 - 2020.11
Pharmacy Technician II
Cardinal Health
2015.10 - 2017.05
Bachelor Of Science - Applied Psychology
Coppin State University