Summary
Overview
Work History
Education
Skills
Work Availability
Quote
Timeline
BusinessAnalyst
La' Shaunda Brown

La' Shaunda Brown

Jacksonville,Florida

Summary

Knowledgeable and dedicated customer service professional with extensive experience in billing, insurance, healthcare, sales, human resources, staffing, and administrative industry. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients and patients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.

Overview

11
11
years of professional experience

Work History

Administrative Assistant

Duval County Charter School At Westside
02.2023 - Current
  • Increased office participation in special events by creating newsletter with detailed calendars and other office updates.
  • Established administrative work procedures to track staff's daily tasks.
  • Assisted coworkers and staff members with special tasks on daily basis.
  • Used PA system, two-way radio and multi-line phone system.
  • Managed filing system, entered data and completed other clerical tasks.
  • Volunteered to help with special projects of varying degrees of complexity.
  • Composed, typed and distributed correspondence, reports and notices.
  • Managed over 50 calls and email correspondence and handled incoming and outgoing mail and faxes.
  • Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
  • Maintained timesheets and absences for school.

Recruiter Analyst

BAE Systems Inc.-Orchard Staffing
09.2022 - 11.2022
  • Liaised with hiring managers to relay candidate feedback on applicants.
  • Pre-screened resumes prior to sending to corporate hiring managers for consideration.
  • Reached out to qualified referral candidates to obtain applications.
  • Scheduled and conducted over 20 interviews each week, per hiring managers schedule via zoom, in person, or on site within multiple states with different time zones
  • Sourced, qualified and conducted screening interviews with job candidates.
  • Informed applicants of duties and responsibilities, compensations and benefits.
  • Selected qualified applicants or referred to managers to make hiring recommendations.

Onboarding Specialist/Office Manager/Recruiter Specialist

Sizemore Inc
10.2021 - 07.2022
  • Assisted with writing job postings and job descriptions for boards.
  • Pre-screened over 50 resumes daily prior to sending to corporate hiring managers for consideration.
  • Hired over 25 employees per month based on business needs and initiated new hire paperwork process.
  • Completed required criminal, credit, or drug tests for new hires.
  • Collaborated with managers to identify and address employee relations issues.
  • Organized welcome packages and icebreakers to get new hires quickly up to speed with colleagues and company details.
  • Created smooth onboarding processes to help new hires adjust to company policies, procedures and processes.
  • Updated reports, managed accounts, and generated reports for company database.
  • Developed and maintained successful relationships with vendors, suppliers and contractors.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Assisted in organizing and overseeing assignments to drive operational excellence.
  • Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
  • Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.

Clinical Support-SA IV/Referral Coordinator

Florida Blue-Integrated Resources Staffing
01.2019 - 02.2020
  • Initiates and manages clinical referrals for member
  • Enabled timely service reimbursements by liaising with insurance companies.
  • Coordinated, monitored, assigned, and documented patient and clinical care activities.
  • Assisted in coordinating and scheduling appointments for follow-up visits.
  • Assessed clinical policies and procedures for compliance with changing regulations.
  • Refers cases requiring clinical review to nurses or clinical professionals
  • Assist Florida Blue/Guide Well members and assist providers by answering questions and concerns about benefits
  • Assist with hospice report, approving referrals and inpatient stay with hospice
  • Update different reports daily

Human Resources Customer Care Support Representative

Southeastern Grocers-BTG Staffing
09.2018 - 11.2018
  • Answer telephone calls and perform special tasks such as call routing and transfers, recording messages, returning calls and handling holds, interruptions and unintentional disconnects
  • Respond to company associates inquiries and provide information concerning policies, programs, paid-time-off, eligibility, payroll deductions and verification of other information in PeopleSoft
  • Identify and apply vocal techniques to enhance telephone presentation, develop positive rapport and effectively control telephone communication in tense situations
  • Adapt communication methods and mannerisms to appropriately interact with different behavioral types and satisfy various situations
  • Utilize questioning and listening skills that support effective telephone communication
  • Provide eligibility updates to third party vendors and administrators
  • Log telephone calls in case management system, research issues, follow up with associates when necessary and maintain case ownership until resolved
  • Escalate issues as needed to benefits specialist and/or supervisor, HR call center
  • Maintain knowledge of all HR systems, applications and tools
  • Answered employee inquiries regarding health benefits and 401k options.
  • Maintained employee files and delivered tracking system to identify trends and issues and process HR transactions in ADP.
  • Resolved employee complaints and grievances successfully through mediation and collaboration.

Underwriting Analyst

Aetna-Integrity Staffing
09.2016 - 11.2017
  • Prepared and reviewed small group applications and requests for services
  • Analyze health benefit plan characteristics and assess risks as to frequency and potential severity of losses of clients
  • Designed and implemented new filing and organizational practices
  • Evaluate and recommend alternative pricing options and plan design changes based on economic analysis and trends
  • Assign applications for underwriters to process, review, and validate renewals and request for proposals for accuracy including utilization & experience reporting
  • Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment.
  • Evaluated applications to determine insurance coverage and appropriate risk classifications.

Senior Patient Services Representative II

McKesson
08.2015 - 09.2016
  • Communicated with different health providers, lawyers and patients
  • Trained new staff on filing, phone etiquette and other office duties.
  • Verified insurance eligibility and coverage for patients.
  • Daily filing of different health insurances and claims for patients and providers
  • Discussed claims processed and claim status as well options of non-favorable claims
  • Researched and resolved issues in order to receive max profitability for clients
  • Reviewed claims to make sure that payer specific billing requirements are met, follow-ups on billing, determines and applies appropriate adjustments
  • Filed and maintained patient records in accordance with HIPAA regulations.
  • Resolved billing inquiries and disputes in timely fashion.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Verified patient insurance eligibility and entered patient information into system.
  • Investigated insurance claims denials and appeals.

Insurance Customer Service Representative

ING
06.2012 - 03.2013
  • Tracked 401K eligibility and managed enrollment and administration of company retirement and financial benefits plans.
  • Responded to 403b inquiries from employees relating to enrollments, plan changes and contribution amounts.
  • Verified 401k accounts
  • Transferred funds
  • Processed withdrawals
  • Received loan payments
  • Processed hardship documents and requests
  • Updated account information
  • Handled calls daily for state and government employees

Education

High School Diploma -

Edward H. White High School
Jacksonville, FL
06.2000

Associate of Science - Business Administration And Management

Florida State College At Jacksonville
Jacksonville, FL

Skills

  • Customer and Client Relations
  • Self Starter
  • Medical Terminology
  • PeopleSoft HRMS
  • Payroll and Benefits Administration
  • Insurance Eligibility Verifications
  • Office Management
  • Excel Spreadsheets
  • Recruitment and Retention Strategies
  • Analytical and Critical Thinking
  • Data Tracking Applications
  • Pre-Authorizations
  • Customer Relationship Management
  • Analytical and Critical Thinking
  • Team Building
  • Supervision & Leadership
  • Organizational Skills
  • Adaptable to Changing Conditions
  • Customer Relationship Management
  • Administrative and Office Support
  • Trained in Salesforce
  • Customer Service and Assistance
  • Exceptional Communicator

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

"You don't have to be great to get started, but you have to get started to be GREAT"
LES BROWN

Timeline

Administrative Assistant

Duval County Charter School At Westside
02.2023 - Current

Recruiter Analyst

BAE Systems Inc.-Orchard Staffing
09.2022 - 11.2022

Onboarding Specialist/Office Manager/Recruiter Specialist

Sizemore Inc
10.2021 - 07.2022

Clinical Support-SA IV/Referral Coordinator

Florida Blue-Integrated Resources Staffing
01.2019 - 02.2020

Human Resources Customer Care Support Representative

Southeastern Grocers-BTG Staffing
09.2018 - 11.2018

Underwriting Analyst

Aetna-Integrity Staffing
09.2016 - 11.2017

Senior Patient Services Representative II

McKesson
08.2015 - 09.2016

Insurance Customer Service Representative

ING
06.2012 - 03.2013

High School Diploma -

Edward H. White High School

Associate of Science - Business Administration And Management

Florida State College At Jacksonville
La' Shaunda Brown