Results-driven professional effective in implementing positive change while overseeing multiple tasks. A team player with great time management and organizational skills. Pursuing a Claims Analyst position with an established company.
Overview
23
23
years of professional experience
Education
Miami Carol City High
Miami Gardens, FL
Miami Dade Community College North Campus
Miami, FL
Work History
Claims Analyst
The Hartford Insurance
Sunrise
04.2018 - 09.2025
Analyzed claims data to identify trends and potential issues.
Evaluated documentation for accuracy and compliance with company policies.
Coordinated with adjusters to assess claim validity and coverage details.
Claims Examiner
Aetna insurance
Plantation
08.2007 - 04.2018
Reviewed claims for accuracy and compliance with policy guidelines.
Investigated discrepancies in claims through thorough research and documentation.
Communicated with healthcare providers to gather necessary information for claims processing.
Customer Service Representative
Aetna/Roadside insurance
Plantation
12.2002 - 07.2007
Provided exceptional customer support through phone and online communication.
Resolved inquiries by analyzing customer needs and offering tailored solutions.
Documented interactions using Aetna's customer relationship management software.