Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shaqunta Towns

Summary

Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Claims Associate Auto Injury

State Farm
03.2024 - Current
  • Provided Exceptional Customer Service: Delivered empathetic and timely support to policyholders by effectively managing their auto injury claims, ensuring clear communication, and guiding them through the claims process while addressing concerns and resolving conflicts.
  • Applied Comprehensive Knowledge of Auto Injury Laws: Utilized an in-depth understanding of state and federal regulations, liability laws, and insurance policies to accurately evaluate claims, determine coverage, and ensure compliance throughout the claims process.
  • Collaborated with Key Stakeholders: Coordinated with medical providers, repair shops, and other external parties to gather necessary documentation,and facilitate timely claim resolutions.
  • : Managed an average 400 calls per month, delivering remarkable customer service while consistently meeting or exceeding performance metrics.



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SR. LOAN PROCESSOR

Homepoint Financial
01.2021 - 02.2022
  • Carefully review and analyze mortgage loan applications to ensure accuracy and completeness
  • Verify the applicant's financial information, including income, credit history, and employment details
  • Developed pipeline management tools to aid in organization and effectiveness
  • Expansive knowledge of AUS programs: Desktop Underwriter, Loan Product Advisor, and Guaranteed Underwriting System
  • Collect all necessary documentation from applicants, such as pay stubs, bank statements, tax returns, and legal documents
  • Prepare loan files for underwriting by organizing and presenting all necessary documents
  • Act as a point of contact between borrowers, underwriters, loan officers, and other stakeholders

PREPAY COORDINATOR

US Anesthesia Partners
05.2019 - 01.2021
  • Managed the collection of self-pay balances related to anesthesia services, including coordination with patients
  • Reviewed patient accounts, identified outstanding balances, and developed and implemented collection strategies
  • Implemented policies and procedures to optimize self-pay collections, resulting in increased revenue recovery
  • Processed self-pay patient invoices and statements for various anesthesia services
  • Collaborated with patients to answer inquiries, address billing concerns, and establish manageable payment plans
  • Managed and followed up on delinquent patient accounts, consistently achieving high collection rates

LOAN OFFICER ASSISTANT

Ocwen Financial (PHH Mortgage)
12.2016 - 07.2018
  • Assisted the loan officer in the origination process, including gathering customer information, verifying documentation, and completing loan applications
  • Coordinated with clients and underwriters to ensure a smooth and efficient loan process
  • Prepared and organized loan files, ensuring all necessary documents and disclosures were completed accurately
  • Kept clients informed about the status of their loans and guided them through the mortgage application process

CLAIMS RESOLUTION SPECIALIST

MultiPlan
08.2015 - 12.2016
  • Specializing in the reduction of potential insurance fraud against the company by thorough review of each claim, documents, and reviewing fees on closing statements
  • Negotiation and Re-pricing of claims that did not meet customary standards established by the carrier on behalf of clients
  • Implemented proficient processes for all specialist to follow resulting in an overall reduction of waste and abuse
  • Resolved post claim closure inquiries including negotiation and thorough explanation of adjustments

PATIENT ACCESS REPRESENTATIVE

Baylor Scott & White
06.2006 - 09.2014
  • Managed front desk operations, including patient check-in, scheduling, and verification of insurance information
  • Coordinated patient appointments, optimizing the appointment scheduling system for increased efficiency
  • Responded promptly to patient inquiries, providing excellent customer service and ensuring a positive experience
  • Collaborated with medical staff to communicate relevant patient information and address scheduling issues

Education

No Degree - .Business Marketing

The University of Texas At San Antonio
San Antonio, TX

Skills

  • Strong Communication
  • Proficient Customer Service
  • Pipeline Management
  • Organization
  • Negotiation
  • Problem-Solving
  • Computer Literacy
  • Cash Posting
  • Healthcare Insurance
  • Medical Terminology

Certification

  • Strong Communication
  • Proficient Customer Service
  • Pipeline Management
  • Organization
  • Negotiation
  • Problem-Solving
  • Computer Literacy
  • Cash Posting
  • Healthcare Insurance
  • Medical Terminology
  • Texas All Lines Adjuster License

Timeline

Claims Associate Auto Injury

State Farm
03.2024 - Current

SR. LOAN PROCESSOR

Homepoint Financial
01.2021 - 02.2022

PREPAY COORDINATOR

US Anesthesia Partners
05.2019 - 01.2021

LOAN OFFICER ASSISTANT

Ocwen Financial (PHH Mortgage)
12.2016 - 07.2018

CLAIMS RESOLUTION SPECIALIST

MultiPlan
08.2015 - 12.2016

PATIENT ACCESS REPRESENTATIVE

Baylor Scott & White
06.2006 - 09.2014

No Degree - .Business Marketing

The University of Texas At San Antonio
Shaqunta Towns