SUNDAY BROWN
LANCASTER
Summary
Results-driven professional with a strong background in healthcare administration, claims processing, customer service, and data management. Demonstrates exceptional attention to detail and accuracy in handling sensitive information, verifying documentation, and resolving complex issues. Skilled in maintaining compliance with organizational standards and regulatory requirements, while ensuring efficient workflow and high-quality service delivery.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Adjuster
State Farm
11.2023 - 08.2025
- Assessed property damage claims, ensuring accurate processing and documentation.
- Evaluated property damage claims, ensuring accurate assessments that led to fair settlements, and enhanced customer trust.
- Collaborated with policyholders to explain claim processes and requirements.
- Maintained accurate documentation of all claim activity within designated system.
- Reviewed medical records, police reports and other documents related to claim investigations.
- Communicated effectively with clients to gather information and explain decisions.
Customer Service Advocate
Progressive Auto Insurance
08.2022 - 10.2023
- Engage clients on policy details, ensuring clarity, and satisfaction.
- Efficiently processed account updates, enhancing the customer experience.
- Managed payment transactions, ensuring timely and accurate processing.
- Educated clients on coverage options and policy details.
- Provided timely follow-up to ensure customer satisfaction levels were met.
- Handled escalated calls for front-line associates to address complex issues and restore customer satisfaction.
Patient Benefits Specialist
CCS Medical
07.2020 - 07.2022
- Communicated with clients to clarify information and resolve claim issues.
- Collaborated with healthcare providers to verify patient eligibility and services rendered.
- Processed complex claims using specialized software systems efficiently and accurately.
- Conducted audits of claims for accuracy and adherence to regulatory standards.
- Developed and maintained relationships with clients to ensure their satisfaction with services provided.
- Make claim payments.
- Provided explanation of benefits.
- Educated patients on benefits, coverage options, and claims processes.
Patient Service Representative
Inogen
03.2018 - 02.2020
- Educated patients on equipment usage and maintenance procedures thoroughly.
- Processed insurance claims and verified patient coverage details accurately.
- Resolved patient complaints by actively listening and providing solutions promptly.
- Verified insurance information, collected payments, and scheduled appointments.
- Conducted audits to ensure quality assurance standards were met.
- Managed patient records using electronic health record systems efficiently.
- Collaborated with healthcare providers to ensure seamless patient care delivery.
Healthcare Specialist
Extend Health
09.2016 - 01.2018
- Assessed patient insurance eligibility, ensuring accurate coverage verification.
- Clarified explanation of benefits, enhancing patient understanding and satisfaction.
- Facilitated reimbursement requests, streamlining processes for timely resolutions.
- Coordinated doctor appointments, improving patient access to healthcare services.
- Provided support in navigating healthcare plans and benefits for clients.
- Educated individuals on healthcare services and eligibility requirements effectively.
- Communicated with clients to gather necessary documentation.
- Coordinated with medical providers to verify treatment details.
- Reviewed insurance claims for accuracy and completeness.
Education
HIGH SCHOOL DIPLOMA -
John Leslie Patton High School
Skills
- Claims processing
- Insurance verification
- Effective communication
- Data entry
- Appointment scheduling
- BLS certification
- Property claims
- Problem solving
- Team collaboration
- Attention to detail
- Claims investigations
- Empathy and patience
- claims adjuster license
- Customer relationship management
Certification
- Nurse Aid
- Certified Phlebotomy Technicians
- Claim Adjuster (All Lines, Property & Casualty)
- CPR and BLS
Timeline
Claims Adjuster
State Farm
11.2023 - 08.2025
Customer Service Advocate
Progressive Auto Insurance
08.2022 - 10.2023
Patient Benefits Specialist
CCS Medical
07.2020 - 07.2022
Patient Service Representative
Inogen
03.2018 - 02.2020
Healthcare Specialist
Extend Health
09.2016 - 01.2018
HIGH SCHOOL DIPLOMA -
John Leslie Patton High School