TaNesha Townsend
Chattanooga,TN
Summary
Detail-oriented Claims Specialist with over 10 years of experience in managing high-volume claims and physician statements to ensure accurate benefit coverage. Skilled in processing claims efficiently while meeting compliance requirements and deadlines. Proficient in utilizing multiple internal systems for documentation and claim history review.
Overview
13
13
years of professional experience
Work History
Truck Dispatcher
FAST TIME LOGISTIC
04.2026 - Current
- Optimized route plans to improve on-time delivery and reduce empty miles.
- Monitored load status through GPS and dispatch systems, resolving delays promptly.
- Coordinated daily truck assignments, aligning driver availability with shipment priorities.
- Communicated delivery instructions clearly to drivers, brokers, and customers.
Long-Term Disability Claims Specialist
UNUM DEC.
02.2025 - 04.2026
- Adjudicate long-term disability claims by analyzing complex medical records and physician statements to ensure accurate benefit coverage.
- Managed high-volume caseloads with attention to detail, ensuring consistent compliance with quality and productivity standards in deadline-driven environment.
- Utilized multiple internal systems to document activities, review claim history, and process timely, compliant determinations, enhancing workflow efficiency.
- Identified cost-saving opportunities and collaborated with medical consultants and vocational specialists to facilitate effective claim resolution.
Repair Management Team Lead (Claims Operations)
HOMESERVE USA
06.2020 - 06.2025
- Oversaw daily claims operations for team of 25 adjusters, increasing resolution efficiency by 65% through strategic KPI tracking.
- Coached team to improve performance, ensuring adherence to quality and production benchmarks.
- Led daily team workflows, ensuring prompt resolution of customer service requests and escalations.
- Coached representatives on call handling, quality standards, and policy adherence.
- Monitored service levels and adjusted staffing priorities to maintain consistent operational coverage.
Office of the President Agent (Escalated Claims Specialist)
HOMESERVE USA
06.2017 - 06.2020
- Resolved high-risk escalations, achieving 95% customer satisfaction rating and ensuring effective service recovery.
- Analyzed complex claim trends and recommended process improvements that reduced recurring issues.
- Directed enterprise strategy across home repair service operations, aligning growth priorities with customer experience goals.
- Oversaw P&L performance, balancing revenue growth, cost discipline, and service quality across business units.
- Led cross-functional teams to streamline claims, billing, and service fulfillment workflows.
Repair Management Coordinator (Claims Support)
HOMESERVE USA
07.2013 - 07.2017
- Managed high-volume claim documentation, achieving 100% data integrity and maintaining accurate records across all systems.
- Collaborated with internal teams to resolve discrepancies, expediting claim resolution from initiation to completion.
- Coordinated and confirmed customer home warranty repair appointments based on provider availability and scheduling guidelines.
Education
Diploma - Medical Assistant and Medical Office Technology
Chattanooga College of Medical Dental and Technical Careers
Chattanooga01-2008
Skills
- Medical & Disability Claims Adjudication
- Logistics Management Systems
- Freight Claims Resolution
- Route Optimization Strategies
- High-Volume Workflow & Case Management
- Quality Assurance & Performance Metrics (KPIs)
- Strategic Cost Containment
- Escalation Resolution & Sensitive Case Handling
- Customer Satisfaction & Retention
- Crisis Management Techniques
- Multi-System Navigation & Data Management
- Microsoft Office Suite Proficiency
- HRIS Platforms: Experienced with SAP and Kronos
- Cost-saving analysis
- R
Personal Information
Title: Claims Specialist
Timeline
Truck Dispatcher
FAST TIME LOGISTIC
04.2026 - Current
Long-Term Disability Claims Specialist
UNUM DEC.
02.2025 - 04.2026
Repair Management Team Lead (Claims Operations)
HOMESERVE USA
06.2020 - 06.2025
Office of the President Agent (Escalated Claims Specialist)
HOMESERVE USA
06.2017 - 06.2020
Repair Management Coordinator (Claims Support)
HOMESERVE USA
07.2013 - 07.2017
Diploma - Medical Assistant and Medical Office Technology
Chattanooga College of Medical Dental and Technical Careers