Tiara Barrington
Summary
Motivated and results-driven professional with over a decade of experience across customer service, healthcare, administrative support, and operational roles. Recognized for strong problem-solving abilities, attention to detail, and a commitment to delivering high-quality service in fast-paced environments. Adept at learning new systems, collaborating with cross-functional teams, and improving workflow efficiency. Brings a positive attitude, strong communication skills, and a dedication to excellence in every task.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Claim Benefit Specialist
CVS Health
09.2022 - Current
- Process and adjudicate complex healthcare claims with precision across multiple systems, ensuring timely and accurate outcomes.
- Resolved high-volume escalations and claim discrepancies, contributing to improved member satisfaction and reduced rework.
- Analyzed and corrected foreign and domestic claim issues by navigating multi-layered policy structures.
- Proposed workflow enhancements that led to faster claim turnaround times and improved team efficiency.
- Partnered with cross-functional departments to troubleshoot systemic issues, enhancing overall process alignment and performance.
Customer Care Representative I-III
Anthem, Inc.
Virginia Beach
07.2014 - 01.2021
- Delivered accurate guidance to members and providers on benefits, claims, and authorizations, maintaining exceptional service quality.
- Investigated and resolved complex claim and billing concerns, often reducing repeat calls and increasing first-call resolution rates.
- Served as a Subject Matter Expert (SME), mentoring new hires and supporting training initiatives across the department.
- Utilized multiple claims platforms and tools to research, document, and close inquiries efficiently and compliantly.
- Recognized for consistently exceeding performance metrics, including quality, accuracy, and customer satisfaction.
Collections Specialist I-III
Dynamic Recovery Solutions
Virginia Beach
03.2013 - 07.2014
- Managed 75–150 accounts daily in a fast-paced call center, consistently meeting or exceeding collection goals.
- Trained team members on FDCPA regulations, improving compliance and reducing legal risk.
- Created and maintained Excel-based reports to analyze performance and support data-driven decisions.
- Utilized Accurint for advanced skip tracing, improving debtor contact and recovery rates.
- Developed quality assurance manuals and streamlined training processes to enhance new hire readiness and team performance.
Certified Nursing Assistant
Our Lady of Perpetual Help
Virginia Beach
08.2011 - 03.2013
- Provided high-quality, patient-centered care by assisting with daily living activities such as bathing, grooming, and mobility support.
- Accurately measured and documented vital signs, intake/output, and patient observations to support timely clinical decisions.
- Supported nursing staff with medical procedures and patient assessments, ensuring a smooth workflow and quality care.
- Maintained a safe, clean environment by following strict infection control and safety protocols.
- Fostered emotional well-being through compassionate care, active listening, and consistent patient engagement.
Education
High School Diploma -
Norview High School
Norfolk, VA06-2010
Skills
- Agile
- CCERT
- Citrix
- Claims Processing
- CMS
- Compass
- ECare
- ECHS
- Evicore
- Facets
- Healthcare
- HRP
- IOP
- Macess
- Medcompass
- Medicaid
- Medicare
- Microsoft Office
- Nexgen
- Rumba
- Research
- Data Analysis
- Customer Service
- Development
Certification
- Medication Technician Certificate, Training Solutions, 2012
- Certified Nursing Assistant, Bon Secours, 2012
Timeline
Claim Benefit Specialist
CVS Health
09.2022 - Current
Customer Care Representative I-III
Anthem, Inc.
07.2014 - 01.2021
Collections Specialist I-III
Dynamic Recovery Solutions
03.2013 - 07.2014
Certified Nursing Assistant
Our Lady of Perpetual Help
08.2011 - 03.2013
High School Diploma -
Norview High School