Tina Hernandez
Claims Professional
Austin,TX
Summary
Experienced professional with a strong background in technology-related roles. Proficient in software development, system administration, and technical support. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success. Dedicated team player adept at managing customer service and claims processing for policyholders. Looking for a long-term position with a growth-oriented company.
Overview
17
17
years of professional experience
Work History
Texas Claims Representative
BrightSpring Health Services
Austin , TX
03.2008 - 01.2025
- Communicated effectively with policyholders, providing updates and explaining the claims process clearly.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Prepared and reviewed insurance-claim forms and related documents for completeness.
- Collaborated with fellow team members to manage large volume of claims.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
Education
High School Diploma -
S F Austin
Austin , TX05-1983
Skills
- Claims processing
- Settlement negotiation
- Medical terminology
- Customer education
- Attention to detail
- Claims investigation
- Microsoft office
- Conflict resolution
- Information verification
- Insurance terminology
Timeline
Texas Claims Representative
BrightSpring Health Services
03.2008 - 01.2025
High School Diploma -
S F Austin
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