Tynatta Shaw

Detail-oriented psychology graduate (2026) with advanced expertise in research methods, measurement tools and defining criteria. Skilled in compliance analysis, stakeholder engagement, and data reporting. Passionate about ethical research, inclusive outreach, and public-sector service. Seeking to apply interdisciplinary strengths to support supplier diversity and fiscal stewardship in local government. Experienced and skilled in commercial and state insurance. Thorough knowledge of member benefits and the claims processing structure.

I have a strong background in accounting and bookkeeping. this also includes balancing debits and credits. Experienced in maintaining accurate financial records along with managing business checkbooks.

Expert in having hands on experience setting up new businesses within the State of North Carolina , I assured proper registration, all compliance and documentation papers were filed electronically or manually throughout the startup process. Responsible for updating renewing certifications and licenses.

• Selected to assist the Department Manager in conducting a Claims Audit to close open claims over two years old, Emergency Claims System Issue (ECSI)
• Worked on and trained others on the Executive Order Project that was mandated by the President of the United States after 911.
• Worked with Donna Cunningham to get a highly requested form placed on our BCBSNC website called the F96 (Small Group Disclosure Form)
• Received two blue ribbons for the year 2004.
• Received one blue ribbon for the year 2005.
• Received 2 NIP'M pins for the year 2009.
• Received several blue ribbons from internal customers and received compliments from external customers that were relayed back to me from my team lead.

• I am highly qualified and experienced in customer service. My customer service background covers a broad base from working with all insurance companies within the state of North Carolina and outside of North Carolina. I have a wide knowledge base on what is required for a company to become a group with an insurance company due to my background in working in the “Producer Service Area”.
• I am experienced in processing HCFA 1500 and UB-92 claims. Working customer service requires one to always keep the customer first; and not be quick to make rash decisions and know how to say “no” in a courteous manner if the issue requires a no response. My qualification skills cover working on the phones with customers and traveling to “Sales Meetings” to meet with customers. I have internal customer service experience also. Qualified in working on the front end of claims processing and qualified on the back end of claims processing adjusting claims.
• I have extensive knowledge and experience with member benefits and understanding of how different benefit structures operate. I am experienced in explaining benefit coverage, assisting members understand how to utilize their benefits, and assisting them for what to expect at their appointments regarding payments. I am also knowledgeable in explaining in-network and out of network benefits to members. I can guide the members through different places of services and what will apply regarding copay,, coinsurance, deductible. Knowledgeable in explaining Explanation of Benefits (EOB's) to members and Explanation of Payment(EOP).

• Currently in position as an Associate Minister at my local church, and my responsibilities include Mentoring youth and young adults in the Young Adult Missionary Department, assisting the Senior Missionary Department, and being a Chaplain and point of contact for ministerial staff.
• Former Mary Kay Business Consultant for 2 ½ years
• Business owner with spouse and husband for a family-owned restaurant. Duties included: accounting; supervision of 6 employees; managing weekly/monthly inventory; monitoring sales; scheduling events; and monitoring logistics for event setup and teardown.