Tyrah Dantzler
Chicago,IL
Summary
Dedicated insurance and healthcare professional with over 10 years of experience in healthcare operations, insurance claims, and benefits coordination. Licensed claims adjuster with a strong foundation in workers’ compensation, auto claims, and insurance analysis. Proven ability to assess claims, verify benefits, and navigate complex insurance policies with accuracy and efficiency. Experienced in pharmaceutical coordination, referral processing, and customer service, ensuring seamless claim resolutions and policy compliance. Currently pursuing an associate degree in claims to further enhance expertise in claims adjusting and risk management. Passionate about delivering high-quality service while mitigating risks and optimizing claim outcomes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Senior Benefits Consultant III
GoHealth
Chicago, IL
08.2021 - Current
- Handle inbound and outbound sales inquiries to effectively sell health insurance plans and products via phone to customers (no cold calling).
- Quickly grasp new concepts and product offerings, including major medical, Medicare Advantage, Medicare Supplement, prescription drug plans, and other ancillary health products.
- Provide an excellent consumer experience for all callers and be passionate about helping the aging and disabled community.
- Guide consumers through the health insurance policy selection and application process, and serve as a subject matter expert for health insurance enrollments.
- Following Go Health's internal policies and procedures. Comply with Federal CMS and State legal requirements and standards.
- • Be the "Face of Go Health" at the consumer level and serve as a brand ambassador for the organization.
- Drive continuous improvement throughout the sales floor, raising opportunities for improvement to management.
- By organizing data using software like Excel, data analysts and other users can make information easier to view as data is added or changed. Excel contains a large number of boxes called cells that is ordered in row and columns to keep up with call scripts/call flow, important company information that I use daily and for every call
Referral Specialist II
Elevance Health
Chicago, IL
07.2019 - 07.2025
- Assisted patients with navigation of complex healthcare systems, providing guidance on insurance and specialist services.
- Collected required signatures to initiate referral process.
- Identified potential problems with referrals before submitting them to insurers and worked with providers to resolve those issues quickly.
- Interviewed patients to complete case histories and intake forms.
- Greeted patients, determined purpose of visit and directed to appropriate staff.
- Implemented process improvements to enhance efficiency and effectiveness of the referral coordination system.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Verified documents and associated records to catch and resolve discrepancies.
- Monitored referral outcomes, reporting on trends and areas for improvement to healthcare management teams.
- Analyzed referral data to identify patterns and recommend changes to referral policies and practices.
Central File Coordinator
Fresenius Kabi USA LLC
Melrose Park, IL
11.2015 - 02.2019
- Responsible for classifying, filing, and retrieving a wide variety of documents maintained in the Central File.
- Performed data entry and referencing for computerized record tracking, and maintained the database record-keeping system.
- Managed inbound and outbound calls, emails, and scanning medication documents.
- Issued documentation to the scientist and chemist for their daily testing of each medication.
- Ensured that all users of the Central File comply with policies and practices for appropriate record handling and maintenance.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
Education
High School Diploma -
John Marshall Metropolitan High School
Chicago, IL06-2009
Skills
- Benefits administration
- Healthcare industry
- Medicare expertise
- HIPAA
- Inbound call management
- Compliance
- Disability insurance
- Customer service
Certification
- Illinois Health Insurance License.
- Adjuster - All Lines, Designated Texas.
Timeline
Senior Benefits Consultant III
GoHealth
08.2021 - Current
Referral Specialist II
Elevance Health
07.2019 - 07.2025
Central File Coordinator
Fresenius Kabi USA LLC
11.2015 - 02.2019
High School Diploma -
John Marshall Metropolitan High School
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