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
- Handled inbound and outbound sales inquiries to assist individuals in selecting the most suitable health insurance plans, including Major Medical, Medicare Advantage, Medicare Supplement, Prescription Drug Plans, and Ancillary Products
- Provided expert-level guidance on coverage benefits, eligibility, and claims expectations, offering personalized recommendations for clients based on their health needs and financial situation
- Delivered a high-touch, empathetic customer experience, especially for the aging and disabled community, ensuring clients understood their coverage options and were supported throughout the application process
- Advised clients on what to expect during the claims process, including copayments, deductibles, and Explanation of Benefits (EOBs)
- Navigated and complied with CMS, Federal, and State regulations, ensuring legal and ethical standards were upheld during every interaction
- Maintained accurate and compliant documentation in CRM systems while using Microsoft Excel to organize key sales scripts, policy updates, and workflow information for efficient call handling
- Served as a GoHealth brand ambassador, embodying professionalism, compassion, and product expertise on every call
- Collaborated with internal teams and management to identify opportunities for process improvement on the sales floor, raising client concerns and workflow feedback as needed
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
- Liaison Between Clients, Providers, and Payers
- High-Volume Case Management with Empathy and Accuracy
- Conflict Resolution & Claims Dispute Handling
- Claims & CRM Platforms (Salesforce, Facets, proprietary systems)
- Microsoft Office Suite (Excel, Outlook, Word)
- Document Review & Data Entry Accuracy
- Familiarity with Insurance Portals & Claims Submission Tools
Certification
- Illinois Health Insurance License.
- Adjuster - All Lines, Designated Texas.
Education and Training
- Associate in Claims (AIC) – In Progress, The Institutes
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