Undranah Braggs
Farmerville,LA
Summary
Detail-oriented Healthcare Claims & Operations Specialist with 7+ years of remote experience reviewing documentation, validating coverage eligibility, processing high-volume records, and ensuring compliance with regulatory and policy guidelines. Strong background in healthcare operations, data entry, customer communication, and multi-system navigation.
Overview
6
6
years of professional experience
Work History
Healthcare Claims & Operations Coordinator
Honor Technology
02.2023 - 11.2025
- Reviewed and processed 100+ healthcare-related cases weekly, validating documentation accuracy, eligibility, and service details in accordance with internal policies and healthcare guidelines.
- Assessed patient records, appointment data, and coverage-related information to support accurate service coordination and reimbursement workflows.
- Documented case details, notes, and required data elements in EHR and internal systems with 100% HIPAA compliance.
- Communicated with patients, care teams, and internal stakeholders to resolve discrepancies, missing information, or documentation issues.
- Maintained 95%+ quality and customer satisfaction scores while handling high-volume workloads across phone, chat, and email channels.
- Identified workflow gaps and trends, contributing to process improvements that increased case resolution efficiency by 25%.
Claims Documentation & Data Review Specialist
Panera Bread
12.2023 - 12.2024
- Reviewed and processed 75-120 cases daily with 98%+ data accuracy.
- Verified documentation and routed cases for escalation when needed.
- Entered and maintained detailed case documentation in CRM systems with 98%+ data accuracy.
- Routed complex cases for additional review or escalation, reducing resolution turnaround time by 15%.
- Consistently met production, quality, and timeliness benchmarks in a fast-paced, metrics-driven environment.
Customer Operations & Claims Support Coordinator
Coast Professional, Inc.
09.2022 - 03.2024
- Managed 80-120+ accounts daily, verifying eligibility and documentation accuracy.
- Achieved 90%+ first-contact resolution while meeting compliance standards.
- Documented claim-related updates, notes, and resolutions across multiple servicing systems with 98–99% accuracy.
- Communicated with customers and internal departments to clarify documentation requirements and resolve account issues.
Loan Processing & Claims Review Assistant
Sutherland Global
10.2021 - 01.2023
- Processed 40-70 transactions daily with 98-99% accuracy.
- Reviewed supporting documentation and resolved discrepancies.
- Verified account data, payment history, and supporting records to confirm validity prior to processing.
- Documented all actions, adjustments, and resolutions in multiple systems, maintaining 98–99% accuracy.
- Communicated with customers to resolve discrepancies, explain determinations, and gather missing information.
- Met or exceeded productivity, quality, and compliance KPIs in a high-volume production environment.
Technical Support & Documentation Specialist
Empereon Constar
01.2020 - 02.2022
- Documented and resolved 100+ cases weekly with 95%+ QA scores.
- Verified account data, payment history, and supporting records to confirm validity prior to processing.
- Documented all actions, adjustments, and resolutions in multiple systems, maintaining 98–99% accuracy.
- Communicated with customers to resolve discrepancies, explain determinations, and gather missing information.
- Met or exceeded productivity, quality, and compliance KPIs in a high-volume production environment.
Education
High School Diploma -
Union Parish High School
Farmerville, LA 09.2012 - 01/2016
Skills
- Claims Processing
- Benefits Eligibility
- Medical Terminology
- HIPAA Compliance
- Data Entry
- EHR & CRM Systems
- Documentation Review
- Regulatory Compliance
- Communication
- Time Management
- Quality assurance
- Attention to detail
- Administrative management
Timeline
Claims Documentation & Data Review Specialist
Panera Bread
12.2023 - 12.2024
Healthcare Claims & Operations Coordinator
Honor Technology
02.2023 - 11.2025
Customer Operations & Claims Support Coordinator
Coast Professional, Inc.
09.2022 - 03.2024
Loan Processing & Claims Review Assistant
Sutherland Global
10.2021 - 01.2023
Technical Support & Documentation Specialist
Empereon Constar
01.2020 - 02.2022
High School Diploma -
Union Parish High School
09.2012 - 01/2016