Vonda Braswell
Summary
A highly motivated individual with the desire to take on new challenges. Strong work ethic, adaptability, and transferrable interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Leveraged due diligence and ethical standards to ensure industry compliance.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Investigation Specialist
United Health Group
Minne, MN
11.2023 - Current
- Utilized specialized software applications for data analysis purposes.
- Coordinated benefits processing, including enrollments and terminations.
- Reviewed member enrollments to verify accuracy, inputting information into the company database.
- Maintained confidentiality of all PII according to HIPAA guidelines.
Inside Claims Representative
The Admiral Group
Henrico, VA
09.2021 - 11.2023
- Researched and verified policy information to ensure the accuracy of claim payments.
- Corresponded with claimants, insurance agents, and other third parties regarding claim status.
- Analyzed complex claims data to identify trends in claims history and provide recommendations for improvement.
- Recorded all tasks related to the management of designated cases, following established protocols.
- Utilized various computer systems to access records necessary for the processing of claims.
- Monitored the progress of open cases to ensure timely resolution according to departmental standards.
- Investigated potentially fraudulent claims with a specific focus on thoroughness, quality, and cost control.
- Developed strong working relationships with internal business partners, such as underwriting, financial services, and sales departments.
- Assumed additional responsibilities as necessary to meet departmental needs.
Independent Contractor
LNF
Richmond, VA
08.2020 - 09.2021
- Created promotional materials, including flyers, brochures, and direct mail pieces.
- Conducted market research to identify potential customers and target markets.
- Maintained relationships with existing customers while seeking new ones.
- Built successful partnerships with other businesses in related industries.
Education
Bachelor of Science - Criminal Justice
Bluefield University
West Virginia05-2008
Master of Science - Public Administration
Strayer University
Chesterfield, VASkills
- Interview coordination
- Due diligence
- Data review
- Claims resolution
- Ethical and honest
- Insurance documentation
- Policy limits
- Claims documentation
- Deadline and results-oriented
- Continuous improvement
Certification
- Licensed Insurance Adjuster-All Lines
Timeline
Investigation Specialist
United Health Group
11.2023 - Current
Inside Claims Representative
The Admiral Group
09.2021 - 11.2023
Independent Contractor
LNF
08.2020 - 09.2021
- Licensed Insurance Adjuster-All Lines
Bachelor of Science - Criminal Justice
Bluefield University
Master of Science - Public Administration
Strayer University
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