Claims Management Specialist with Benefits Expertise

AIREON WASHINGTON

Forney, Texas ***** 214-***-**** **********@*****.***

Professional Summary

Experienced claims professional with a strong background in auto, medical, and benefits claims management. Skilled in evaluating coverage, analyzing documentation, resolving discrepancies, and delivering high-level customer support. Proven ability to manage large claim volumes, collaborate with insurance partners, and ensure accurate, timely claim resolution. Skills

Customer Service (10+ Years), Sales (5 years), Project Management (3 years), Training & Development (4 years), Problem Resolution (8 years), Collections (3 years), Retail Sales (4 years), Recruiting (2 years), Business Management (2 years), Data Entry (8 years), Time Management, Pharmacy Technician, Hair Styling, Property Management, Management, Delivery Driving, Office Management, Medical Billing and Coding, Inventory Control, Insurance Verification, Accounts Receivable, Process Improvement, Data Analysis

Work History

Benefits Manager — Aetna

May 2024 – Current

• Manage employee benefits enrollment, eligibility, and coverage updates.

• Assist members with complex claims and benefits issues.

• Collaborate with providers, carriers, and internal teams on escalated concerns.

• Audit benefits data for accuracy and compliance.

• Support open enrollment with communication and troubleshooting.

• Maintain documentation and analyze trends.

Access Specialist / Support Clerk — Boys and Girls Club, Dallas, Texas November 2022 – May 2024

• Managed 200–300 memberships; increased site traffic by 23%.

• Liaison between Director and Coordinator.

• Organized promotional events.

• Trained new employees and managed schedules.

Salon Manager — Salon Twisted Roots

February 2016 – November 2022

• Provided styling services and receptionist duties.

• Scheduled appointments, managed calls, and processed sales.

• Managed inventory, staff, and client relations.

Trainer / Warehouse Associate — Amazon

June 2016 – January 2018

• Operated forklift for customer order picking.

• Trained new hires on responsibilities and safety. Claims Adjuster — State Farm

December 2015 – June 2016

• Processed auto accident claims, inspections, and payments. Senior Claims Adjuster — GEICO

August 2013 – December 2015

• Managed large caseloads from intake to resolution.

• Coordinated repairs, payments, and supplemental estimates.

• Worked with medical offices, law firms, and insurers.

• Handled bodily injury claims.

Pharmacy Technician — United Healthcare

May 2011 – August 2013

• Handled prescription refill and diabetic supply calls.

• Coordinated with pharmacies and medical offices.

• Prepared orders for mail shipment.

Education

Associates in Healthcare Administration — University of Phoenix (May 2008)

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