Alesia Brown
Monrovia
Summary
Experienced claims professional with strong background in auditing, research, claims investigation, and financial accuracy looking to join a company that will utilize personal talents while encouraging further growth professionally and personally.
Overview
30
30
years of professional experience
Work History
Owner
Alesia Brown Realty Group, Inc.
03.2016 - Current
- Assist Individuals and Corporations in locating residential and commercial properties
- Developed strategic plans to sell and advertise properties
- Manage marketing of company and all property listings
- Complete thorough analysis of properties to assess value
- Evaluation of market conditions and trends
- Negotiate price, terms, and closing agreements
- Managed all day-to-day activities of the company
Medical Claims Auditor
International Medical Group
05.2022 - 04.2025
- Audited insurance claims for accuracy and compliance with company policies.
- Reviewed medical documentation to ensure validity of claims processed.
- Collaborated with healthcare providers to clarify claim-related inquiries.
Claims Examiner III
Computer Sciences Corporation
Springfield
07.2015 - 03.2016
- Research and interpret life insurance contracts to fulfill company obligation accordingly
- Reported processing totals and managed work flow for the department
- Researched and resolved escalated client reported issues
Senior Claims Auditor
HCC Medical Insurance Services
Indianapolis
07.2014 - 07.2015
- Audit all special approval and high dollar claims up to $1,000,000
- Identify trends with claims processing and implement process improvements
- Mentor and train with fellow associates and new hire employees
Life Claims Examiner II
CNO Financial Group, LLC
Carmel
08.2009 - 07.2014
- Research and interpret life insurance contracts to fulfill company obligation accordingly
- Reported processing totals and managed work flow for the department
- Project management and third party administrator liaison
Claims Adjuster II
Seven Corners, Inc.
Carmel
05.2008 - 05.2009
- Processed travel medical and international medical claims
- Investigated claims including checking for preexisting conditions and interpreting medical records
- Review and respond to Department of Insurance complaints.
Life Insurance Case Manager/Underwriter
InSource, Inc.
Indianapolis
07.2006 - 09.2007
- Review and obtain medical records for underwriting
- Attempt to find the best coverage with the lowest cost for client based on their underwriting score
- Project management and third party administrator liaison
Senior Health Claims Analyst
Golden Rule Insurance Company
Indianapolis
08.1995 - 06.2006
- Handle case management files that totaled more than $100,000
- Handle all Department of Insurance complaints, executive complaints, and all legal claim files
- Worked with medical review team to determine if experimental drug treatments were covered under the limitations of individual insurance policies
Education
Fellowship - Life Office Management
Life Office Management Association
Associate - Customer Service
Life Office Management Association
Health Insurance Associate -
Real Estate Certification Program (RECP) -
Skills
- LifePro
- Cyberlife
- CK4
- AWD
- Medical Claims Coding
- Interpreting Medical Reports
- Case Management
- Business Letter Construction
- Microsoft Office
- Business Objects
- Medigap
- Health Claims
- Life Claims
- Travel Claims
- Term Life Claims
- Annuity Claims
- Third Party Administrator Claims
- Client Relationships
- Prior Licensed Private Investigator
- Indiana Licensed Realtor
Coursework
- Principles of Insurance: Life, Health, and Annuities
- Accounting and Financial Reporting in Life Insurance
- Long Term Care Insurance
- Fraud: An intro to Detection, Investigation, and Prevention
- Fundamentals of Health Insurance Part A & B
- Legal Aspects of Life and Health Insurance (U.S. Laws)
- Licensed Real Estate Broker
Timeline
Medical Claims Auditor
International Medical Group
05.2022 - 04.2025
Owner
Alesia Brown Realty Group, Inc.
03.2016 - Current
Claims Examiner III
Computer Sciences Corporation
07.2015 - 03.2016
Senior Claims Auditor
HCC Medical Insurance Services
07.2014 - 07.2015
Life Claims Examiner II
CNO Financial Group, LLC
08.2009 - 07.2014
Claims Adjuster II
Seven Corners, Inc.
05.2008 - 05.2009
Life Insurance Case Manager/Underwriter
InSource, Inc.
07.2006 - 09.2007
Senior Health Claims Analyst
Golden Rule Insurance Company
08.1995 - 06.2006
Fellowship - Life Office Management
Life Office Management Association
Associate - Customer Service
Life Office Management Association
Health Insurance Associate -
Real Estate Certification Program (RECP) -
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