Open to opportunities

Amber User

@amberuser6

Licensed insurance operations professional delivering compliant policy administration, claims support, and accurate backend processing in regulated environments.

United States

Message

What I'm looking for

I’m looking for a role where I can own backend insurance operations—policy administration, compliance monitoring, and claims support—using accuracy-first workflows, clear documentation standards, and systems-driven reporting to help customers and teams succeed.

I’m a licensed insurance operations professional with active Property & Casualty and Texas Life & Health Insurance licenses. I specialize in policy administration, documentation management, and compliance monitoring—ensuring strict accuracy in highly regulated insurance and healthcare settings.

In my Customer Service Representative role for Medicare | Aetna, I processed 40–60 daily Medicare accounts while focusing on eligibility verification and benefits administration. I maintained strict HIPAA compliance and managed data entry within proprietary CRM systems to keep coverage information accurate.

Most recently, as a Licensed Property & Casualty Insurance Agent | Qualfon, I apply backend policy servicing operations through policy review and regulatory compliance checks. I also bring a strong documentation and reporting foundation from my Registered Behavior Technician experience, where I consistently maintained detailed clinical records and generated comprehensive data reports.

Experience

Work history, roles, and key accomplishments

Current

P&C Insurance Agent

Current

Qualfon

Apr 2026 - Present (2 months)

Review and analyze policy information to ensure strict accuracy and regulatory compliance. Maintain operational documentation and process backend policy updates.

Policy Administration Regulatory Compliance Documentation Management Claims Support CRM Systems

Medicare Customer Service Rep

Aetna

Jul 2023 - Jun 2025 (1 year 11 months)

Processed 40–60 daily Medicare accounts, performing eligibility verification and benefits administration. Maintained HIPAA-compliant records while verifying coverage information and managing data entry in proprietary CRM systems.

HIPAA compliance Benefits Administration CRM Systems Data Entry Regulatory Compliance Claims Support

Registered Behavior Technician

Pine Cone Therapies

Nov 2019 - Jul 2021 (1 year 8 months)

Managed detailed clinical documentation and ensured ongoing regulatory compliance. Supported accurate documentation and records throughout client care.

Clinical Documentation Regulatory Compliance Record Maintenance Compliance Monitoring Reporting

Registered Behavior Technician

BlueSprig Pediatrics

Jul 2019 - Nov 2019 (4 months)

Maintained accurate treatment documentation and generated comprehensive data reports to support clinical operations. Ensured documentation quality and completeness for compliance needs.

Clinical Documentation Clinical Data Reporting Record Maintenance Data Quality Documentation Management Regulatory Compliance Excel

Billing Customer Service Rep

Alorica

Oct 2018 - Dec 2018 (2 months)

Handled billing inquiries and maintained highly accurate account records for billing operations. Ensured consistent data integrity to support billing processing and account accuracy.

Billing Billing Operations Documentation Management CRM Systems