Open to opportunities

Brooke-Lynne Horton

@brooke-lynnehorton

Detail-oriented healthcare operations professional supporting appeals, claims, and benefits with accurate documentation and compliance.

United States

Message

What I'm looking for

I’m looking for a healthcare-focused operations role where I can support claims/appeals and benefits administration through accurate documentation review, case investigation, and compliant, quality-driven issue resolution.

I’m a detail-oriented Healthcare Operations and Appeals Support Professional with experience reviewing documentation, researching complex cases, maintaining accurate records, and supporting claims and benefits administration.

As an Operations Associate with American Specialty Health (Remote), I review healthcare documentation and supporting records for completeness, accuracy, and compliance. I manage high-volume shared mailboxes, prioritize requests, and coordinate timely resolution of customer inquiries—while keeping detailed case records and data integrity across multiple systems.

In my contract role as a Beneficiary Concierge (Acumen for AAA Life), I assisted beneficiaries by researching account information, reviewing supporting documentation, and resolving complex inquiries with service excellence. I used internal systems including FAST, LifeNotes, and AS400 to retrieve records, update claim documentation, process correspondence, and collaborate with quality assurance teams to meet internal processing standards.

Earlier, I supported Policy Support needs at Farmers Insurance by processing policy updates and billing transactions, identifying and implementing workflow improvements that reduced operational costs and enhanced task turnaround times. Before that, at Wells Fargo, I reviewed financial documents, processed transactions, maintained filing systems, and consistently met strict processing deadlines with accuracy and regulatory compliance.

Experience

Work history, roles, and key accomplishments

Current

Operations Associate

Current

American Specialty Health

Oct 2024 - Present (1 year 9 months)

Reviewed healthcare documentation to ensure completeness, accuracy, and policy compliance while supporting eligibility, authorization, and billing-related processing. Managed high-volume shared mailboxes, researched account discrepancies, and maintained detailed case records across multiple systems.

HIPAA compliance Case Investigation Data Verification Records Management Database Management Microsoft Excel Quality Assurance

Beneficiary Concierge

Acumen

Jan 2025 - Feb 2026 (1 year 1 month)

Researched beneficiary/account information, reviewed supporting documentation, and resolved complex inquiries while maintaining service excellence. Processed documentation and correspondence, updated claim files using internal systems, and coordinated across departments to meet service-level expectations.

Case Documentation Claims Processing Documentation Review FAST LifeNotes AS400 Spreadsheet And Database Updates Escalation Handling Customer Service

Policy Support Representative

Farmers Insurance

Feb 2023 - Oct 2024 (1 year 8 months)

Processed customer requests and policy updates while handling billing transactions and maintaining accurate, confidential records. Reviewed documentation to determine appropriate policy actions, researched account discrepancies, and collaborated with internal teams to resolve customer concerns.

Customer Support Documentation Review Policy Administration Billing Confidentiality Issue Resolution

Associate Operations Processor

Wells Fargo

Dec 2015 - Jan 2023 (7 years 1 month)

Reviewed and processed financial documents and transaction records to ensure accuracy and compliance with established procedures. Completed high-volume data entry, processed payment documentation, and maintained filing systems to improve data quality and accessibility.

Financial Document Processing Transaction Processing Regulatory Compliance High Volume Data Entry Records Management Financial Documentation Data Validation