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Sparkle JohnSJ
Open to opportunities

Sparkle John

@sparklejohn

I resolve high-volume health insurance benefit, eligibility, claims, and policy inquiries with accuracy and HIPAA compliance.

United States
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What I'm looking for

I'm looking to apply my insurance operations, benefit verification, eligibility, claims support, documentation review, and HIPAA compliance experience in a high-volume, quality-focused role.

At ManhattanLife Insurance Company, I manage 70+ agent chats and resolve 60+ claims and benefit inquiries daily, researching eligibility, coverage, policy provisions, and supporting documentation.

I review medical documentation, physician statements, and claim records; investigate discrepancies; and coordinate with Claims, Underwriting, and Policy Administration to resolve complex issues. I've maintained a 95% quality score, earned Top Performer recognition, and serve as a subject matter expert who mentors new hires and creates job aids.

My background also includes underwriting support, probate coordination, executive administration, document review, and process-focused operations in high-volume environments.

Experience

Work history, roles, and key accomplishments

Education

Degrees, certifications, and relevant coursework

University of Arizona Global Campus logoUC

University of Arizona Global Campus

Bachelor of Business Administration, Business Administration

Completed 100+ college credit hours towards a Bachelor of Business Administration.

Tech stack

Software and tools used professionally

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