Tristen Gentry
Alexander
Summary
Detail-Oriented with a strong history in the insurance Industry and the legal requirements surrounding it. Proven history of refining documents and letters for clear and concise communication. With history in a management position backing up team coordination skills. Finding new ways to streamline and organize systems into a more efficient workflow. Continued education and certifications within the insurance industry providing a robust knowledge in the area.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Appeals Proofreader and Distribution Specialist
Allegiance Benefit Plan Management
02.2019 - Current
- Improved document accuracy by meticulously proofreading and editing various types of content.
- Checked and corrected grammatical and spelling errors in diverse documents.
- Created and maintained a quality assurance tracker to detect error trends and generate reports to assist letter writers in detecting errors before submission.
- Generated letters for three different scenarios and sending these responses to the correct recipients.
- Sent appeal packets to Plan Administrators and answering related questions to the appeal record.
- Coordinated legal deadlines for records and expedited our response letter when needed.
- Compiled records both as backup for compiling specialist and for a passthrough system of Provider Review requests.
- Archived records into an appeal log once the letter has been issued detailing determination for reports.
Manager
Subway
06.2018 - 11.2018
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Controlled and monitored inventory to meet restaurant product needs weekly.
- Organized employee schedules coordinating time off requests and covering shifts.
Sales Associate
Mattress Dealzz
11.2017 - 05.2018
- Worked with customers to find the best product for them and their needs.
- Organized delivery information into a POS system for clear and concise deliveries
- Followed-up on quotes to gauge employee interest and encourage them to complete the sale.
Cashier
Kmart, Sears Holding
06.2017 - 09.2017
- Operated cash register for cash, check, and credit card transactions.
- Unloaded inventory truck and categorized them within the storage room
- Faced products on floor to create a pristine and organized environment
- Helped customers find requested products
Education
GED -
Lifelong Learning Center
310 S Curtis St, Missoula MT01-2019
Skills
- Proofreading experience
- Strong grammar skills
- Interpersonal and written communication
- Consistency checking
- Clear communication
- Data entry skills
- Workflow optimization
- Microsoft Suite proficiency
- Insurance Industry Knowledge
- Strong Attention to Detail
- Deadline Prioritization
- Team Coordination
Accomplishments
Collaborated with my department to organize and optimize a backlog of records into an operable workflow.
Streamlined the appeals letter distribution process to allow for a single employee to perform the job merging with another position.
Created an effective QA tracker to effectively communicate common or repeated errors to letter writers.
Absorbed multiple new responsibilities within the department utilizing the new time opened by streamlining previous systems.
Certification
- Disability Income Associate, AHIP - 11/01/2022 - Current
- Disability Healthcare Professional, AHIP - 11/01/2022 - Current
- Professional, Health Insurance Advanced Studies, AHIP - 11/01/2022 - Current
- Health Insurance Associate, AHIP - 11/01/2022 - Current
- Disability Income Fellow, AHIP - 04/14/2023 - Current
- Long-Term Care Professional, AHIP - 11/08/2023 - Current
- Managed Healthcare Professional, AHIP - 07/19/2024 - Current
- Professional, Academy for Healthcare Management, AHIP - 07/19/2024 - Current
- Healthcare Customer Service Associate, AHIP - 10/25/2024 - Current
- Fellow Health Insurance Advanced Studies, AHIP - 08/26/2025 - Current
Timeline
Appeals Proofreader and Distribution Specialist
Allegiance Benefit Plan Management
02.2019 - Current
Manager
Subway
06.2018 - 11.2018
Sales Associate
Mattress Dealzz
11.2017 - 05.2018
Cashier
Kmart, Sears Holding
06.2017 - 09.2017
GED -
Lifelong Learning Center
Similar Profiles
Sonya Y. JamisonSonya Y. Jamison
Healthcare Customer Service Representative at Allegiance Benefit Plan ManagementHealthcare Customer Service Representative at Allegiance Benefit Plan Management
Victoria BilbreyVictoria Bilbrey
Enrollment Team Leader at Allegiance Benefit Plan Management, IncEnrollment Team Leader at Allegiance Benefit Plan Management, Inc
Krista AtteberryKrista Atteberry
CLINICAL SUPERVISOR UTILIZATION MANAGEMENT MEDICAL at Allegiance Benefit Plan ManagementCLINICAL SUPERVISOR UTILIZATION MANAGEMENT MEDICAL at Allegiance Benefit Plan Management
Derrick JonesDerrick Jones
Program Consultant at Methodist Family HealthProgram Consultant at Methodist Family Health
Andrea KnightAndrea Knight
PHYSICIAN LIAISON at CARTI Cancer CenterPHYSICIAN LIAISON at CARTI Cancer Center