Deron Leroy Nash Jr.
Claims Support Representative
Kansas City,MO
Summary
Insurance professional with 4+ years of experience in insurance operations, claim support, and customer communication. Skilled in reviewing claim details, identifying missing or incorrect information, and updating records to ensure timely and accurate processing. Strong documentation habits, high‑volume call experience, and a proven ability to navigate multiple systems efficiently. Known for clear communication, problem resolution, and maintaining accuracy and compliance in fast‑paced environments.
Overview
10
10
years of professional experience
Work History
Claims Customer Service Associate
Farmers Insurance
02.2025 - Current
- Process first notice of loss (FNOL) claims with accurate, compliant documentation to ensure claims enter the review cycle without errors or delays.
- Review claim status with customers, interpret adjuster notes, and clearly explain next steps, mirroring the patient‑facing communication expected in billing and insurance follow‑up.
- Update claim files with corrected or newly provided information to support timely processing and reduce the risk of rework or claim rejection.
- Identify missing, inconsistent, or incorrect claim details and escalate discrepancies to adjusters or internal teams for correction — similar to resolving medical claim edits.
- Research claim information in internal systems to verify accuracy, troubleshoot issues, and support resolution of claim‑related questions.
- Collaborate with multiple departments to gather information, clarify claim details, and ensure documentation meets internal and regulatory requirements.
- Maintain strict adherence to compliance, documentation standards, and audit‑ready recordkeeping — aligning with healthcare billing accuracy expectations.
- Handle complex insurance inquiries with professionalism, ensuring proper routing for higher‑level review and supporting smooth claim progression.
Customer Service Representative
Progressive Insurance
01.2022 - 02.2025
- Handled high‑volume inbound calls, assisting customers with policy questions, coverage details, billing issues, and account updates.
- Researched customer accounts to verify information, correct discrepancies, and ensure accurate documentation — aligning with medical billing accuracy standards.
- Explained insurance coverage, eligibility, and next steps in clear, patient‑friendly language.
- Processed account adjustments and updated customer records to maintain compliance and prevent downstream errors.
- Troubleshot customer issues using internal systems and decision‑tree tools, escalating complex cases when needed.
Customer Service / Fulfillment Specialist
Target Corporation
Kansas City, MO
10.2016 - 04.2022
- Assisted Human Resources in conducting new hire orientation.
- Monitored and analyzed sales records and consumer purchasing trends.
- Reviewed order slips, picked products, and staged merchandise to be shipped.
Administrative Assistant Intern
An Angel for Care Home Healthcare
Kansas City , MO
08.2020 - 02.2021
- Maintained accurate patient and staff records, ensuring documentation was complete, compliant, and easily accessible for billing and audit needs.
- Reviewed time sheets, prepared attendance reports, and processed payroll with a high level of accuracy — reinforcing attention to detail required in claim and payment posting work.
- Organized physical and digital files, reducing redundancy and improving retrieval efficiency for clinical and administrative teams.
- Answered inbound calls from patients, families, vendors, and healthcare partners, providing clear information and routing inquiries appropriately.
- Supported daily office operations by managing documentation, updating records, and ensuring all information met regulatory and organizational standards.
- Collaborated with caregivers and administrative staff to resolve documentation issues and ensure timely submission of required forms.
Education
Bachelor of Science - Information And Computer Science
Park University
Parkville, MO12-2026
Associate of Arts - Liberal Arts and General Studies
Maple Woods Community College
Kansas City, MO05.2018
High School Diploma -
Liberty High School
Liberty, MO05.2015
Skills
- Claims Processing
- Insurance Knowledge
- Data Entry Accuracy
- Documentation Review
- Error Identification
- Follow-up Skills
- Customer Communication
- Problem-solving
- Time Management
- Organizational Skills
Timeline
Claims Customer Service Associate
Farmers Insurance
02.2025 - Current
Customer Service Representative
Progressive Insurance
01.2022 - 02.2025
Administrative Assistant Intern
An Angel for Care Home Healthcare
08.2020 - 02.2021
Customer Service / Fulfillment Specialist
Target Corporation
10.2016 - 04.2022
Associate of Arts - Liberal Arts and General Studies
Maple Woods Community College
High School Diploma -
Liberty High School
Bachelor of Science - Information And Computer Science
Park University