Brenda Giles
Long Term Care Claims Eligibility Specialist
Talent
HuttoMember since July 23, 2026
Administrative/Customer ServiceTeam PlayerFlexible/ReliableCommunication & EmpathyProblem SolvingOrganization/PlanningDelegationStrong Work EthicMicrosoft WordExcelLifeProOn BaseData EntryInsurance Verification
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Administrative/Customer ServiceTeam PlayerFlexible/ReliableCommunication & EmpathyProblem Solving
About
Detail-oriented team player with strong organizational skills and bilingual English–Spanish communication abilities. Proven capacity to handle multiple projects simultaneously with a high degree of accuracy. Dedicated, hardworking, and passionate about helping others.
Experience
Long Term Care Claims Eligibility Specialist at Great American Insurance Co. / Continental General Insurance (2008-08 – 2025-03)
Worked remote for 6 years
- Review and evaluate coverage; investigate and maintain claims.
- Secure and analyze required information during claim investigations.
- Work toward resolution of claim files and participate in proceedings as needed.
- Communicate decisions and outcomes professionally.
- Ensure timely, accurate claim payments.
- Maintain compliance with legal requirements and internal procedures.
Educational Assistant at Round Rock ISD (2005-08 – 2008-08)
- Supported student academic development and emotional regulation.
- Coached communication, problem-solving, and task-completion skills.
Life and Disability Claims Examiner at Service Group (2000-09 – 2005-07)
- Handled clerical tasks and high-volume customer service.
- Performed data entry and benefits application processing.
- Summarized medical records to determine claim eligibility.
Education
Diploma Completion – San Antonio Community College
Skills
Long Term Care Claims Eligibility Specialist
