Summary
Overview
Work History
Education
Skills
Timeline
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Ashanti Jones

Charlotte,NC

Summary

Detail-oriented and analytical professional with extensive experience in claims processing, financial analysis, and compliance-driven quality assurance. Demonstrated expertise in accurately managing complex data, performing meticulous reviews, and applying strong critical-thinking skills to ensure precision and adherence to established guidelines. Known for clear, concise communication and the ability to independently research and resolve complex issues. Passionate about leveraging analytical skills and procedural knowledge to contribute effectively to my team,

Overview

14
14
years of professional experience

Work History

Disability Claims Customer Service Specialist

Prudential Insurance Group
02.2022 - 03.2024
  • Analyzed and adjudicated short-term and long-term disability claims, interpreting policy provisions and medical documentation to determine claim validity.
  • Conducted thorough investigations into claims, collaborating with medical professionals and utilizing multiple data sources to ensure accurate assessments.
  • Managed a high-volume caseload, processing claims caseload while maintaining a 98% accuracy rate and meeting strict deadlines.
  • Utilized multiple software platforms simultaneously for data entry, claim tracking, and communication, ensuring seamless workflow and data integrity.
  • Communicated effectively with claimants, healthcare providers, and internal stakeholders via phone and email to gather information and provide updates.
  • Drafted clear and concise correspondence to claimants, explaining claim decisions and next steps in compliance with regulatory standards.
  • Ensured compliance with federal and state regulations, as well as company policies, maintaining confidentiality and ethical standards.
  • Identified and escalated complex cases to senior specialists or legal teams, contributing to the development of best practices and process improvements.

Sr. Loan Processor

Active Home Buyers of Jax
03.2018 - 03.2022
  • Processed and managed a high volume of mortgage loan applications, meticulously verifying documentation and ensuring compliance with industry regulations and internal guidelines.
  • Performed detailed financial analyses, assessing income statements, credit reports, and appraisal documents to determine borrower eligibility and loan feasibility.
  • Utilized multiple software systems simultaneously for data entry, document tracking, and communication with underwriting teams, ensuring accuracy and consistency across applications.
  • Demonstrated exceptional attention to detail, maintaining a high level of accuracy in loan documentation, calculations, and disclosures to minimize processing errors.
  • Conducted independent research to resolve discrepancies in loan files, effectively collaborating with underwriters, loan officers, and title companies.
  • Prepared clear and concise written correspondence, communicating complex financial terms and loan conditions to borrowers and internal teams.
  • Met rigorous deadlines and productivity goals, efficiently managing pipeline priorities and contributing to improved turnaround times.
  • Identified potential compliance and risk issues, escalating concerns proactively to management to ensure adherence to regulatory standards and company policies

Officer Quality Analyst

Bank of America
02.2010 - 02.2018
  • Performed detailed analysis of recorded calls and operational procedures, evaluating employee adherence to compliance standards and regulatory requirements.
  • Conducted thorough audits to verify accuracy, identify compliance gaps, and ensure precise execution of processes, maintaining meticulous attention to detail.
  • Developed and implemented targeted training materials and coaching tools based on quality assessments, improving team accuracy and compliance scores.
  • Provided clear, constructive feedback and recommendations to team members and leadership through detailed written reports and presentations, enhancing operational performance.
  • Utilized analytical and critical thinking skills to identify trends, risks, and opportunities for procedural improvement, contributing to ongoing process optimization.
  • Collaborated cross-functionally with management, training departments, and compliance teams to address quality concerns and implement effective solutions.
  • Monitored regulatory changes and updated quality assessment criteria accordingly, ensuring alignment with industry standards and internal policies.

Education

Business Administration -

EVEREST UNIVERSITY
Orange Park, FL
01.2011

Skills

  • Attention to Detail: Proven ability to perform comprehensive reviews and audits, maintaining exceptional accuracy
  • Training & Coaching: Experienced in developing effective educational materials to enhance team performance
  • Compliance Expertise: Familiarity with regulatory standards and consistently ensuring adherence to compliance protocols
  • Analytical & Critical Thinking: Strong ability to analyze financial data, assess risks, and make informed decisions independently
  • Mathematical Aptitude: Highly skilled in accurately calculating income ratios, loan-to-value ratios, and financial eligibility criteria
  • Detail-Oriented Processing: Expertise in thorough documentation review, ensuring precision in complex financial transactions
  • Clear Communication: Proven capability to clearly communicate loan decisions and documentation requirements to diverse stakeholders
  • Compliance & Procedures: Thorough knowledge of regulatory requirements and dedicated adherence to procedural guidelines

Timeline

Disability Claims Customer Service Specialist

Prudential Insurance Group
02.2022 - 03.2024

Sr. Loan Processor

Active Home Buyers of Jax
03.2018 - 03.2022

Officer Quality Analyst

Bank of America
02.2010 - 02.2018

Business Administration -

EVEREST UNIVERSITY

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Ashanti Jones