A’Kira Ragland
Raleigh,NC
Summary
Detail-oriented Claims Adjustment Representative and U.S. Army Reservist with over 3 years of experience in healthcare operations, claims processing, and customer service. Proven track record of training peers, resolving discrepancies, and managing high-volume claims with accuracy. Known for balancing military discipline, full-time work, and college coursework with strong communication and problem-solving skills. Currently seeking a remote or hybrid role in healthcare, compliance, or operations. Talented Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused.
Overview
6
6
years of professional experience
Work History
Claim Adjustment Representative
UnitedHealthcare
Raleigh, NC
02.2023 - Current
- Investigate claim accuracy and evaluate documentation to ensure compliant and fair resolutions.
- Prepare and submit appeals for denied claims, improving reimbursement rates and audit readiness.
- Coordinate across teams to resolve discrepancies, track trends, and recommend process improvements.
Petroleum Specialist
U.S. Army Reserves
02.2019 - Current
- Maintained fueling systems for military operations and ensured compliance with safety protocols.
- Executed fuel transport and mission support in tactical environments.
- Trained in emergency readiness, logistics, and life-saving field support.
Claims Representative Associate
UnitedHealthcare
Raleigh, NC
10.2022 - 02.2023
- Processed 100+ health insurance claims daily while maintaining high accuracy standards.
- Reviewed documentation and flagged discrepancies to prevent fraud and ensure policy compliance.
- Mentored new hires, delivering onboarding support and best practice training.
Office Assistant Intern
KIPP GCP
Greensboro, NC
09.2021 - 01.2022
- Supported lesson preparation, student materials, and classroom structure.
- Contributed to administrative efficiency by assisting school staff with daily operations.
Customer Service
Lowe’s Home Improvement
01.2021 - 01.2022
- Provided customer service regarding payment processing issues.
- Managed customer service inquiries and complaints.
Education
Bachelor of Science - Political Science
University of North Carolina
Greensboro12.2025
Skills
- Claims Adjudication & Appeals
- HIPAA Compliance
- Policy Research & Resolution
- Training & Mentorship
- Medical Terminology
- Microsoft Excel & Claims Systems
- Team Collaboration
- Time Management
- Data Accuracy & Documentation
- Research skills
Timeline
Claim Adjustment Representative
UnitedHealthcare
02.2023 - Current
Claims Representative Associate
UnitedHealthcare
10.2022 - 02.2023
Office Assistant Intern
KIPP GCP
09.2021 - 01.2022
Customer Service
Lowe’s Home Improvement
01.2021 - 01.2022
Petroleum Specialist
U.S. Army Reserves
02.2019 - Current
Bachelor of Science - Political Science
University of North Carolina
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