Alayshia Stevens
Conway,AR
Summary
Focused Claims Adjudicator actively seeking a professional role to apply many years of claims processing and data verification. Well-versed in investigating claims to verify validity and determining settlements or denials.
Overview
5
5
years of professional experience
Work History
CNA
Conway Human Development Center
Conway, AR
03.2024 - 07.2024
- Ensured compliance with HIPAA regulations regarding confidentiality of information.
- Documented patient care services by charting in designated areas.
- Assisted patients in ambulation and transfers using proper body mechanics.
- Assisted in preparing meals according to prescribed diets while monitoring food consumption levels.
Claims Representative
FIS Global
Littlerock, AR
06.2022 - 09.2023
- Interpreted legal documents such as contracts or court orders when evaluating claims for payment.
- Handled customer inquiries regarding insurance policy coverage details and payment status updates.
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Ensured timely submission of required documentation from claimants prior to approval of payment.
- Processed a high volume of claims efficiently while maintaining quality standards.
Customer Service Representative
T Mobileretailer
Madison, WI
06.2021 - 06.2022
- Resolved customer complaints promptly and efficiently.
- Provided exceptional customer service to ensure customer satisfaction.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Answered customer inquiries via phone, email, and chat.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
Sales Associate
Walmart
Madison, WI
03.2019 - 10.2021
- Processed returns, exchanges, and refunds in accordance with company policies.
- Handled customer complaints in a professional manner.
- Conducted inventories on a regular basis to track stock levels.
- Attended weekly team meetings to review performance goals and objectives.
Education
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
Clearwater, FL09-2025
High School Diploma -
Madison East High School
Madison, WI06-2021
Skills
- Insurance Claim Regulations
- Policy Interpretation
- Claims Management
- Client Relationship Management
- Reporting and documentation
- Collections Management
- Goal Setting and Achievement
- Order Processing
- Emailing and Message sending
- Sending out letters
- Basic Life Support
- Patient Care
- Compassionate communication
- Maintaining confidentiality
Timeline
CNA
Conway Human Development Center
03.2024 - 07.2024
Claims Representative
FIS Global
06.2022 - 09.2023
Customer Service Representative
T Mobileretailer
06.2021 - 06.2022
Sales Associate
Walmart
03.2019 - 10.2021
Associate of Science - Medical Billing And Coding
Ultimate Medical Academy - Clearwater
High School Diploma -
Madison East High School