CANISHA IRVIN
Augusta,GA
Summary
A dependable, personable, creative Business Management, Customer Service professional, and claims examiner offering at least 10 years of experience in the field seeking career opportunities related to relevant skills and expertise; I value networking, learning new skills, effective communication, teamwork, and process improvement.
Overview
10
10
years of professional experience
Work History
Claims Analyst
UnitedHealth Group
01.2020 - Current
- Viewed reports regularly to make sure processing was conducted efficiently.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Examined claims forms and other records to determine insurance coverage.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Organized, planned and documented materials for NOC HCPS claims.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Maintained suspicious claims database and prepared reports for supervisors.
Lead Bartender & Server
Top Crab Seafood and Bar
02.2020 - Current
- Serves guests in hospitable manner to ensure positive guest experience; maintains bar set up
- Requisitions and stocks products, including beverages, condiments, and produce; mixed drinks
- Inputs orders into register at point of sale and creates checks for each guest
- Receives cash from guests, makes any change needed, verifies validity of charges, and records charges
- Provides training and support to new team members; assists with employee scheduling
Sales Representative
Cricket Wireless
11.2017 - 01.2020
- Greeted customers, responded to questions, improved engagement with merchandise and provided outstanding customer service
- Operated cash registers, managed financial transactions, and balanced drawers
- Maintained orderly appearance throughout sales floor
- Introduced promotions and opportunities to customers to increase purchase amounts; ; Increased in store sales due to superior product knowledge
Data Entry Specialist
Conduent State Healthcare
07.2014 - 09.2017
- Completed data entry tasks with accuracy and efficiency.
- Compiled data and reviewed information for accuracy prior to input.
- Reviewed and updated client correspondence files and database information to maintain accurate records.
- Maintained files, records and chronologies of entry activities.
- Managed workflow scheduling, data entry, and accuracy verification for large data projects.
- Entered numerical data into databases with speed and accuracy using 10-key pad.
- Produced monthly reports with advanced Excel spreadsheet functions.
- Verified accuracy of data entered into system to produce error-free reports.
- Resolved discrepancies in data entry activities for accurate, complete jobs.
Sales & Marketing Manager
Alpha & Omega Marketing, Inc
06.2013 - 07.2014
- Advocated for existing and prospective users based on competitive landscape
- Developed product positioning and messaging informed by user research, market insights, and product understanding
- Partnered with Finance and Operations teams to track right metrics and execute campaigns that drive awareness and adoption on ongoing basis; set pricing based on value
- Maintained all social media platforms; designed content for public viewing
Education
Bachelor of Science Degree - Biology
Florida A&M University
Tallahassee, FL05.2017
Skills
- Organizational Leadership
- Team Supervision/Training
- Marketing Upselling
- Scheduling
- Data Input / Collection
- Computer Technology
- Project Management
- Quality Control
- Inventory Control
- Event Planning Coordination
- Health Codes Compliance
- Highly Reliable
- Claims Review
- Dispute Tracking
- Claims Processing
- Settlement Negotiations
- Sourcing and Compiling Information
- Database Management
- Report and Records Review
- File Management
- Data Security
- CMS-1500 Billing Forms
- Data Processing
Timeline
Lead Bartender & Server
Top Crab Seafood and Bar
02.2020 - Current
Claims Analyst
UnitedHealth Group
01.2020 - Current
Sales Representative
Cricket Wireless
11.2017 - 01.2020
Data Entry Specialist
Conduent State Healthcare
07.2014 - 09.2017
Sales & Marketing Manager
Alpha & Omega Marketing, Inc
06.2013 - 07.2014
Bachelor of Science Degree - Biology
Florida A&M University
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