DeAndrea Hayes
Gulfport,MS
Summary
Achieved high levels of accuracy in healthcare claims processing through meticulous attention to detail. Enhanced claim resolution processes by verifying eligibility and maintaining documentation standards. Maintained confidentiality and quality in high-volume workflows, resulting in improved operational efficiency.
Overview
11
11
years of professional experience
Work History
Shift Lead
Taco Bell
Gulfport, MS
02.2015 - 02.2025
- Directed store operations on a daily basis, focusing on maintaining high-quality service and strict food safety compliance.
- Assessed training needs and coached new staff members, resulting in increased team performance and productivity.
- Managed cash handling, executed detailed inventory assessments, and prepared accurate shift reports to support financial accountability.
- Optimized service efficiency and resolved customer issues to uphold high standards of customer satisfaction.
- Managed scheduling workflows and addressed operational issues to ensure seamless operations in a high-demand environment.
Liability Claims Specialist
Alorica
Gulfport, MS
02.2025 - Current
- Oversaw processing of liability and healthcare claims, maintaining high accuracy and strict compliance with payer and regulatory requirements.
- Assessed and verified claimant data and eligibility documentation, prioritizing strict compliance with HIPAA guidelines.
- Utilized CRM/Salesforce and internal claims systems to uphold detailed and precise documentation of claims.
- Analyzed documentation and navigated workflow queues to resolve claims without phone interaction, ensuring timely outcomes.
- Monitored and optimized productivity metrics and audit accuracy to enhance operational efficiency in a high-volume claims environment.
Education
Associate of Arts - Business Administration And Management
American Intercontinental University Online
High School Diploma -
Harrison Central High School
Gulfport, MSSkills
- Liability & Healthcare Claims Processing
- HIPAA Compliance
- Non-Phone Claims Investigation
- Document Imaging & Processing
- Medical Records Handling
- CRM/Salesforce
- Data Entry (100% Accuracy)
- Microsoft Office Suite
Timeline
Liability Claims Specialist
Alorica
02.2025 - Current
Shift Lead
Taco Bell
02.2015 - 02.2025
Associate of Arts - Business Administration And Management
American Intercontinental University Online
High School Diploma -
Harrison Central High School