FIYINFOLUWA ADAMA
Richmond,tx
Summary
Accomplished professional with a proven track record at Everise, enhancing client satisfaction and retention through expert account management and problem resolution. Proficient in CRM systems like Salesforce and skilled in data verification, reduced errors by 15%. Demonstrates strong analytical abilities and effective communication, ensuring high-quality data management and compliance with HIPAA standards.
Overview
5
5
years of professional experience
Work History
Claims Specialist
Epiq Global
Columbus, OH
08.2025 - 05.2026
- Responded to customer inquiries regarding claims status, providing timely updates and support.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Utilized claims management systems to track, manage, and analyze claim status efficiently.
- Followed written procedures and scripts.
- Used proprietary software tools to access and review claim documents, enter claim decisions, and created escalations when needed.
Data Entry Clerk
MSEC
Richmond, TX
03.2024 - 06.2025
- Entered large volumes of data into company systems with a focus on accuracy and speed.
- Assisted in maintaining databases by verifying, updating, and correcting information as necessary.
- Coordinated with team members to ensure deadlines were met and data entry goals were achieved.
- Performed quality checks on entered data to reduce errors and increase efficiency.
- Completed data entry tasks with accuracy and efficiency.
Client Operations Representative
Everise
Richmond, TX
03.2023 - 02.2024
- Managed high volume of client accounts and performed routine data entry tasks to ensure accuracy and completeness of client information.
- Addressed client concerns through phone, email, and chat support, resolving issues in a professional and timely manner.
- Provided support to internal teams by ensuring accurate data flow and updated client profiles.
- Assisted with onboarding of new clients, providing step-by-step guidance on account setup and access to client services.
Claims Specialist
CenterWell
Richmond, TX
02.2022 - 03.2023
- Reviewed and processed insurance claims, ensuring timely and accurate submission in line with company and insurance carrier standards.
- Communicated with clients, providers, and internal departments to resolve discrepancies in claims.
- Utilized claims management software to track and manage claim statuses, ensuring all claims were processed within industry deadlines.
- Conducted thorough audits of claims to ensure compliance with insurance policies and regulatory requirements.
Eligibility Specialist
Foundever
Richmond, TX
01.2021 - 01.2022
- Review and verify eligibility data for new and existing clients, ensuring accuracy and completeness in accordance with company and regulatory standards.
- Respond to client inquiries regarding eligibility status, coverage options, and plan details.
- Maintain and update client records in the company database and ensure compliance with all policies and procedures.
- Collaborate with internal teams to resolve issues related to eligibility, enrollment, and benefits.
- Process data and claims accurately, reducing errors by 15% through diligent review and attention to detail.
Education
Associate of Science -
Houston Community College
Houston, TX05-2022
Skills
- Proficient in Microsoft Office Suite (Excel, Word, PowerPoint)
- Basic knowledge of HIPAA regulations and compliance standards
- Experienced with CRM and data management systems (eg, Salesforce, tools Epic)
- Skilled in data entry and verification
- Familiarity with insurance and claims management software (eg, Health Edge, Emdeon)
Timeline
Claims Specialist
Epiq Global
08.2025 - 05.2026
Data Entry Clerk
MSEC
03.2024 - 06.2025
Client Operations Representative
Everise
03.2023 - 02.2024
Claims Specialist
CenterWell
02.2022 - 03.2023
Eligibility Specialist
Foundever
01.2021 - 01.2022
Associate of Science -
Houston Community College