India Rayford
Katy,TX
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Seeking healthcare opportunities and to enter back into the healthcare field.
Overview
9
9
years of professional experience
Work History
Property Desk Adjuster
USAA
San Antonio, TX
08.2023 - 07.2024
- Investigated and analyzed property damage claims to determine coverage, liability, and damages.
- Provided detailed estimates of repair costs for damaged properties.
- Worked with clients to ensure timely completion of paperwork and claim processing.
- Assessed the value of damaged property based on current market conditions.
- Determined liability by reviewing policy documents, contracts, and other relevant documents.
- Negotiated settlements with claimants while adhering to company standards and procedures.
- Researched applicable laws and regulations related to property damage claims.
- Developed strategies for resolving complex claims efficiently and cost-effectively.
- Communicated regularly with clients regarding status updates on their claims.
Prior Authorization Representative
GetixHealth
Mobile, AL
11.2017 - 05.2020
- Reviewed prior authorization requests for completeness and accuracy.
- Researched medical policies to ensure appropriate coverage of services.
- Assessed insurance benefits and determined eligibility criteria.
- Submitted prior authorization requests electronically or by phone to payers.
- Maintained accurate records on all prior authorizations requested, received, and denied.
- Processed appeals for denials in accordance with established procedures.
- Provided timely feedback to physicians regarding authorization status.
- Responded promptly to inquiries from providers, members, and other departments within the organization.
- Advised healthcare professionals on proper coding practices that meet requirements of payers.
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations.
- Maintained files for referral and insurance information, entering referrals into system.
Customer Service Representative
Alorica
Saraland , AL
10.2015 - 11.2017
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Gathered customer feedback through surveys and used the data to improve customer service.
- Assisted customers with product selection, ordering, billing, returns, exchanges and technical support.
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
- Resolved complex problems by working with other departments to provide solutions that meet customer needs.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Answered inbound calls, chats and emails to facilitate customer service.
Education
Certification - Certified Professional Coder
AACP
12-2025
High School Diploma -
Davidson High School
Mobile, AL05-2014
Some College (No Degree) - Biology
James H. Faulkner State Community College
Bay Minette, ALSkills
- Medical terminology knowledge
- Medical Coding
- Patient Scheduling
- Patient insurance authorizations
- Co-payment collection
- Insurance Verification
- HIPAA Compliance
- Critical thinking abilities
- Patient Referrals
- Understanding of medical terms
- Effective communication skills
- Data Entry
- Property claims
- Property adjusting
- Claims Processing
- Claims investigations
- Legal Compliance
- Regulatory Compliance
- Highly motivated
- Claims file management processes
- Active Listening
- Teamwork and Communication
- Reliability and Adaptability
Timeline
Property Desk Adjuster
USAA
08.2023 - 07.2024
Prior Authorization Representative
GetixHealth
11.2017 - 05.2020
Customer Service Representative
Alorica
10.2015 - 11.2017
Certification - Certified Professional Coder
AACP
High School Diploma -
Davidson High School
Some College (No Degree) - Biology
James H. Faulkner State Community College