Ja'nericka Cunningham
Arlington,TX
Summary
Dynamic customer service association with drive and experience providing a superior level, of customer service to clients.
Fourth the ability to properly investigate a situation and resolve claims quickly under the company's regular guidelines.
Overview
9
9
years of professional experience
Work History
Customer Care Specialist
Humana
12.2021 - 10.2025
- Assisted customers in filing new insurance claims and provided status updates on existing ones.
- Calculated benefit payments based on policy terms, coverage limits, and applicable regulations.
- Reviewed customer insurance claims to ensure the accuracy and completeness of the information.
- Resolved customer issues efficiently by identifying problems, researching solutions, and following up on outcomes.
- Reviewed customer insurance claims to ensure the accuracy and completeness of the information.
Medical Record Admin Representative
Cigna Insurance
01.2017 - 11.2021
- Request medical record data via fax, email, and USPS mail
- Generated reports detailing billing trends and analysis of coded data.
- Performed periodic audits of medical records to ensure compliance with regulatory standards.
- Analyzed medical records to ensure the accuracy and completeness of the information.
- Reviewed clinical documentation for accurate coding of diagnosis and procedures.
- Coded diagnoses, procedures, and services according to established standards.
Education
High School Diploma -
South Grand Prairie High School
Grand Prairie, TX08-2016
Skills
- Medical Records Management
- Medical Records Audits
- Electronic Medical Records Systems
- First Call Resolution
- Customer Service
- Problem Resolution
- Claims Monitoring
- Billing Coordination
- Problem-Solving
- Detailed orientation
- Analytical
- Negotiation
- Organization and Time Management
- Communication skills, both verbal and written
- Active Listening
Timeline
Customer Care Specialist
Humana
12.2021 - 10.2025
Medical Record Admin Representative
Cigna Insurance
01.2017 - 11.2021
High School Diploma -
South Grand Prairie High School
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