Jayda Aikens
Lawrenceville,GA
Summary
Detail-oriented insurance professional with hands on experience supporting auto and property insurance operations, claims review, and policy documentation within high volume, compliance driven environments. Proven ability to analyze coverage details, validate documentation accuracy, identify discrepancies, and support risk evaluation in alignment with underwriting and regulatory guidelines. Property & Casualty licensed with a strong background in case management, data accuracy, and cross functional collaboration. Known for reliability, precision, and maintaining high performance standards in face paced settings.
Overview
5
5
years of professional experience
Work History
Insurance Operations/Claims Support
State Farm Insurance
10.2023 - Current
- Review and validate 50–80+ auto and property claim files per day, ensuring accuracy, completeness, and alignment with policy and underwriting guidelines.
- Analyze loss details, coverage information, and documentation to support timely claim routing and risk evaluation, contributing to on-time processing and service-level adherence.
- Maintained 98–99% documentation accuracy while entering and updating claim data in internal systems within a high-volume, compliance-driven environment.
- Identify and escalate documentation gaps, coverage discrepancies, or data inconsistencies, helping reduce processing delays and rework.
- Collaborate cross-functionally with internal teams to support efficient workflows and consistent risk management outcomes while meeting quality and audit standards.
Healthcare Customer Service Representative
Conduent
08.2022 - 07.2023
- Reviewed and verified 40–60+ healthcare cases daily, including eligibility documentation and benefit details, ensuring accuracy and compliance with plan guidelines and regulatory requirements.
- Processed and updated hundreds of member records weekly within internal systems while maintaining strict confidentiality and HIPAA compliance.
- Analyzed coverage details and member inquiries to provide accurate explanations of benefits, claim status, and next steps, contributing to timely case resolution and reduced follow ups.
- Maintained 98%+ data accuracy while managing a high volume caseload in a fast-paced, compliance-driven environment.
- Identified and escalated discrepancies or missing information, helping prevent processing delays and ensure proper case handling.
Customer Service Representative
Sylvan Learning Center
01.2021 - 07.2022
- Processed customer account information related to billing, enrollment, and service inquiries with attention to accuracy and detail.
- Documented customer interactions and updates in internal systems to maintain complete and accurate records.
- Resolved customer issues by reviewing account history, identifying discrepancies, and following established procedures.
- Managed over 50 customer calls per day while meeting quality, documentation, and performance standards in a remote environment.
Education
Bachelor of Business Administration - Risk
Georgia State University
Atlanta, GA12.2027
Skills
- Claims File Processing & Case Management
- Documentation Review, Validation, and Audit Readiness
- Data Entry & Accuracy (98-99%)
- Internal & Client Communication
- Regulatory & Confidentiality Compliance
- Case Correspondence & Documentation
- Case Prioritization & Workflow Management
- Quality & Productivity Metrics
- Microsoft Office (Word, Outlook, Excel)
- Policy & Coverage Analysis
- Risk Review & Compliance
Timeline
Insurance Operations/Claims Support
State Farm Insurance
10.2023 - Current
Healthcare Customer Service Representative
Conduent
08.2022 - 07.2023
Customer Service Representative
Sylvan Learning Center
01.2021 - 07.2022
Bachelor of Business Administration - Risk
Georgia State University