Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Laken Walker

Alexandria,LA

Summary

Detail-focused Data Analyst with knowledge in healthcare, process validation and business needs analysis. Proven to understand customer requirements and translate into actionable project plans. Diligent, dedicated worker with strong communication and task prioritization skills.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Complex Needs Care Advocate

United Healthcare, UHG
03.2023 - Current
  • Participated in facility meetings with treatment team to develop successful aftercare plans.
  • Conducted patient assessments to determine appropriate levels of care.
  • Assisted in completing and maintaining care management contracts during and after patient's hospitalization.
  • Documented activities and progress in electronic medical record per defined policy and procedures.
  • Identified, analyzed and interpreted trends or patterns in complex data sets.

Claim Benefit Specialist

Sedgwick
06.2022 - 03.2023
  • Reviewed over 10 insurance and claims documents to verify required information and secure any missing data for settlements.
  • Followed up with customers on unresolved issues.
  • Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
  • Produced bi-weekly reports using advanced Excel spreadsheet functions.
  • Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.

Customer Support Lead

Concentrix
01.2022 - 06.2022
  • Recognized escalation needs and connected customers with advanced support staff.
  • Managed fast-paced call center work to assist high volume of daily customers using multiple internal databases and systems.
  • Supported customers throughout incident response, management and resolution to deliver expert assistance for technical needs.
  • Worked within task management system to receive, manage and close support requests.

Child Protective Investigator

Department Of Health And Human Services
10.2019 - 03.2020
  • Assessed each child's unique needs and coordinated delivery of appropriate services and resources.
  • Conducted in-depth assessments to determine if children were safe from harm and abuse at home.
  • Documented all relevant information by filling out forms and completing case reports.
  • Interviewed children, members of families, medical personnel and law enforcement to gain valuable information for each case.

Certified Pharmacy Technician

Rapides Regional Medical Center
03.2019 - 10.2019
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Completed paperwork, entering prescription and insurance or billing information into patient profiles.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.

Education

Bachelor of Science - Criminal Justice

Louisiana State University At Alexandria
Alexandria, LA
05.2019

Skills

  • Computer Technology
  • Google Suite, Microsoft, Excel,
  • SQl, Python
  • Computerized Maintenance Management Systems
  • Database Management
  • Complex Problem-Solving
  • Time Management
  • Medicare Knowledge

Certification

  • Google Data Analytics
  • IBM Cybersecurity Analyst

Timeline

Complex Needs Care Advocate

United Healthcare, UHG
03.2023 - Current

Claim Benefit Specialist

Sedgwick
06.2022 - 03.2023

Customer Support Lead

Concentrix
01.2022 - 06.2022

Child Protective Investigator

Department Of Health And Human Services
10.2019 - 03.2020

Certified Pharmacy Technician

Rapides Regional Medical Center
03.2019 - 10.2019

Bachelor of Science - Criminal Justice

Louisiana State University At Alexandria
Laken Walker