LaManda Davis
Grand Prairie,TX
Summary
Proactive Claims Specialist and Case Manager with extensive experience in client service coordination and care management. Enhanced customer satisfaction through timely communication and effective resolution of complex claims. Skilled in relationship-building, critical thinking, and maintaining detailed records to ensure compliance and optimal service delivery.
Overview
13
13
years of professional experience
Work History
Claims Specialist
State Farm
06.2023 - Current
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Care Coordinator
NTBHA - Parkland Hospital
06.2022 - 11.2022
- Used company software and databases to maintain records of services performed and patient conditions.
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
- Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
- Conducted regular evaluations of care plan effectiveness, making necessary adjustments based on feedback from patients and providers.
Service Coordinator
Metrocare Services
08.2019 - 05.2022
- Served as a primary point of contact for clients, addressing inquiries, providing updates, and ensuring overall satisfaction with services rendered.
- Managed a high volume of client requests, ensuring timely and effective service delivery.
- Maintained accurate records of all service activities, facilitating smooth communication between clients and technicians.
- Resolved customer complaints and issues to drive satisfaction and loyalty.
Case Manager
Adonai Inc.
11.2018 - 05.2019
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
Care Partner
Magnolia Court Assisted Living
05.2015 - 06.2016
- Served as an advocate for patients'' rights, upholding ethical standards in all aspects of care provision.
- Monitored vital signs and reported any abnormalities to medical staff for prompt attention and treatment.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Enhanced patient comfort by providing personalized care and support throughout their stay.
Residential Assistant
Burke Center
10.2011 - 09.2013
- Provided care and assistance with daily activities for individuals with intellectual disability, in a group home setting.
Education
Bachelor of Science - Human Development And Family Studies
Stephen F. Austin University
Nacogdoches, TX08.2019
Associate of Science - General Studies
Panola College
Carthage, TX05.2016
Skills
- Claims
- Claims Processing
- Claims Investigation
- Verbal Communication
Timeline
Claims Specialist
State Farm
06.2023 - Current
Care Coordinator
NTBHA - Parkland Hospital
06.2022 - 11.2022
Service Coordinator
Metrocare Services
08.2019 - 05.2022
Case Manager
Adonai Inc.
11.2018 - 05.2019
Care Partner
Magnolia Court Assisted Living
05.2015 - 06.2016
Residential Assistant
Burke Center
10.2011 - 09.2013
Bachelor of Science - Human Development And Family Studies
Stephen F. Austin University
Associate of Science - General Studies
Panola College
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