Summary
Overview
Work History
Education
Skills
Timeline
Generic

LaTrice J. Kirkland

Orlando,FL

Summary

Detail-oriented and compliance-focused professional with over 10 years of experience in regulatory operations, case management, customer service, and audit functions within high-volume environments. Expertise in ensuring strict adherence to internal standards and external regulatory requirements, consistently driving operational excellence. Demonstrates integrity, accountability, and collaboration in every task, well-aligned with public service and contract compliance roles in government settings. Adept at navigating complex regulatory landscapes to support organizational goals while maintaining the highest levels of quality and compliance.

Overview

14
14
years of professional experience

Work History

Quality Control Specialist / Case Management Controls

CardWorks
Orlando, FL
11.2022 - Current
  • Implemented quality control systems for card services and case management operations.
  • Conducted audits of financial transactions and case data to identify discrepancies.
  • Prepared audit reports and process improvement recommendations.
  • Supported successful audits through proper documentation and standards adherence.

Founder & Operator

BlkJUJU Wellness Brand
Orlando, FL
07.2019 - Current
  • Developed a health and wellness business emphasizing natural, regulatory-compliant remedies.
  • Managed client communications, product development, and customer support.

Customer Service Rep / Escalation Team

Kforce
Orlando, FL
06.2020 - 09.2020
  • Handled state call center inquiries related to applications and eligibility.
  • Resolved escalated concerns with professionalism and detailed documentation.

Customer Service Representative - Health Benefits

Alight Solutions
Orlando, FL
08.2018 - 05.2019
  • Assisted clients with healthcare enrollment and plan selection.
  • Updated client records and explained coverage benefits.

Claims Resolution Specialist

Sunshine Health
Orlando, FL
08.2017 - 05.2018
  • Resolved medical claim issues for providers.
  • Provided guidance on denial codes and policy updates.

Patient Support Representative

CVS Specialty Pharmacy
Orlando, FL
10.2016 - 01.2017
  • Coordinated medication delivery and obtained medical documentation.
  • Addressed patient concerns efficiently.

Senior Eligibility Specialist

Express Scripts
Lake Mary, FL
04.2013 - 02.2016
  • Verified copay eligibility and managed member case data.
  • Maintained audit-ready documentation for compliance.

Pharmacy Help Desk Associate

Connexions
Orlando, FL
12.2012 - 04.2013
  • Verified patient records and supported order processing for pharmacies.

Outbound Sales Associate

Sears Home Improvement Call Center
Orlando, FL
04.2012 - 08.2012
  • Scheduled in-home consultations and maintained accurate service records.

Education

High School Diploma -

Dr. Phillips High School
Orlando, FL
05.2011

Skills

  • Regulatory Compliance & Policy Enforcement
  • Quality Assurance & Case Audit Review
  • Government & Healthcare Support Services
  • Risk Identification & Resolution
  • Case Management Systems
  • Microsoft Office (Word, Excel, Outlook)
  • Effective Communication & Documentation
  • Confidential Record Handling
  • Internal Audit & Escalation Handling

Timeline

Quality Control Specialist / Case Management Controls

CardWorks
11.2022 - Current

Customer Service Rep / Escalation Team

Kforce
06.2020 - 09.2020

Founder & Operator

BlkJUJU Wellness Brand
07.2019 - Current

Customer Service Representative - Health Benefits

Alight Solutions
08.2018 - 05.2019

Claims Resolution Specialist

Sunshine Health
08.2017 - 05.2018

Patient Support Representative

CVS Specialty Pharmacy
10.2016 - 01.2017

Senior Eligibility Specialist

Express Scripts
04.2013 - 02.2016

Pharmacy Help Desk Associate

Connexions
12.2012 - 04.2013

Outbound Sales Associate

Sears Home Improvement Call Center
04.2012 - 08.2012

High School Diploma -

Dr. Phillips High School