Summary
Overview
Work History
Education
Skills
Highlight of qualifications
Accomplishments
References
Timeline
Generic

Quanita Payne

Newport News,VA

Summary

Accomplished clerical and administrative professional with exceptional customer service, data entry, secretarial and problem-solving skills seeking a role of increased responsibility and authority to fully utilize my abilities to service others. Skilled in handling complex insurance claims and policy processing through various insurance software systems. Demonstrates strong analytical skills. Maintaining high accuracy levels in document processing,contributing to streamlined operations and improved customer service outcomes. Continuously seeks ways to optimize workflows and enhance team productivity, leading to more efficient resolution processes.

Overview

10
10
years of professional experience

Work History

Claims Rep 1

Wisconsin Physician Services
Hampton, VA
02.2020 - Current
  • Addressed concerns of aggrieved customers empathetically, maintaining compliance with organizational standards.
  • Resolved complaints and discrepancies promptly.
  • Implement federal and internal guidelines to determine eligibility and limitations.
  • Collaborated with internal/external customers to foster team cohesion.
  • Manage payment schedules and address claims effectively through meticulous record-keeping.
  • Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.

Program Support Technician

Marine Resources Commission
Hampton, VA
10.2018 - 02.2020
  • Gathered and documented biological information along with reporting of harvest data by commercial and recreational sources.
  • Executed scanning, coding, and data entry tasks to manage fishery harvest records.
  • Provided clarification on regulatory requirements and reporting guidelines for fisheries and general audience.
  • Streamlined technical processes and managed administrative responsibilities for Fisheries Management.
  • Acted as a main point of contact for public engagement in fishery-focused activities.

Provider Certification Analyst

Wisconsin Physician Services
Hampton, VA
09.2017 - 06.2018
  • Initiated reprocessing workflows based on identified discrepancies in provider certifications.
  • Validated credentials of institutional and mental health providers through appropriate regulatory authorities.
  • Analyzed provider files to determine current status and submit relevant claims/issues.
  • Coordinated with multiple departments to validate file content for claim processing.
  • Applied effective problem-solving techniques to boost customer confidence.
  • Utilized document management system to organize company files, keeping up-to-date and easily accessible data.

Administrative & Office Specialist III – Registration Specialist

Thomas Nelson Community College
Hampton, VA
11.2014 - 08.2017
  • Monitored and maintained registration status and student information through Peoplesoft.
  • Facilitated training programs and supervised onboarding processes to support new hires.
  • Fostered trusting relationships with students, employees and academic members.
  • Oversaw inventory control processes and implemented effective record-keeping strategies.
  • Coordinated rehearsal and ceremony for successful execution of graduation events.
  • Directed clients and guests to correct departments, rooms, and staff members.

Education

Associate of Applied Science - Business Administration

Camp Community College
Franklin, Virginia
12-2025

Skills

  • Microsoft Excel
  • PowerPoint
  • Access
  • Outlook
  • Oracle Peoplesoft
  • Oral communications
  • Written communications
  • Time management
  • Prioritizing tasks
  • Meeting tight deadlines
  • Detail oriented
  • Organized
  • Quick learning
  • Teamwork
  • Independent work
  • Documentation research
  • Data analysis
  • Insurance claims review
  • Microsoft office
  • Conflict resolution
  • Documentation review
  • Flexible schedule
  • Team collaboration
  • Decision-making
  • Interpersonal communication

Highlight of qualifications

  • Over 8 years of experience of working with a diverse set of individuals and overall customer service
  • Excellent knowledge of Microsoft Excel, PowerPoint, Access, Outlook and Oracle Peoplesoft
  • Expert ability in oral and written communications
  • Strong skills in time management, prioritizing tasks and meeting tight deadlines
  • Detail oriented and organized with the ability to quickly learn new technologies, systems and policies
  • Working knowledge of the general public and able to perform both independently and in a team setting

Accomplishments

  • Phi Theta Kappa( National Honors Society)
  • Sigma Alpha PI (National Leadership Business and Success)

References

References available upon request.

Timeline

Claims Rep 1

Wisconsin Physician Services
02.2020 - Current

Program Support Technician

Marine Resources Commission
10.2018 - 02.2020

Provider Certification Analyst

Wisconsin Physician Services
09.2017 - 06.2018

Administrative & Office Specialist III – Registration Specialist

Thomas Nelson Community College
11.2014 - 08.2017

Associate of Applied Science - Business Administration

Camp Community College
Quanita Payne