SA'DASHIA CALDWELL
ALBANY,US
Summary
Medical Records Specialist with 6 years of experience in healthcare claims analysis and customer service, adept at enhancing client satisfaction through effective communication and organizational skills. Demonstrates proficiency in claims processing and analytical skills, having successfully collaborated with cross-functional teams to streamline operations and improve service delivery. Committed to fostering strong customer relations and continuously improving healthcare service standards.
Overview
7
7
years of professional experience
1
1
year of post-secondary education
Work History
Health Information Management Specialist
Phoebe Putney Memorial Hospital
Albany
06.2025 - Current
Medical Records Analyst
ResultsCX
03.2023 - 05.2025
- Investigated and evaluated insurance claims to determine coverage, liability, and settlement options
- Conducted interviews with policyholders, witnesses, and other relevant parties to gather information for claim assessment
- Analyzed documentation such as police reports, medical records, and repair estimates to assess damages and determine appropriate compensation
- Processed and verified invoices, ensuring accuracy and adherence to company policies
- Collaborated with cross-functional teams to resolve customer inquiries and disputes in a timely manner
- Generated monthly financial reports, providing detailed analysis of billing activities
- Managed a portfolio of XX key accounts, ensuring high levels of customer satisfaction and retention
- Developed strong relationships with clients through regular communication and proactive outreach to understand their needs and identify opportunities for upselling or cross-selling
Healthcare Claims Analyst
NTT DATA
03.2020 - 02.2023
- Handled customer complaints, improving satisfaction; conducted surveys for actionable insights.
- Addressed claim inquiries, enhancing response efficiency; shared policy details clearly.
- Assisted customers warmly, fostering trust; answered questions, ensuring understanding.
- Assisted clients with claims processing, ensuring timely resolution and enhancing overall customer satisfaction.
- Analyzed customer feedback from surveys to identify service improvements, leading to noticeable gains in client retention.
- Resolved complex claim inquiries through effective communication, resulting in reduced processing times and improved accuracy.
- Coordinated with cross-functional teams to streamline policy information dissemination, strengthening service delivery standards.
Healthcare Claims Adjuster
Alorica
03.2019 - 03.2020
- Resolved payment issues, boosting customer satisfaction and loyalty.
- Handled aggressive customers with patience, maintaining composure.
- Generated issue summaries, providing detailed updates to customers.
- Streamlined claims processing workflows, leading to faster resolutions and improved client satisfaction through enhanced communication.
- Analyzed claim discrepancies to identify root causes, implementing corrective actions that reduced error rates and enhanced operational efficiency.
- Coordinated with healthcare providers to clarify claim details, fostering partnerships that resulted in quicker approvals and increased trust.
- Maintained accurate records of claims adjustments, ensuring compliance with regulatory standards while facilitating timely audits.
Education
Bachelor of Science - Health Information Management
Southern New Hampshire University
Hooksett, NH 08.2025 - 02.2026
Associates degree - Health Science
Albany State University
Albany, GASkills
- Customer Service
- Healthcare
- Communication
- Organizational
- Interpersonal
- Customer Relations
- Analytical
- Basic Computer Skills
- General Clerical
- Claims Processing
Timeline
Bachelor of Science - Health Information Management
Southern New Hampshire University
08.2025 - 02.2026
Health Information Management Specialist
Phoebe Putney Memorial Hospital
06.2025 - Current
Medical Records Analyst
ResultsCX
03.2023 - 05.2025
Healthcare Claims Analyst
NTT DATA
03.2020 - 02.2023
Healthcare Claims Adjuster
Alorica
03.2019 - 03.2020
Associates degree - Health Science
Albany State University