Summary
Overview
Work History
Education
Skills
Timeline
Generic
Sayana Davis

Sayana Davis

Mobile,AL

Summary

Seasoned professional with 6 years in health insurance and claims adjustment, seeking a Prior Authorization Specialist role. Skilled in call center operations, pharmacy claims analysis, and utilization management. Proven expertise in maintaining HIPAA standards and resolving complex customer inquiries.

Overview

8
8
years of professional experience

Work History

Customer Service Rep

Concentrix
10.2023 - 06.2025
  • Resolve issues: Provide troubleshooting, solve complaints, and process returns or payments
  • Ensure customer satisfaction: Maintain a professional and empathetic front with customers
  • Communicate effectively: Collaborate with colleagues from other departments to offer efficient service
  • Maintain records: Keep accurate records of customer interactions
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Responded to customer requests for products, services, and company information.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.

Customer Care Associate

Continuum Global Solutions
12.2020 - 03.2023
  • Maintained the accuracy and confidentiality of customer records in compliance with HIPAA standards.
  • Processed account changes with a high degree of efficiency, exhibiting adeptness in data management systems.
  • Resolved escalated customer inquiries, employing advanced problem-solving abilities to enhance client satisfaction.

Claims Adjuster

Aetna
07.2017 - 12.2022
  • Conducted thorough and detailed claims data analysis to ensure accuracy and compliance with industry standards.
  • Compiled and verified necessary claim information by coordinating with medical professionals.
  • Processed claims with strict adherence to established guidelines and regulatory requirements.

Education

Associate Of Applied Business - Health Care Management

Ultimate Medical Academy
Clearwater, FL
10.2022

Skills

  • Medical Terminology Knowledge
  • Proficient in Data Systems
  • Compliance With Guidelines & Regulations
  • Problem-Solving Skills
  • Authorizations
  • Excellent Communication
  • Attention To Detail

Timeline

Customer Service Rep

Concentrix
10.2023 - 06.2025

Customer Care Associate

Continuum Global Solutions
12.2020 - 03.2023

Claims Adjuster

Aetna
07.2017 - 12.2022

Associate Of Applied Business - Health Care Management

Ultimate Medical Academy

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