Summary
Overview
Work History
Education
Skills
Timeline
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Sequoya Whitehead

Summary

I am a energetic person with strong time management skills who thieves in a fast-paced, dynamic environment. I am very hands on i am also great working with people and i am very patient. I am someone who provides exceptional customer service through active listening and problem solving i have high standards for treating people with respect and addressing a customers and employees problem head on.

Overview

7
7
years of professional experience

Work History

Care Manager

Sunrise Senior Living
11.2017 - 08.2024
    • Assisted clients with daily living needs to maintain self-esteem and general wellness.
    • Consulted with supervisors to assess cases and plan strategies for enhancing care.
    • Arranged transportation and documented details of discharge transition plans.
    • Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.

Claims Benefit Specialist

Concentrix
12.2021 - 03.2024
  • As a claims specialist i Reviewed and adjusted claims in accordance with claim processing guidelines. I would receive claims that had trigger codes that needed to be investigated, I would approve or deny the claim based on the information found.
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Followed up with customers on unresolved issues.
  • Evaluated and settled complex insurance claims in strict timeframes.

Customer Service Associate

CVS Caremark
01.2018 - 12.2021
  • Answer inbound calls from patients and providers regarding prescription insurance, medication coverage. Processed prior authorization request and refills for mail order prescriptions.
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.

Patient Service Representative

TriWest Healthcare Alliance
06.2018 - 01.2020
  • Initiated outbound calls and emails regarding authorizations for medical and behavioral health care. Completed data entry and provided status for claims i also resolved administrative discrepancies through account research and review.
  • Took copayments and compiled daily financial records.
  • Balanced deposits and credit card payments each day.
  • Assisted patients in filling out check-in and payment paperwork.

Education

High School Diploma -

Needham Broughton High School
Raleigh, NC
06.2013

Skills

  • ADL support
  • Case assessments
  • Medical chart documentation
  • Treatment management
  • Great at multitasking
  • Organizational skills
  • Excellent communication skills
  • Adaptability

Timeline

Claims Benefit Specialist

Concentrix
12.2021 - 03.2024

Patient Service Representative

TriWest Healthcare Alliance
06.2018 - 01.2020

Customer Service Associate

CVS Caremark
01.2018 - 12.2021

Care Manager

Sunrise Senior Living
11.2017 - 08.2024

High School Diploma -

Needham Broughton High School

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Sequoya Whitehead