Takara King
Cigna
JACKSONVILLE,FL
16
years of professional experience
Experienced claims and patient care professional with strengths in patient advocacy, HIPAA compliance, and detail-oriented problem solving. Skilled in resolving complex issues, documenting accurately, and delivering clear communication in high-volume settings.
Work History
Patient Care Advocate
1 Year 3 Months- Assist patients to understand their pharmacy benefits better by using knowledge gained from training, problem-solving skills and added support from my team to answer patient calls effectively
- Used expert listening skills to address patients' questions and concerns empathetically and document all interactions.
- Assisted patients with prescription refills, scheduling shipments and addressing billing questions
Senior Claims Examiner
14 Years 5 Months- Evaluated complex claims coverage, liability, and damages using policy provisions and claim documentation.
- Interpreted insurance language to determine claim outcomes and support accurate settlement decisions.
- Ensured compliance with claims handling guidelines, regulations, and internal quality standards.
- Reviewed medical, repair, and investigative records to validate claim facts and payment amounts.
Education
High School Diploma
Skills
Patient advocacy
HIPAA compliance
Claims processing
Claims processing systems
Detail-oriented problem solving
Proficient in Microsoft Word and Excel
Written and verbal communication
Multitasking with ability to learn quickly
Timeline
Patient Care Advocate
Cigna
08.2024 - 11.2025Read More
Senior Claims Examiner
Allstate
10.2009 - 03.2024Read More
Mandarin High School
High School Diploma
Read More