Takeia Davis
Hermitage,Tn
Summary
Detail-oriented Claims Specialist with extensive experience in medical claims processing, provider outreach, and issue resolution within a fast-paced healthcare environment. Known for exceptional customer service, strong analytical skills, and the ability to manage complex tasks with accuracy and efficiency. Highly organized, dependable, and proficient in multiple claims systems and documentation tools.
Results-driven administrative professional with track record of supporting program operations and enhancing organizational efficiency. Recognized for strong team collaboration and ability to adapt to changing needs. Skilled in managing schedules, coordinating events, and streamlining administrative processes.
Overview
12
12
years of professional experience
Work History
Claims Adjustment Specialist / PPO Proactive Provider Outreach / Claims Representative Associate
UnitedHealth Group
Remote
01.2018 - Current
- Process and resolve medical claims by researching discrepancies, reviewing claim images, and ensuring accurate pricing across multiple systems.
- Analyze trends and collaborate with Legal, Compliance, and Provider Advocates to improve claim accuracy and workflow efficiency.
- Create reports, charts, and documentation to support provider outreach and operational improvements.
- Recognized with the MAHP (MI) Pinnacle Award for excellence in Proactive Provider Outreach.
- Directed claims negotiations within allowable limit of $1,000 and supported successful litigations for advanced issues.
Care Assistant, Before & After School Program
YMCA
Hermitage, TN
08.2016 - 12.2018
- Provided care, supervision, and instruction for elementary-aged children in a structured program environment.
- Assisted students with homework, tutoring, and academic support.
- Helped plan and facilitate indoor and outdoor activities to promote learning and engagement.
Program Assistant
Murfreesboro City Schools — Extended School Program
Murfreesboro
09.2014 - 08.2016
- Organized and facilitated after-school activities for children.
- Ensured the safety and well-being of all students in the program.
- Supported daily program operations and activity planning.
Education
Associate of Science - Automotive Services Technology (GM)
Nashville State Community College
Nashville, TN01-2009
Automotive Certification - undefined
Tennessee Technology Center
Nashville, TN01-2005
Skills
- Proficient in Facets, Sophia, and Macess claims systems
- Award-winning performance in provider outreach
- Strong organizational and multitasking abilities
Timeline
Claims Adjustment Specialist / PPO Proactive Provider Outreach / Claims Representative Associate
UnitedHealth Group
01.2018 - Current
Care Assistant, Before & After School Program
YMCA
08.2016 - 12.2018
Program Assistant
Murfreesboro City Schools — Extended School Program
09.2014 - 08.2016
Automotive Certification - undefined
Tennessee Technology Center
Associate of Science - Automotive Services Technology (GM)
Nashville State Community College