Summary
Overview
Work History
Education
Skills
Timeline
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Tomeka Williams

Columbus

Summary

Detail-oriented Senior Clerk adept at managing multiple simultaneous tasks with minimal direction. Resilient and organized professional with excellent communication and interpersonal abilities. Liaises with colleagues and builds rapport with customers to maximize satisfaction.

Qualified Appeals Analyst with solid background in analysis and problem-solving. Proven track record of identifying inefficiencies and implementing solutions that improve operational performance. Demonstrated ability to leverage data analytics and strong communication skills to drive strategic initiatives.

Overview

28
28
years of professional experience

Work History

Provider Payment Appeal Analyst I

Elevance
09.2023 - Current
  • Generated reports detailing findings and recommendations.
  • Optimized resource allocation by conducting thorough cost-benefit analyses on potential investments.
  • Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
  • Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
  • Assigned cases from providers that are requesting appeals.


  • Worked with medical nurses to appeal claims
  • Streamlined reporting procedures by creating user-friendly dashboards for easy access to key performance indicators.
  • Gathered, organized and input information into digital database.
  • Conducted regular reviews of operations and identified areas for improvement.
  • Adjusted claims one appeal has been overturned

Clerk Sr

Anthem
05.2020 - Current
  • Set up meetings and organized supporting materials.
  • Placed supply orders and restocked office items.
  • Maintained excellent attendance record, consistently arriving to work on time.
  • Developed team communications and information for training purposes.

Clerk II

Anthem
09.2008 - 05.2018
  • Provided quality clerical support through data entry, document management, email correspondence and overseeing operation of office equipment.
  • Provided clerical support to company employees by copying, faxing and filing documents.
  • Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs using Powerpoint and Excel.
  • Delivered expert clerical support by efficiently handling wide range of routine and special requirements.
  • Handled high-volume paperwork and collaborated with reps in the department to resolve invoicing and shipping problems.

Customer Service Rep

Anthem
06.2006 - 09.2008
  • Answered customer telephone calls promptly to avoid on-hold wait times.
  • Responded to customer requests for products, services and company information.
  • Answered constant flow of customer calls with up to 35 calls in queue per minute.
  • Answered constant flow of customer calls with up to 37 calls in queue per minute.
  • Offered advice and assistance to customers, paying attention to special needs or wants.

Policy Service Representative

Aflac
08.2002 - 03.2004
  • Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
  • Made corrections and adjustments to policies.

Accounting Clerk

Walmart
06.1996 - 03.2002
  • Provided key clerical and administrative support to senior accounting staff.
  • Balanced cash drawers and registers.
  • Prepared daily bank deposits.
  • Completed bi-weekly payroll for company employees, including calculating taxes, vacation and sick time.

Education

High School Diploma -

Carver High School
Columbus, GA

Bachelor of Science - Criminal Justice Concentration in Human Services

Southern New Hampshire University
Manchester, NH
06-2021

Skills

  • Expense reporting
  • Recordkeeping expertise
  • Technical Support
  • Office administration
  • Scheduling
  • Proficient in Power Point
  • Administrative support
  • Project Management
  • Performance improvement
  • Sorting and labeling
  • Staff education and training
  • Mail handling

Timeline

Provider Payment Appeal Analyst I

Elevance
09.2023 - Current

Clerk Sr

Anthem
05.2020 - Current

Clerk II

Anthem
09.2008 - 05.2018

Customer Service Rep

Anthem
06.2006 - 09.2008

Policy Service Representative

Aflac
08.2002 - 03.2004

Accounting Clerk

Walmart
06.1996 - 03.2002

High School Diploma -

Carver High School

Bachelor of Science - Criminal Justice Concentration in Human Services

Southern New Hampshire University

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Tomeka Williams