Chiquita Allison
Stockbridge
Summary
Results-driven professional effective in implementing positive change while overseeing multiple tasks. A team player with great time management and organizational skills. Pursuing a Claims Analyst position with an established company.
Personable and dedicated customer service representative with extensive experience in industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
8
8
years of professional experience
Work History
Claims Analyst
Cigna
Atlanta
06.2024 - Current
- Participated in claims audit processes to ensure compliance with internal and external standards.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Built lasting relationships with clients and employees to underpin successful claims activities.
- Analyzed contracts and claim systems to apply appropriate benefit amounts.
- Communicated with policyholders to explain claim decisions and answer inquiries.
- Examined claims, records and procedures to grant approval of coverage.
- Corresponded with providers regarding any missing or incomplete documentation needed for successful adjudication of claims.
Claims Adjuster
Centene
Atlanta
01.2022 - 06.2024
- Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
- Communicated effectively with policyholders, providing updates and explaining claim processes.
- Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
- Reviewed medical records, police reports and other documents related to claim investigations.
- Prepared detailed reports on investigation findings and claim status for internal use.
Verification Specialist
Southern Company Gas
Riverdale
02.2017 - 02.2022
- Generated reports on key performance metrics related to the effectiveness of the verification process.
- Liaised between physician, site of service and billing department to obtain appropriate documentation.
- Educated patients on their insurance benefits and coverage limitations.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Answered customer inquiries via phone, email, and chat.
- Ensured customer satisfaction through effective communication skills and problem resolution techniques.
- Prepared daily activity reports summarizing activities related to customer support requests.
- Assisted customers with product installation, troubleshooting, and usage questions.
Education
High School Diploma -
Southwest Dekalb High School
Decatur, GA06-2005
Bachelor of Arts - Human Resources Management
University of Phoenix
Tempe, AZSkills
- Claims processing
- Regulatory compliance
- Data analysis
- Policy interpretation
- Customer service
- Attention to detail
- Time management
- Claims review
- Benefit explanation
- Multitasking
- Written communication
- Information gathering
- Data entry
- Documentation review
- Effective communication
- Microsoft Office Suite
- Microsoft office expertise
- Organizational skills
Timeline
Claims Analyst
Cigna
06.2024 - Current
Claims Adjuster
Centene
01.2022 - 06.2024
Verification Specialist
Southern Company Gas
02.2017 - 02.2022
High School Diploma -
Southwest Dekalb High School
Bachelor of Arts - Human Resources Management
University of Phoenix