# Anyra Hayes

Anyra Hayes is a remote worker on Himalayas, Complaints & Issues Specialist II at Centene Corporation, based in United States.

Source: https://himalayas.app/@anyrahayes

```text
Medicare grievances specialist at Centene who investigated member and provider concerns and supported accurate case resolution.
```

| Detail | Value |
| --- | --- |
| Availability | Looking for a job |
| Location | United States |
| Authorized to work in | United States |
| Salary expectations | 51k+ USD |
| Job categories | Medicare Grievances, Customer Service |
| Skills | Grievance And Appeals Investigations, Grievance Research, Appeals Support, Member Inquiries, Provider communication, Case Resolution, Medical Record Review, Claims Review, CMS Timelines, Case Documentation, Escalation Management, Performance Metrics, Quality Metrics, Workload Prioritization, Remote Customer Support |

## About

```text
At Centene Corporation, I investigated Medicare member and provider grievances, reviewing reported concerns, service histories, plan information, and supporting documentation to identify issues and next steps. I researched pharmacy-cost discrepancies, Medicare Part B concerns, and claims-related information, coordinating with internal partners to support accurate case resolution.

I documented case activities and resolutions in electronic systems, communicated with members, providers, and internal departments, and escalated sensitive or complex matters when appropriate. At PNC BANK, N.A., I researched customer account and transaction concerns, resolving routine issues or escalating complex cases under established policies.
```

## Experience

### Complaints & Issues Specialist II

[Centene Corporation](https://himalayas.app/companies/centene-corporation). Mar 2025 - Oct 2026

```text
Investigated Medicare member and provider grievances by reviewing concerns, service histories, and documentation. Researched pharmacy-cost discrepancies and claims-related information, documented case activities, and collaborated with internal partners to support accurate resolution.
```

Skills: Medicare-Grievances, Appeals-Support, Case-Investigation, Claims-Review, Documentation, Escalation-Management, CMS-Timelines, Microsoft-Word, Excel, Remote-Customer-Support

### Senior Customer Service Representative

[PNC Bank, N.A.](https://himalayas.app/companies/pnc). Aug 2022 - Mar 2025

```text
Researched customer account and transaction concerns, verified information, and resolved routine issues or escalated complex cases. Handled high-volume inquiries while maintaining accurate records and protecting sensitive financial information.
```

Skills: Customer-Service, Account-Research, Issue-Resolution, Escalation-Management, Data-Entry, Confidentiality, Microsoft-Word, Excel

## Education

### University of Phoenix

Bachelor of Science, Business

```text
Bachelor of Science in Business with a focus on Human Resource Management, completed in 2025.
```

## Tech stack

- Microsoft Excel
- Microsoft Word

To contact Anyra, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire).

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