Open to opportunities

Davshone Maxwell

@davshonemaxwell

Senior case manager who improves outcomes by resolving complex claims, cases, and authorizations with HIPAA-first precision.

United States

Message

What I'm looking for

I’m looking for a health insurance role where I can resolve complex cases end-to-end, support customers with empathy, ensure HIPAA and documentation accuracy, and partner with teams to meet targets and improve member outcomes.

I’m a results-driven health insurance professional with 5+ years of experience in case management and sales, known for exceeding sales targets and strengthening long-term client relationships through tailored coverage solutions.

As a Senior Case Manager at Allstate Insurance, I served as the primary escalation point for unresolved service tickets and reviewed/resolved 500+ team tickets weekly, maintaining a 100% on-time closure rate. I managed 150+ members with complex medical conditions, coordinated care plans, and facilitated prior authorizations and referrals to specialists and ancillary services.

I also supervise and mentor teams—most notably leading 12 customer service representatives—and I’m committed to exceptional customer service, accurate documentation, and compliance with HIPAA regulations while using case management systems to deliver comprehensive, cost-effective protection.

Experience

Work history, roles, and key accomplishments

Senior Case Manager

Allstate Insurance

Aug 2020 - Sep 2025 (5 years 1 month)

Served as primary escalation point for unresolved service tickets, ensuring timely resolution. Reviewed and resolved 500+ team tickets weekly (eligibility discrepancies, authorization delays, and claims issues) while maintaining a 100% on-time closure rate and managed a caseload of 150+ members with complex conditions.

Complex Case Management HIPAA compliance Claims Management Salesforce CRM Ticketing Systems Prior Authorizations

Resident Manager

Wrightboro Storage

Feb 2022 - Jul 2023 (1 year 5 months)

Managed 50 on-site storage units, coordinating maintenance and housekeeping while maintaining accurate client records. Supervised a team of 3 full-time staff and produced monthly reports focused on client payments and balance sheets.

Team Supervision Maintenance Coordination Data Entry Client Records Payment Tracking Customer Service

Distribution Coordinator

Georgia-Pacific

Mar 2016 - Aug 2020 (4 years 5 months)

Coordinated distribution operations in accordance with company procedures, maintaining required documentation for management. Planned and executed logistics by coordinating shipping and receiving with transportation vendors.

Distribution Logistics Coordination Vendor Management Operations Planning Transportation Coordination Record keeping