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Jaylynn UserJU
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Jaylynn User

@jaylynnuser

I coordinate healthcare appeals workflows and strengthen client and broker partnerships.

United States
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What I'm looking for

I'm looking for a role where I can apply client service, relationship management, project coordination, data analysis, and process improvement skills to resolve complex issues and support operational goals.

At UnitedHealthcare, I coordinate high-volume provider portal grievance and appeals workflows, using triage strategies and cross-functional collaboration to meet resolution deadlines and support provider satisfaction.

I track case lifecycles, apply performance metrics, and review operational gaps to improve turnaround times, regulatory compliance, and team efficiency. I also use data analytics to identify appeal trends and support backlog-reduction initiatives.

Previously at Extensis Group, I strengthened broker partnerships through targeted campaigns, multi-channel marketing, stakeholder management, reporting, and lead-generation events. I worked closely with sales and operations teams to support PEO strategy, negotiations, and sustainable growth.

My earlier work in sales and community recreation strengthened my customer service, training, program coordination, and relationship-building skills. I bring a proactive, detail-oriented approach to resolving complex issues and meeting deadlines.

Experience

Work history, roles, and key accomplishments

UnitedHealthcare logoUN
Current

Grievance and Appeals Specialist

Jun 2022 - Present (4 years 3 months)

Led end-to-end coordination of high-volume provider portal case workflows, implementing triage strategies and cross-functional collaboration frameworks to meet resolution deadlines and boost provider satisfaction. Utilized data analytics to monitor trends in provider appeals and supported backlog reduction initiatives.

Staples logoST

Sales Representative

Jul 2015 - Jul 2017 (2 years)

Exceeded sales targets and provided exceptional customer service through proactive engagement and personalized assistance. Implemented upselling techniques and promotions, increasing average transaction value and overall store revenue.

LC

Recreational Leader

Linden Multi-Purpose Center

Oct 2013 - Mar 2015 (1 year 5 months)

Managed daily operations and activities for youth members, increasing participation and satisfaction through diverse and engaging recreational programs. Collaborated with local schools and community organizations to expand outreach efforts.

Education

Degrees, certifications, and relevant coursework

Kean University logoKU

Kean University

Bachelor of Arts, Communications

Pursued a Bachelor of Arts in Communications with a focus on Public Relations.

Tech stack

Software and tools used professionally

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