Latonya Sims
@latonyasims
Claims Specialist in Training with 10+ years of healthcare experience.
What I'm looking for
I am a dedicated Claims Specialist in Training with over a decade of experience in healthcare, field inspections, and customer advocacy. My career has been marked by a commitment to documenting sensitive information accurately, managing case records, and resolving service-related issues effectively. I am now seeking to transition into a property and casualty claims adjuster role, where my investigative skills and strong interpersonal communication can support policyholders and insurance teams.
Throughout my career, I have honed my skills in various roles, including as a Heavy Equipment Operator II, Certified Nurse Assistant, and Patient Care Advocate. My experience has equipped me with a solid foundation in claims documentation, client interviews, and compliance with regulations such as HIPAA. I pride myself on my ability to maintain accuracy in reporting and my dedication to providing exceptional service to clients.
As I pursue this new opportunity, I am eager to leverage my extensive background in healthcare and customer service to contribute positively to an insurance team. I am committed to continuous learning, currently enhancing my skills through Claims Adjuster Training and Xactimate coursework, ensuring I am well-prepared for the challenges ahead.
Experience
Work history, roles, and key accomplishments
Heavy Equipment Operator II
City of Saint Louis
Sep 2024 - May 2025 (8 months)
Operated heavy-duty vehicles and refuse equipment across the city. Conducted pre-trip and post-trip inspections, completed fueling and maintenance logs.
Certified Nurse Assistant (CNA)
IntelyCare
Jul 2021 - Jul 2024 (3 years)
Delivered direct patient care, maintained accurate records, and monitored vital signs. Worked across various facilities to assist with patient mobility, hygiene, and medication support.
Bus Driver
Saint Louis County
Jun 2021 - Jun 2022 (1 year)
Ensured student safety and maintained order while transporting students. Followed emergency procedures and documented incidents and route changes.
Patient Care Advocate
Express Scripts
Sep 2020 - Aug 2021 (11 months)
Investigated and resolved pharmacy claims for Medicare and military clients. Verified insurance coverage, processed documentation, and maintained sensitive records.
Courier Driver
FedEx Express
Jan 2020 - Sep 2020 (8 months)
Delivered packages, performed vehicle inspections, and handled route logs and manifests. Maintained accuracy in inventory and transportation documentation.
Patient Care Technician
Barnes-Jewish Hospital
Feb 2014 - Dec 2019 (5 years 10 months)
Assisted nurses and physicians with patient care, specimen collection, and documentation. Observed patients, provided post-mortem care, and managed charting under HIPAA regulations.
Certified Nurse Assistant
Delmar Gardens
Feb 2010 - Dec 2014 (4 years 10 months)
Delivered skilled patient care, monitored vital signs, and supported family needs. Maintained logs, patient care notes, and assisted with physical/occupational therapy exercises.
Education
Degrees, certifications, and relevant coursework
Gateway Technical High School
High School Diploma, General Studies
Completed high school education, gaining foundational knowledge and skills. Graduated in June 2007.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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