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Princess Sonkarlay

@princesssonkarlay

Administrative and customer support professional specializing in documentation review and claims-style investigations to resolve complex issues.

United States
Message

What I'm looking for

I’m looking for an insurance claims role where I can investigate documentation, resolve customer concerns, and coordinate cases with accuracy and HIPAA-compliant compliance—using strong research, reporting, and cross-functional communication to improve outcomes.

I’m a detail-oriented administrative and customer support professional with over seven years of experience coordinating complex case activities, reviewing documentation, conducting research, resolving customer concerns, and maintaining confidential records in highly regulated healthcare environments. I’m recognized for analytical thinking, strong organization, and the ability to investigate issues, interpret documentation, and communicate findings clearly.

In my Care Coordinator role at Centene Corporation, I investigated member issues by reviewing documentation, eligibility information, and healthcare records to determine appropriate next steps. I conducted research to resolve account discrepancies while ensuring compliance with healthcare regulations, coordinated with providers and insurance representatives, maintained accurate case documentation, and protected confidential information in accordance with HIPAA requirements.

Earlier, as a Care Manager at Caring Senior Service and a Care Management Support Coordinator at SPNet Select Medical, I managed multiple client cases, completed timely documentation and service coordination, and prepared reports with detailed recordkeeping. I reviewed medical documentation, referrals, insurance information, and authorization requests for completeness and accuracy, investigated discrepancies, coordinated with providers to obtain missing information, and tracked case progress using multiple software systems.

Alongside my work, I’m completing a Master of Business Administration to strengthen analytical, organizational, leadership, and project management skills. I’m also coordinating complex healthcare services involving multiple providers, insurance companies, therapy organizations, and specialists—building the investigative, research, negotiation, and documentation skills I’m eager to apply to a career in insurance claims.

Experience

Work history, roles, and key accomplishments

Centene Corporation logoCC

Care Coordinator

Sep 2020 - Apr 2021 (7 months)

Investigated member issues by reviewing documentation, eligibility information, and healthcare records to determine appropriate next steps. Coordinated with providers and insurance representatives, maintained HIPAA-compliant case documentation, and resolved account discrepancies while ensuring regulatory compliance.

SM

Care Management Support Coordinator

SPNet Select Medical

Aug 2019 - Dec 2019 (4 months)

Reviewed medical documentation, referrals, insurance information, and authorization requests for completeness and accuracy. Investigated documentation discrepancies, coordinated with providers to obtain missing information, maintained electronic records, and supported scheduling, reporting, and operational compliance.

Education

Degrees, certifications, and relevant coursework

Southern New Hampshire University logoSU

Southern New Hampshire University

Master of Business Administration (MBA), Information Technology Management

Master of Business Administration (MBA) in Information Technology Management at Southern New Hampshire University, expected completion in 2026.

Texas Southern University logoTU

Texas Southern University

Bachelor of Science, Healthcare Administration

Bachelor of Science in Healthcare Administration from Texas Southern University, completed in 2018.

Tech stack

Software and tools used professionally

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