Shenika Darden
@shenikadarden
I process high-volume medical claims accurately while protecting compliance, documentation quality, and timely outcomes.
What I'm looking for
I've processed high-volume medical claims for Centivo, US Health Group, and UnitedHealth Group, handling eligibility, benefits, authorizations, provider documentation, coding, and complex claim discrepancies. At Centivo, I process 75+ claims daily while maintaining accurate records and supporting timely adjudication.
My remote operations experience also includes processing 150–200+ daily financial transactions at Computershare and reviewing 100+ healthcare documents daily for compliance at ICF. I'm currently pursuing a B.S. in Health Information Management and bring hands-on knowledge of CPT, ICD-10, HCPCS, COB, QNXT, Facets, COSMOS, Excel, and quality assurance.
Experience
Work history, roles, and key accomplishments
Claims Adjuster
Centivo
Dec 2025 - Present (8 months)
Processes an average of 75+ medical claims daily, verifies eligibility and benefits, and resolves complex claim issues while maintaining data integrity and compliance.
Education
Degrees, certifications, and relevant coursework
Western Governors University
Bachelor of Science, Health Information Management
Pursuing a Bachelor of Science in Health Information Management with an expected graduation in June 2028.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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