SL
Open to opportunities

Sierra Little

@sierralittle

Detail-oriented professional with expertise in grievances and appeals management.

United States
Message

What I'm looking for

I am seeking a role that values empathy and collaboration, where I can leverage my skills in client services and advocacy to make a meaningful impact.

I am a detail-oriented and mission-driven professional with 3 years of specialized experience in Grievances and Appeals, complemented by over a decade in client services. My background includes conducting comprehensive reviews of clinical documentation, resolving complex member concerns, and delivering quality outcomes with professionalism and empathy.

As a military spouse, I possess a deep understanding of the healthcare and mental wellness challenges faced by service members and their families. This informs my commitment to advocating for members and achieving quality outcomes. Known for my analytical thinking, resilience, and strong sense of accountability, I am dedicated to improving processes and supporting the well-being of diverse populations through fair and thorough appeals management.

Experience

Work history, roles, and key accomplishments

NS
Current

SCA Appeal Rep I

National Government Services

May 2022 - Present (3 years 2 months)

Analyzed and processed non-complex grievances and appeals, ensuring compliance with accreditation, regulatory standards, and internal policies of the Centers for Medicare & Medicaid Services. Conducted in-depth research using structured guidelines, reviewing claims and medical records to identify resolutions or escalate cases for further medical review to meet deadlines and deliver quality outcome

AC

Sony Sales Consultant

ActionLink/Sony

Jul 2020 - Present (5 years)

Actively listened to customers to assess their needs, provided personalized recommendations, and referred them to suitable services, fostering trust and understanding. Cultivated strong relationships with existing customers by maintaining proactive communication and providing follow-up support to ensure continued satisfaction and loyalty.

AC

Beauty Sales Consultant

Acosta

Mar 2020 - Present (5 years 4 months)

Actively listened to clients' beauty concerns, using open-ended questions to understand and provide personalized solutions to enhance their self-esteem. Tailored product recommendations based on client preferences and goals, ensuring alignment with their desires and emotional well-being.

JS

Prestige Beauty Advisor

JHS Sales and Service

Oct 2018 - Present (6 years 9 months)

Educated clients on proper makeup techniques and recommended products suited to their individual needs, fostering self-confidence and positive self-image. Developed and nurtured strong, positive customer relationships by offering high-quality service and consistently focusing on client satisfaction and loyalty.

CV

Shift Supervisor

CVS/Pharmacy

Oct 2011 - Present (13 years 9 months)

Addressed customer concerns with empathy, resolving complaints, and communicating issues to senior management to ensure timely solutions. Led team members by coaching and fostering a supportive, collaborative environment to improve performance.

Education

Degrees, certifications, and relevant coursework

Arizona State University logoAU

Arizona State University

Bachelor of Science, Criminal Justice and Criminology

Grade: Cum Laude, GPA of 3.51

Activities and societies: Dean's List: Fall 2018, Fall 2020

Completed a Bachelor of Science in Criminal Justice and Criminology. Graduated Cum Laude with a GPA of 3.51. Recognized on the Dean's List in Fall 2018 and Fall 2020.

DA

De'Rielle Cosmetology Academy

Certification, Esthetics

Grade: 4.0 GPA

Activities and societies: Valid and active license to practice esthetics in the state of Pennsylvania

Obtained a Certification in Esthetics, completing comprehensive training in cosmetology practices. Graduated with a perfect 4.0 GPA. Acquired a valid and active license to practice esthetics in Pennsylvania.

Tech stack

Software and tools used professionally

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Sierra Little - SCA Appeal Rep I - National Government Services | Himalayas