Dajah Scoggins
Norfolk
Summary
Results-driven customer service and operations professional with extensive experience in payroll implementation, insurance claims processing, healthcare administration, benefits administration, and client support. Proven ability to manage high-volume workloads while maintaining accuracy, regulatory compliance, and exceptional customer satisfaction. Skilled in payroll processing, eligibility verification, claims adjudication, billing reconciliation, benefits administration, HIPAA compliance, and cross-functional collaboration. Experienced using ADP, Salesforce, PeopleSoft, Citrix, Verint, Microsoft Office Suite, CSC, Cisco Finesse, and CRM platforms to streamline operations and resolve complex customer issues. Recognized for strong analytical skills, attention to detail, effective communication, and the ability to exceed performance goals in fast-paced environments.
Overview
12
12
years of professional experience
Work History
Implementation Specialist
Adp- Automated Data Processing
Norfolk, VA
10.2024 - Current
- Manage end-to-end payroll implementations for new and existing clients.
- Coordinate payroll setup, system configuration, and data validation to ensure successful onboarding.
- Process multi-state payroll while maintaining compliance with federal, state, and local regulations.
- Partner with internal teams to resolve payroll issues and improve implementation timelines.
- Prepare year-end payroll documentation, including W-2 reporting.
- Build strong client relationships by providing proactive communication and ongoing support.
- Processed payroll using ADP software, ensuring timely and accurate employee compensation.
- Maintained employee records, updating personal information and tax withholding forms regularly.
Insurance Billing Specialist
Sentara Health Plan
Virginia Beach, VA
07.2023 - 09.2024
- Processed insurance premium payments, adjustments, and account reconciliations with a high level of accuracy.
- Verified member eligibility and maintained compliance with HIPAA regulations.
- Investigated billing discrepancies and resolved payment issues efficiently.
- Assisted members with billing questions, payment options, and policy information.
- Collaborated with finance and claims departments to ensure accurate payment processing.
Travel Claims Examiner
Allianz Insurance
RIchmond,VA
06.2019 - 07.2023
- Reviewed and adjudicated travel insurance claims according to policy guidelines.
- Evaluated supporting documentation to determine claim eligibility and payment authorization.
- Communicated with policyholders, medical providers, and travel vendors to obtain required documentation.
- Delivered compassionate service while assisting customers during travel emergencies.
- Identified potential fraud indicators and escalated cases for further investigation.
- Consistently met productivity, quality, and turnaround time goals.
- Evaluated complex claims for accuracy and eligibility, enhancing processing efficiency.
Order Service Representative
QVC
Chesapeake, VA
06.2019 - 12.2021
- Assisted customers through phone, chat, and email with orders, returns, and account inquiries.
- Resolved shipping, billing, and product concerns while maintaining excellent customer satisfaction.
- Processed customer orders accurately and efficiently.
- Educated customers on promotions, payment options, and available products.
- Exceeded quality assurance and customer experience performance metrics.
Claims Processor
Conduent Business Services
Chesapeake, VA
06.2018 - 06.2019
- Processed healthcare insurance claims while ensuring compliance with payer guidelines.
- Verified benefits, eligibility, and coding accuracy.
- Investigated claim denials and payment discrepancies.
- Maintained confidentiality of sensitive member information.
- Managed large claim inventories while consistently meeting production standards.
Senior Benefits Specialist
Conduent Business Services
Chesapeake, VA
09.2017 - 06.2018
- Administered employee medical, dental, vision, disability, and retirement benefits.
- Processed enrollments, life events, and benefit changes.
- Assisted employees with benefit questions and policy interpretation.
- Audited benefit records for accuracy and compliance.
- Worked closely with HR departments and third-party vendors.
Food Service Worker
Sentara Norfolk General Hospital
07.2014 - 08.2017
- Delivered patient meals while following dietary guidelines and safety procedures.
- Maintained sanitation standards and compliance with hospital policies.
- Provided courteous, patient-focused service to patients and staff.
Education
Bachelor of Social Work -
Norfolk State University
Norfolk, VA12-2027
High School Diploma -
Bayside High School
Virginia Beach, VA06-2012
Skills
- Appeal Processing
- Quality Assurance
- Regulatory Compliance
- Microsoft Office (Excel, Word, Outlook, Teams)
- Salesforce
- PeopleSoft
- ADP Workforce Solutions
- Citrix
- Verint
- Payroll Administration
- Benefits Administration
- Claims Processing & Adjudication
- Healthcare Operations
- Customer Service Excellence
- Eligibility Verification
- Insurance Billing
- HIPAA Compliance
- Data Entry & Documentation
Timeline
Implementation Specialist
Adp- Automated Data Processing
10.2024 - Current
Insurance Billing Specialist
Sentara Health Plan
07.2023 - 09.2024
Travel Claims Examiner
Allianz Insurance
06.2019 - 07.2023
Order Service Representative
QVC
06.2019 - 12.2021
Claims Processor
Conduent Business Services
06.2018 - 06.2019
Senior Benefits Specialist
Conduent Business Services
09.2017 - 06.2018
Food Service Worker
Sentara Norfolk General Hospital
07.2014 - 08.2017
Bachelor of Social Work -
Norfolk State University
High School Diploma -
Bayside High School