Conducted a detailed investigation of claims; Inspected property damage, conducted an analysis of the claimant's policy limits; assessed the cost or value of an insured item; Reviewed photographs and other claim documents; Negotiated with other professionals, such as contractors, on behalf of the policyholder, to come to an agreement to restore the policyholder to a pre-loss condition; Negotiated with the claimant to settle the claim, calculated benefit payments and approved payment of claims within a certain monetary limit, made payments to the insured; Ensured accurate and timely benefit payments and services, proactively managed claim costs and expenses; Continuously analyzed case facts and monitored activities in order to identify possible fraud or abuse, and/or third-party liability throughout the course of the claim;Coordinated resources, scheduled and prioritized work assignments.

Receive and confirm prescription orders; Prepare and fill prescriptions; Verify patient insurance coverage; Label prescription bottles; Answer medical questions for customers; Manage inventory of drugs and medications; Order supplies and medications; Record medical histories in accordance with HIPAA regulations; Answer phone calls from doctors and patients; Read and interpret physician’s medication orders; Prepare and package medications that require special handling in accordance with safety measures; Assist with community flu shot clinics; Process payments/remittance/statements; Maintain up to date invoices and other essential documents per state protocol;

Resolving complex customer issues with sincerity and efficiency; researching and resolving issues about escalationsh and payment application issues; addressing and righting negative customer service experiences; aiding customers with banking and account related transactions; helping in onboarding new employees. Participated in peer development through coaching and feedback sessions to refine and build ability. Continuously learning and researching new products and policies.