As an Injury Claims Adjuster, I was responsible for investigating, evaluating, and settling personal injury claims on behalf of USAA. I played a pivotal role in ensuring fair and timely resolution of claims while upholding USAA policies and regulatory standards.My Key Responsibilities:Claim Investigation: Conducting thorough investigations surrounding personal injury claims, including reviewing medical records, gathering evidence, and assessing liability.Evaluation and Analysis: Analyzing the extent of injuries, medical treatments, and associated expenses to determine the validity and value of claims. Utilizing my expertise to assess coverage, liability, and settlement options.Communication: Maintaining open and transparent communication with members, claimants, attorneys, healthcare providers, and other stakeholders throughout the claims process. Clearly explaining decisions, negotiating settlements, and managing expectations effectively.Documentation: Preparing accurate and comprehensive claim reports, documenting findings, decisions, and settlement agreements in compliance with company procedures and regulatory requirements.Negotiation: Negotiation discussions with claimants and their representatives to reach fair and equitable settlements. Advocating for our members interests while striving to achieve mutually satisfactory outcomes.Customer Service: Providing empathetic and compassionate assistance to claimants, addressing their concerns, answering inquiries, and guiding them through the claims resolution process with professionalism and integrity.Compliance: Ensuring adherence to all relevant laws, regulations, and industry standards governing claims handling procedures. Staying informed about changes in legislation and industry best practices to maintain compliance and mitigate risks.

As a Clinical Allergy Specialist I managed the day-to-day operations of the United Allergy Services allergy center, administering allergy tests, educating patients on allergen immunotherapy, administering processes, professionally interacting with providers and medical practice employees, and providing patient-centered care to the many allergy sufferers in the local community. A Clinical Allergy Specialist performs clinical and administrative responsibilities in a medical provider’s office and works directly under the supervision of a physician.My Key responsibilities:Develop and maintain an understanding of allergens, the allergic response, the UAS clinical protocols and the features and benefits of immunotherapy.Responsible for safe and effective immunotherapy processes to include the administration of quality allergy testing, and the formulation and preparation of the allergy immunotherapy.Responsible for educating patients on administering injections with the Immunotherapy.Ensures patient progress by following up with the patient and ensuring Immunotherapy is picked up on a timely basis.Completed all appropriate paperwork and ensures insurance eligibility is verified for each patient.Administers patient scheduling either in person, via phone or through UAS centralized scheduling protocols.Responsible for the handling and submission of all billing documentation to the appropriate office via applicable EMR systems or otherwise.Responsible for the maintenance and security of clinic inventory levels. Ensures that inventory is ordered and received.Develops and maintains effective, professional relationships with providers and medical office staff.Escalates patient or other questions to appropriate team member or provider in a timely manner.Responsible for meeting the strategic goals and objectives of the clinic and company pertaining to assigned clinic productivity and revenue.