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Customer service, Claims processor

Cleveland, Ohio, United States
January 24, 2018

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Anthony G Jackson

**** ******** ***

Philadelphia, Pennsylvania 19150

(267) ***-****

Professional with knowledge of Medical claims processing and adjustments. Experienced with lab equipment, pharmaceutical processes, SOP’s and GMP’s, Labeling and reconciliations and RF & SAP inventory control. I have Experience in a large, multi-function facility in high-volume production, inventory, quality assurance, quality control and transportation. I have knowledge of Safety, CPR/AED certified and the aseptic pharmaceutical process with vaccines, coatings and excipients, and OSHA warehouse protocol. I have strong motivational skills along with strong multi-tasking capabilities and excellent communication skills, both written and verbal. I have knowledge of MS Office including Word, Excel, and Power Point. I am articulate and can communicate with all levels of the organization and with outside vendors as well.

Professional Experience

Cigna Global Wilmington, DE

Health Benefits.

Claims Processor/Service Analyst 11/10 - 1/18

Effectively handling and resolving inquiries from customers domestically and internationally in a “real time” contact center environment. Serving as a primary contact and liaison between one or more major customers, Health Plans, Service Centers, and/or functional areas. Effectively researching, summarizing, and following through on executive escalations and complaints with appropriate outreach to the customer and/or client parties involved. Interprets provider contracts, agreements, policies and procedures pertaining to benefit structures and administrative processes. Processing and adjustment of medical claims.

Astra Zeneca Newark, DE

PSe & co Contract

Process Line Operator 3/10 - 9/10

Operating filling machines, mixers, dryers, ovens and three roll mills

Packaging and labeling of production products per company’s SOP’s and GMP

Responsible for meeting production quotas

Medimmune Vaccines Philadelphia, PA

Aerotek Contract

Pharmaceutical Tech Specialist II 5/09 - 2/10

Responsible for all manufacturing support functions such as preparation of equipment and manufacturing components to be used in support of/or manufacturing of the product. Operation of basic equipment (i.e. scale and/or balance, autoclave, pH meter, environmental monitoring equipment) as delegated in standard operating procedures. Packaging and labeling of production products per company’s SOP’s and GMP. Responsible for meeting production quotas

Colorcon Inc. West point PA

Manufacturer and marketer of pharmaceutical products.

Capacity Operator/ Environmental Health & Safety Officer 2/06 -2/09

Responsible for the reactor, soak tanks, dryers and grinders as well as the monitoring of the PLC system running the equipment. Also, responsible for titration and calculating pH and conductivity of solutions Knowledge of precautions related to handling of medical / infectious/biologicals and waste. Also, responsible for all aspects of manufacturing production, including safety, quality, packaging, labeling, inventory control, shipping and receiving and training of employees in operation, maintenance, and safety of equipment. Held and facilitated weekly safety and status review meetings with production colleagues and management to identify and resolve quality and safety issues. Evaluated safety issues and developed and implemented SOP's to correct specific problems and prevent re-occurrence.


Computer Science, Temple University, Philadelphia, PA

Technical Certificate, Computer Programming, PSI Institute, Philadelphia, PA

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