BRIAN DUFF

***** ***** ***** *****, ******, TX **373 C: 314-***-**** aczgwg@r.postjobfree.com

Professional Summary

Passionate and ambitious individual dedicated to improving himself and organization. Also

possesses experience within a collaborative, high performance, inclusive culture where

forward thinking is not only welcomed but embraced.

Core Qualifications

Solid written and oral communication Receptive to dynamic work

skills environments and operating procedures

Proficient in data entry and word Great critical thinking and decision-

processing making skills

Attentive to detail and critical Savvy with conflict resolution and

processes mediation

Proven ability to self-motivate and High problem-solving and

work independently organizational skills

Experience

Worker's Compensation Claims Specialist Apr 2015 to Mar 2016

Express Scripts St. Louis, MO

Reviewed and evaluated all work-related accident reports for completeness and

clarity of data.

Assembled appropriate medical information and facts regarding claims for cases

pending litigation.

Prepared all necessary forms, records and documentation, to include statistical

analyses and reports.

Claims Specialist (Dept. of Defense) Sep 2010 to Apr 2015

Express Scripts St. Louis, MO

Ensured compliance with company, customer and government standards.

Reviewed and determined reimbursement amounts to clients.

Secured accuracy and precision in validating claims.

Facilitated settlement discussions with beneficiaries in escalated cases.

Physician Contact Advocate Nov 2008 to Sep 2010

Express Scripts St. Louis, MO

Handled customer service inquiries from patients, providers, physicians, and clients

related to pharmacy benefits.

Conducted inbound and outbound member, provider and physician calls while

maintaining productivity standards and performance guarantees.

Adjudicated corrective action to expedite the needs of patients, physicans and clients.

Pharmacy Technician May 2006 to Nov 2008

Express Scripts St. Louis, MO

Swiftly and correctly calculated dosages, dispensed medications, prepared

prescription labels and filled prescriptions for approval by pharmacists.

Researched and resolved dosage conflicts, potentially harmful drug interactions,

insurance issues and other matters to ensure patient safety/wellness.

Worked alongside licensed pharmacists to provide excellent service within

high-volume settings.

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