Service Representative Claims Adjuster

ANTONIA LAWHORN

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PROFESSIONAL SUMMARY

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position as a Claims Adjuster. Demonstrating consistent execution of best claim practices and a commitment to industry and company ethics. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. SKILLS

Florida Claims Adjuster License

Texas Claims Adjuster License

Medical Terminology Anatomy

Knowledge

Insurance Verification

Military Service

Medical Terminology Knowledge

Insurance Policy Coverage Knowledge

Insurance policy coverage knowledge

PROFESSIONAL EXPERIENCE

10/2021 - Current

Pharmacy Technician/Customer Service Representative PRIORITY HEALTH INSURANCE - Grand Rapids, MI

Medicare Trained, oversee multiple pending commercial Prior Authorizations Reviewed applications for different aid programs and determined which qualification criteria for individuals. Coordinated with insurance representatives to process claims and calculate correct co-pay information for patients. 10/2018 - 09/2021

Pharmacy IV Technician

HCA, HEALTHCARE - Fort Walton Beach, FL

Prepared compounds and dispensed medications, chemotherapy, and IV's medication upon physician's orders according to established policies, procedures and protocols

Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems and locating items.

09/2014 - 10/2018

Pharmacy Technician

PUBLIX PHARMACY - Crestview, FL

Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists. Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments. 08/2003 - 06/2014

Supply Technician

UNITED STATES AIR FORCE - Barksdale AFB, LA

Reviewed and verified quantities received against bills of lading, contracts and purchase requests. Determined causes of discrepancies to make appropriate adjustments to correct inventory records and documents. Supervised healthy inventory systems, monitoring product stock, maintaining receipt files and inputting data into computer spreadsheets for long-term tracking.

08/2003 - 06/2014

Pharmacy Technician

United States Air Force, Certifications and Licenses - United States Maintained proper drug storage procedures, registries and records for controlled drugs. Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments. Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists. EDUCATION

12/2019

Bachelor of Science: Health Science

Florida Agricultural And Mechanical University - Tallahassee, FL CERTIFICATIONS

State Farm Auto Online Certification

State Farm Property Online Certification

State Farm Property Policy Certification

Hurlburt Field, FL 32544 +1-850-***-**** ***************@*****.***

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