Armando Crussell III

Transition from Elevance, Aka Anthem Health, Tampa, FL

• Perform duties to support the development of the pharmacy program. Review benefit/formulary setup and testing (new and year over year.
• Resolved customer complaints by effectively managing escalations and addressing concerns in a timely manner.
• Delivered exceptional service even during high-pressure situations, maintaining professionalism and composure at all times.
• Improved customer satisfaction ratings by providing prompt, empathetic support to clients facing issues.
• Safeguarded customer data privacy through strict adherence to company protocols when working with sensitive information.
• Performs other duties as assigned.
• Complies with all policies and standards.

Transition to BioPlus Specialty Pharmacy due to business needs.

• Serve as Operation Matter Expert for team members or internal customers.
• Handle escalated calls, resolving more complex customer and providers issues.
• Demonstrate outstanding service to identify the source of the caller’s issue and work to resolve the inquires in a timely and professional manner.
• Educate customers about the fundamentals and benefits of consumer-driven health care topics, maximizing the value of their health plan benefits and choosing a quality care provider.
• Contact care providers (doctor’s offices) on behalf of the customer to assist with appointment scheduling or connections with internal specialists for assistance.
• Self-motivated, with a strong sense of personal responsibility.
• Conduct claims analysis. Performs other duties as assigned
• Skilled at working independently and collaboratively in a team environment.
• Strengthened communication skills through regular interactions with others.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Demonstrated strong organizational and time management skills while managing multiple projects.
• Learned and adapted quickly to new technology and software applications.
• Adaptable and proficient in learning new concepts quickly and efficiently.
• Complies with all policies and standards.