Callie Mills
Jeffersonville,IN
Summary
To obtain a position where I can provide a significant contribution to a successful operation, encounter new challenges with eagerness, surpass expectations and advance based on achievement.
Overview
17
17
years of professional experience
Work History
Senior Insurance Claims Adjuster
AIG
04.2014 - Current
- Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis
- Communicated with claimants via telephone and email correspondence
- Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures
- Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments
- Resolve complex claims
- Negotiated fair settlements for clients by effectively communicating with all parties involved in the claim process.
- Maintained compliance with state regulations and company policies while handling a high volume of insurance claims.
- Researched claims and incident information to deliver solutions and resolve problems.
Senior Certified Pharmacy Technician
Walgreens
09.2007 - 02.2014
- Aid in prescription production including data entry and packaging
- Aid in ordering, stocking, and returning prescription items and supplies
- Aid pharmacist in inventory control in pharmacy
- Maintained pharmacy area appearance
- Resolved non-routine issues like third-party billing, computer system, and customer service issues.
- Assisted in prior authorization process for non formulary products between insurance and provider
- Reconciliation on chargebacks for DME products
- Maintained relationships with physicians.
- Gave courtesy, service and fairness for every customer and minimized patient wait times and improved overall pharmacy service
Education
Central Hardin High School
Cecilia, KYundefined
Jefferson Community College
Louisville, KYCertification - Pharmacy Technician
CPHT
Insurance License
Skills
- To work in a team structure
- Verbally communicate with people inside and outside the organization
- To make decisions and solve problems
- To obtain and process information accurately
Communication
Excellent verbal and written communication skills. Ability to resolve conflict in person or over the phone. Exceptional situational leadership skills. Self-motivated with a strong work ethic for professionalism and timeliness.
Timeline
Senior Insurance Claims Adjuster
AIG
04.2014 - Current
Senior Certified Pharmacy Technician
Walgreens
09.2007 - 02.2014
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Jefferson Community College
Central Hardin High School
Certification - Pharmacy Technician
CPHT
Insurance License
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