DAHLIA JONES

• Gathered information about each position and related occupation with employee interviews, field observations, and industry research, 3pt contact.
• Researched and analyzed wage, salary and other industry trends.
• Developed and maintained comprehensive job evaluation system for equitable compensation.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Identified insurance coverage limitations with thorough
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• Reviewed new files to determine current status of injury claim and to develop plan of action.
• Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
• Works in partnership with legal counsel to warrant that insured’s interests are protected on litigated claims which includes providing all relevant claim documentation needed

for defense counsel to successfully defend claim and evaluate

claim exposure

• Attends settlement conferences, mediations, and hearings on behalf of insurance company/insured
• Reviews and approves defense attorney bills within authority

with underwriting to help provide relevant information

• Conducted comprehensive interviews of witnesses and claimants to gather facts and information.

• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
• Examined claims forms and other records to determine insurance coverage.
• Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Investigates and adjusts on job injury claims filed by County employees and makes determinations with regard to compensability of injuries, establishment of reserves, provisions of medical treatment, payment of medical bills, calculation and payment of temporary and/or permanent disability compensation, provision of supplemental job displacement voucher, and payment of death benefits.

• Responsible for investigations of prescription plans and claims, handle requests for insurance benefits ,reimbursements on claims, submitting refills through system for patients, applied corrections on benefit copays when needed.
• Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
• Set up and modified patient profiles to include current medications and insurance details.

• Answered incoming phone calls and addressed questions from customers and healthcare providers.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
• Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
• Stocked, labeled, and inventoried medication to keep accurate records.
• Counted and labeled prescriptions with correct item and quantity.
• Entered and processed patients' prescriptions into internal system.
• Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
• Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.