Darrien Knowles

Executive Office Case Specialist with over 9 years of experience in financial crime investigations and claims processing, adept at reducing fraud losses and enhancing operational efficiency. Skilled in data entry, case management, and risk management, consistently ensuring compliance with regulatory standards while improving data accuracy. Passionate about leveraging expertise in a collaborative environment to drive innovative solutions and organizational success.

• Lead investigations into financial crimes, reducing fraud losses by over 18%.
• Collaborated with departments to streamline case documentation, enhancing efficiency.
• Ensured compliance with legal document retention, maintaining regulatory standards.
• Facilitated client and agency communication, ensuring service provision.
• Conducted research to support reports, improving data accuracy.
• Processed attorney correspondence, ensuring urgent document routing and prompt action.
• Entered urgent medical bills for timely adjuster negotiation, enhancing claim efficiency.
• Contacted medical providers to resolve outstanding bill balances, improving accuracy.
• Managed claims, supporting investigations and settlement negotiations for better outcomes.
• Conducted detailed investigations of car accidents, enhancing decision-making efficiency.
• Accurately processed and verified invoices, maintaining financial integrity and compliance with company policies.
• Facilitated member enrollment in Humana Pharmacy mail order, enhancing customer satisfaction.
• Advised on prescription savings, leading to measurable cost reductions for clients.
• Verified doctor-provided information, ensuring process accuracy and efficiency.
• Collaborated with team to streamline verification, improving workflow.
• Contributed to increased enrollment rates through effective communication.
• Handled customer inquiries, ensuring timely product replacements and device dispatch.
• Managed billing accounts, processed payments, and verified invoices for accuracy.
• Resolved technical issues, enhancing customer satisfaction and team efficiency.
• Led a team of 15, serving as main contact in supervisor's absence.