Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Luciana Anderson

Buffalo

Summary

Diligent GS7 government level Veterans Service Education Administrator
familiar with federal veterans education programs, legal terminology
and state laws affecting veterans under the GI Bill. Offering hands-on
experience advising veterans on matters pertaining to entitlement of
benefits. Skillful in preparing claims, obtaining supporting documents
and evidence and performing investigations to determine eligibility and
payment of benefits. Team Leader experienced in directing activities of
workgroups. Develops strategies, provides training, and completing
internal audits to ensure quality assurance across the company. Set
team goals and obtains team feedback. Excellent interpersonal and
communication skills. Big picture focus with excellence in
communicating goals and vision to succeed.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Pharmacy Service Representative

Parkview Health Services
06.2023 - Current


  • Demonstrated adaptability through cross-training in various roles within the pharmacy setting to better serve customers as needed.
  • Collaborated with pharmacists to resolve drug therapy issues, optimizing patients'' overall health outcomes.
  • Ensured regulatory compliance by diligently adhering to pharmacy policies, procedures, and applicable laws during daily operations.
  • Expedited prescription refills with timely coordination between patients, prescribers, and insurance companies.
  • Verified prescription information prior to entry in pharmacy computer system.

Lead Claim Processor

Public Consulting Group
06.2021 - 02.2023
  • Mentored junior claims processors in best practices, resulting in increased productivity and proficiency across the team.
  • Managed high-volume caseloads while maintaining exceptional quality standards, contributing to overall departmental success.
  • Consulted with clients to identify and resolve application closing issues.
  • Interviewed applicants to obtain personal and financial data to assist with processing the application.
  • Processed 30-50 application a day.
  • Assisted applicants with submission queries, ensuring a smooth application experience for all parties involved.
  • Supported cross-functional teams during peak periods, demonstrating adaptability and strong communication skills.
  • Maintained accurate records of processed applications using database management systems, ensuring timely retrieval of information when needed.
  • Collaborated with team members to develop strategies for improving overall application processing efficiency.
  • Handled confidential applicant information with discretion and adherence to privacy regulations.
  • Assisted with quarterly review process to comply with contractual obligations.
  • Provided excellent customer service to both internal and external stakeholders, fostering positive working relationships.

Education Claims Examiner

Department Of Veteran Affairs
01.2019 - 11.2020
  • Developed and evaluate supporting evidence to determine eligibility for, entitlement to, and amount of benefits; authorizing benefits; and reconsidering claims
  • Reviewed and requested military personnel records and service verification records to determine eligibility status.
  • Conducted telephone interviews with veterans and College advocates/advisors to explain benefits and approved programs, including payments towards tuition.
  • Composed correspondence letters to explain current status of applications and request additional documentation.
  • Assisted veterans in preparing forms and documents to present education claims for benefits.
  • Developed new applications for cross-functioning departments.

Human Resources Administrative Assistant

Catholic Health System
05.2019 - 01.2020
  • Researched relevant resources to assist employees as needed to provide optimal support
  • Monitored key dates to ensure information is obtained by deadlines
  • Positioned as primary liaison to streamline daily operations for Doctors, Nurses and entire administrative staff
  • Developed and managed information to gather and streamline throughout departments
  • Consulted with internal and external clients via email and telephone
  • Maintained compliance with labor laws and regulations, minimizing legal risks for the organization.
  • Provided supportive link between external customers and internal operations
  • Positioned as go-to person for staff members and troubleshooting complex administrative issues promptly
  • Provide security access to designated areas of hospital to associates and contracted workers
  • Assisted HR Director with meetings and presentations within company
  • Oversaw periodic charitable events per department
  • Achieved client confidence and protected operations by keeping information confidential
  • Provided ongoing administrative support to the HR department by managing schedules, coordinating meetings, preparing documentation, and maintaining organized filing systems.

Education

Associate of Applied Science - Mental Health Counseling

Erie Community College
Buffalo, NY
01.2020

Skills

Leadership/Training
Personal/Financial data review
Auditing/Quality Assurance
Medical Records Management
Auditing/Quality Assurance

  • Insurance Verification

Certification


Child Abuse: New York Mandated
Reporter Training Certificate
NARCAN Training Certificate
HIPAA Training Certificate

Timeline

Pharmacy Service Representative

Parkview Health Services
06.2023 - Current

Lead Claim Processor

Public Consulting Group
06.2021 - 02.2023

Human Resources Administrative Assistant

Catholic Health System
05.2019 - 01.2020

Education Claims Examiner

Department Of Veteran Affairs
01.2019 - 11.2020

Associate of Applied Science - Mental Health Counseling

Erie Community College

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Luciana Anderson