Summary
Overview
Work History
Education
Skills
Timeline
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Quiesseence Polk

Manvel,TX

Summary

Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Overview

23
23
years of professional experience

Work History

Independent Insurance Adjuster Manager

EA Renfroe
09.2022 - 08.2023

- Lead and managed a team of 10 Independent Adjusters, by providing hands- on training/coaching, complying with industry standards, monitoring claim activities, conducting investigations and inspections, and granted settlement authority for auto mobile claims.

- Played an integral role in driving quality goals, performance objectives and remarkable customer experiences.

- Monitored calls, performed claim audit, and reviewed reports to identify trends, coaching opportunities, and outliers, ensuring effective claim handing and quality control.

- Prepared and conducted performance assessments and disciplinary actions, while reviewing claims on a regular basis in accordance with company policy.

-Acted as the key point person and go-to resource for answering claim questions, reviewing correspondence, and providing counsel on further action.

- Resolved coverage issues, conducted research, and applied knowledge to adjuster files and statutory laws.

- Handles customer concerns and escalations

Insurance Appraiser

EA Renfroe
08.2021 - 08.2022
  • Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
  • Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
  • Kept current on insurance regulations, laws, policies and procedures.
  • Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
  • Reviewed photos of Insured damages and prepared an estimate. Went over my findings with local shops and came to a resolution on repairing Insured vehicle
  • Prepared estimates using CCC1
  • Settle total loss claims with customers
  • Ensuring that claims are genuine
  • Identifying fraud

Independent Insurance Desk Agent

EA Renfroe
11.2020 - 07.2021
  • Provided exceptional support and service to a diverse customer base, by reviewing new claims, confirming eligibility, making outbound calls, explaining coverages, drafting.
  • Investigated and processed claims swiftly to keep customers satisfied.
  • Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
  • Responded to customer calls swiftly to resolve issues and answer questions.
  • Investigated, evaluated, negotiated, and settled weather catastrophe claims.
  • Surpassed all metrics in role for 4.29 calls per hour, average handle time below 12 minutes, average wrap time under 6 minutes, and 18 closed claims per week.
  • Identified subrogation situations and initiated recovery efforts as needed.
  • Identified loss that has occurred, provided empathy, explained the claims process in a manner that fits the needs of the customer, and set proper expectations throughout the life cycle of the claim.
  • Set up applicable Inspections
  • Review damage appraisals for accuracy and payment
  • Initiated rental car and towing services as needed
  • Document claim activities in file notes in clear, complete, and concise manner.

Lead IV Pharmacy Technician

St. Luke's Episcopal Hospital
07.2017 - 10.2020
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Trained new hires on how to properly scrub into the sterile area, proper techniques on compounding medication and Chemo medication
  • Kept proper pharmacy files when batching medications
  • Resolved problem areas and ensured on-time delivery of medication to nursing units.
  • Performed monthly checks on all nursing units to ensure temperature checks for storing medication and pulling expired meds returning to pharmacy to properly dispose.

Overnight Pharmacy Technician

Memorial Hermann Hospital
09.2014 - 07.2017
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Trained new hires on how to properly scrub into the sterile area, proper techniques on compounding medication and Chemo medication
  • Kept proper pharmacy files when batching medications
  • Resolved problem areas and ensured on-time delivery of medication to nursing units.
  • Performed monthly checks on all nursing units to ensure temperature checks for storing medication and pulling expired meds returning to pharmacy to properly dispose.

Licensed Pharmacy Technician

Methodist North Hospital
01.2012 - 08.2014
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Entered and processed patients' prescriptions into internal system.
  • Restocked nursing units PYXIS machines with commonly stock medications
  • Pulled expired medications from nursing units and returned to pharmacy to properly dispose.
  • Delivered STAT medications to nursing units
  • Restocked crash carts after use

Lead IV Pharmacy Technician

Harris Health Ben Taub Hospital
03.2006 - 01.2012
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Trained new hires on how to properly scrub into the sterile area, proper techniques on compounding medication and Chemo medication
  • Kept proper pharmacy files when batching medications
  • Resolved problem areas and ensured on-time delivery of medication to nursing units.
  • Performed monthly checks on all nursing units to ensure temperature checks for storing medication and pulling expired meds returning to pharmacy to properly dispose.

Licensed Pharmacy Technician

Walgreen's Pharmacy
08.2000 - 04.2006
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Entered and processed patients' prescriptions into internal system.
  • Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Collected co-payments or full payments from customers.
  • Stocked, labeled, and inventoried medication to keep accurate records.
  • Assisted pharmacist by filling prescriptions for customers and responding to patient questions regarding prescription and medication-specific issues.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Counted, measured and compounded medications following standard procedures.

Education

Associate of Applied Science - Respiratory Therapy

Pima Medical Institute
Tucson, AZ
10.2018

Skills

  • Claims File Management Processes
  • Deductible Collection
  • Legal Processes
  • Policy Investigations
  • Customer Satisfaction
  • Database Management
  • Verify Data

Timeline

Independent Insurance Adjuster Manager

EA Renfroe
09.2022 - 08.2023

Insurance Appraiser

EA Renfroe
08.2021 - 08.2022

Independent Insurance Desk Agent

EA Renfroe
11.2020 - 07.2021

Lead IV Pharmacy Technician

St. Luke's Episcopal Hospital
07.2017 - 10.2020

Overnight Pharmacy Technician

Memorial Hermann Hospital
09.2014 - 07.2017

Licensed Pharmacy Technician

Methodist North Hospital
01.2012 - 08.2014

Lead IV Pharmacy Technician

Harris Health Ben Taub Hospital
03.2006 - 01.2012

Licensed Pharmacy Technician

Walgreen's Pharmacy
08.2000 - 04.2006

Associate of Applied Science - Respiratory Therapy

Pima Medical Institute
Quiesseence Polk