SHARDONE FRANK
Licensed Claims Adjuster
Douglasville,GA
Summary
Pharmacy Technician with 8 years of retail and hospital pharmacy experience. Self-starter with extensive knowledge of Medicaid and Medicare procedures. Seeking to contribute to the organization’s success with exceptional customer service skills, pharmacology, dispensing, and compounding medications. Pharmacy Order Entry Technician with excellent data entry skills and telephone etiquette. Detail-oriented and focused on accuracy and efficiency. Licenses In good standing with the Georgia Board of Pharmacy.
Licensed independent insurance adjuster with 2 years of auto claims handling experience. Searching for a Claims Adjuster position with a company to utilize strengths in customer service, communication assessing damage and determining repair cost. Claims Adjuster who is detailed oriented, an efficient worker, with great leadership and communication skills.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Licensed Claims Adjuster
State Farm Mutual Auto Insurance
09.2021 - 05.2023
- Determines coverages, attempts to phone scoop and new loses from desk
- Communicate with insureds and claimants for claim status updates
- Communicate with lien holders, service providers, and other insurance carriers
- Issue settlement payments
- Review claims, estimates, and photos to ensure quality
- Review vehicle evaluations for missing options/ conditioning review
- Contact to repair facilities for supplements.
- Managed over 50 customer calls per day
- Prepared summaries of damage, payments, and policy coverage
- Answered customer questions regarding deductibles
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records
- Investigated and assessed damage to property and reviewed property damage estimates
Pharmacy Technician
The Apothecary Shoppe Pharmacy
04.2018 - 01.2021
- Assisted patients in minimizing medical expenses by recommending generic alternative prescription medications
- Counted, measured, and compounded medications following standard procedures
- Resolved non-routine issues like third-party billing, computer system and customer service issues
- Consulted with insurance company representatives to complete claims processing, resolve concerns and reconcile payments
- Answered incoming phone calls and addressed questions from customers and healthcare providers
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
- Filled over 50 scripts per day along side pharmacist and other technicians.
Bartender
Applebee's
09.2012 - 08.2019
- Maintained full knowledge of bar and menu items and made recommendations
- Delivered food and beverage orders within established timeframes
- Prepared mixed drinks; poured wine, beer and nonalcoholic beverages
- Upheld high standard of cleanliness in all work areas
- Served each guest with sincere, positive, pleasant and enthusiastic attitude
- Developed unique drink and cocktail offerings to enhance bar reputation
- Managed accurate register and produced daily sales reports backing up inventory usage numbers.
- Able to service full bar plus tabletops with no bar-back.
- Served high customer volumes during special events, nights, and weekends
- Trained new bartenders on drink preparation, product promotion, garnish preparation, and sanitation protocol
- Adhered to state laws regarding alcoholic beverage services and customer regulations
- Upsold menu items to customers, driving up per sale revenues and maximizing profits
- Organized bar inventory and storage procedures to keep stock within optimal levels and meet expected customer demands
Pharmacy Technician
Walgreens
01.2014 - 10.2018
- Entered new patient profiles and prescriptions into medication input software system
- Communicated directly with doctors' offices via telephone, fax and email
- Provided friendly customer service at prescription drop-off and pick-up counters
- Maintained drug inventory levels by ordering necessary medications and supplies and verifying deliveries against purchase orders
- Verified patient data and billing information
- Precisely processed third party prescriptions and managed adjudication review
- Maintained proper inventory levels, rotated stock and immediately complied with prescription drug recalls.
- Filled over 100 prescriptions daily.
Pharmacy Technician
Grady Memorial Hospital
02.2017 - 04.2018
- Stocked, labeled and inventoried medication to keep accurate records
- Calculated dosages filled prescriptions and prepared prescription labels with absolute accuracy
- Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency and service quality
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient
- Communicated with prescribers to verify medication dosages, refill authorizations and patient information
- Counted, measured and compounded medications following standard procedures
- Maintained proper drug storage procedures, registries, and records for controlled drugs
- Checked medication bottles for proper labeling before allocating to patients.
- Coordinated verification and filling of more than 100 daily prescriptions in high-volume inpatient hospital pharmacy environment
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy
- Stocked, labeled, and inventoried medication to keep accurate records
- Counted, measured, and compounded medications following standard procedures
- Resolved third-party billing, computer system and customer service issues
- Set up and modified patient profiles to include current medications and insurance details
Education
Associates - Pharmacy Tech, Pharmacy Technology, Pharmacology and Pharmacy Law
01.2013
GPA: 3.0
Skills
- Exceptional patient care and interaction
- Reliable and punctual
- Extensive medical terminology knowledge
- Expert understanding of Medicare and Medicaid
- Pharmaceutical distribution familiarity
- Processes Drug distribution professional
- Strong background in FDA drug safety guidelines
- Abbreviations comprehension
- Inventory control procedures
- Billing
- Decision-making
- Email/Fax
- Inventory levels
- Inventory control
- Medical terminology
- Patient care
- Restaurant experience
- Safety
- Telephone etiquette
- Advanced math skills
- Updating medication histories
- Drug inventory management
- FDA Drug Safety Guidelines
- HIPAA
- Typing medication labels
- Multitasking
- Patient confidentiality
- Highly Motivated
- Strong Interpersonal and Communication Skills
- Claims Processing
- Advanced Computer Skills
- CCC Reports
- Automobile Claims Specialist
- Insurance Policy Coverage Knowledge
- Team Collaboration
- Policy Understanding
- Decision-Making
- Settlement Negotiation
- Settlement Determinations
- Insurance Claims Review
- Conflict Resolution
- Flexible Schedule
Timeline
Licensed Claims Adjuster - State Farm Mutual Auto Insurance
09.2021 - 05.2023
Pharmacy Technician - The Apothecary Shoppe Pharmacy
04.2018 - 01.2021
Pharmacy Technician - Grady Memorial Hospital
02.2017 - 04.2018
Pharmacy Technician - Walgreens
01.2014 - 10.2018
Bartender - Applebee's
09.2012 - 08.2019
Brown Mackie College - Associates, Pharmacy Tech, Pharmacy Technology, Pharmacology and Pharmacy Law
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