Shaun Anderson

• Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
• Calculated adjustments, premiums and refunds.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.

Handled initial investigation and facilitated negotiations in addition to settlements of assigned auto claims.

Effectively handled call center claims processing and customer service inquiries via the telephone and/or email to resolve client concerns. Started claims processing when customers called in to report an auto or homeowner claim.

• Followed up with customers on unresolved issues.
• Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
• Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
• Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.

• Set up and modified patient profiles to include current medications and insurance details.
• Improved patient satisfaction by providing exceptional customer service and efficiently filling prescriptions.
• Assisted pharmacists with compounding medications, adhering to strict guidelines for proper preparation and dosage measurement.
• Conducted regular inspections of pharmacy equipment, promptly reporting any malfunctions or issues to management to minimize downtime.
• Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
• Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.