Experience

Injured Workers Pharmacy

• United States
• Pharmaceutical Manufacturing
• 100 - 200 Employee

• Claims Resolution Specialist I

  • Apr 2019 - Present

  • Serve as a primary liaison between insurance carriers, pharmacy benefit managers, patients, and internal departments • Monitor and review claims and establish a plan of action to achieve favorable claim resolution for claims • Utilize internal systems for data collection and log all pertinent information to maintain an audit score of 90% or higher • Assist in training new team members • Collaborated with an internal team to review and update training materials and audit guidelines for the department, improving guideline adherence by 80% • Developed a spreadsheet to collect data on underpayments received to collaborate with the litigation team, providing more than $500K in opportunities for recovery Show less



The Second Step

• United States
• Civic and Social Organizations
• 1 - 100 Employee

• Housing Advocate

  • Oct 2018 - Feb 2019

  • Conducted intensive housing searches with survivors of domestic violence in both transitional shelter and community programs • Helped clients obtain social services by assisting with forms and coordinating referral processes across various programs • Advocated on behalf of clients with housing agencies to address barriers to housing • Compiled up-to-date records through required documentation and data to maintain 83% client participation • Acted as liaison between the agency and community resources to discuss client barriers and needs • Educated clients on both housing and financial topics through workshops designed to help maintain self-sufficiency Show less



AIDS Action Committee

• United States
• Non-profit Organization Management
• 1 - 100 Employee

• Scattered Site Stabilization Advocate

  • Aug 2017 - Sep 2018

  • Assisted 28 HIV/AIDS-diagnosed formerly homeless individuals to sustain stabilized housing by providing intensive home-based case management services • Maintained up-to-date confidential records through all required paperwork including assessments, progress notes, individual service plans, and electronic submission of client data • Acted as an advocate for clients' various housing and medical needs to address barriers to services and optimize health and housing outcomes • Collaborated with outside agencies by acting as liaison to ensure client access to necessary resources within low-threshold, harm reduction framework • Attended multiple trainings both in-house and off-site to continue to grow skillset in working with various vulnerable populations in a low-threshold, harm reduction manner Show less