At Centene Corporation, I investigated Medicare member and provider grievances, reviewing reported concerns, service histories, plan information, and supporting documentation to identify issues and next steps. I researched pharmacy-cost discrepancies, Medicare Part B concerns, and claims-related information, coordinating with internal partners to support accurate case resolution.
I documented case activities and resolutions in electronic systems, communicated with members, providers, and internal departments, and escalated sensitive or complex matters when appropriate. At PNC BANK, N.A., I researched customer account and transaction concerns, resolving routine issues or escalating complex cases under established policies.
