Summary
Overview
Work History
Education
Skills
Timeline
Generic

Sara Eisner

Virginia Beach

Summary

Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.

Overview

8
8
years of professional experience

Work History

Customer Service Representative

RxSense
09.2023 - Current
  • Handle inbound calls related to pharmacy benefits, including plan coverage, prior authorizations, and copay assistance.
  • Provide support for SingleCare discount card inquiries, ensuring patients receive accurate drug pricing and pharmacy availability.
  • Troubleshoot issues related to pharmacy claims and benefit verifications for both members and providers.
  • Maintain quality and performance metrics including AHT, knowledge checks, ACW, and quality assurance.
  • Assisted on the quality assurance team reviewing calls and completing coaching with new and tenured members of the team.


Phlebotomist

LabCorp
04.2023 - 09.2023
  • Performed venipunctures and specimen collection in compliance with CDC and LabCorp safety standards.
  • Communicated effectively with patients and medical staff to ensure high-quality patient care.
  • Maintained accurate labeling and data entry for lab specimens, supporting lab workflow efficiency.

Bodily Injury Claims Adjuster

AllState
01.2022 - 11.2022
  • Managed injury claims from first notice of loss through settlement, ensuring compliance with state regulations.
  • Investigated liability and medical documentation to determine claim validity and negotiate settlements.
  • Collaborated with legal, medical, and claims teams to ensure timely and fair resolution of injury cases.
  • Interpreted policy details and recommended most favorable course of action.

Auto Claims Adjuster

Progressive
03.2021 - 09.2021
  • Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
  • Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
  • Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
  • Kept current on insurance regulations, laws, policies and procedures.

Auto Claims Adjuster

USAA Insurance
04.2017 - 03.2021
  • Handled complex auto damage and liability claims, maintaining high customer satisfaction.
  • Served as a Subject Matter Expert (SME), supporting training initiatives and assisting peers with escalated issues.
  • Contributed to process improvement by identifying trends and proposing workflow enhancements.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.

Education

Certificate - Medical Assisting

Stepful
Remote
05-2025

Certification - Phlebotomy

Phlebotomy Training Specialtist
Augusta
12-2022

Princess Anne High School
Virginia Beach
06-2013

Skills

  • Inbound and outbound calling
  • Claims file documentation
  • Settlement management
  • Insurance policy coverage expertise

Timeline

Customer Service Representative

RxSense
09.2023 - Current

Phlebotomist

LabCorp
04.2023 - 09.2023

Bodily Injury Claims Adjuster

AllState
01.2022 - 11.2022

Auto Claims Adjuster

Progressive
03.2021 - 09.2021

Auto Claims Adjuster

USAA Insurance
04.2017 - 03.2021

Certificate - Medical Assisting

Stepful

Certification - Phlebotomy

Phlebotomy Training Specialtist

Princess Anne High School

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Sara Eisner