This document provides a summary of Jamilio McClain's work experience and education. It lists his contact information and degrees earned. It then outlines his various roles in customer service, security, and healthcare reimbursement over the past 15 years. These roles have involved verifying insurance benefits, completing forms, answering questions, providing training, and managing customer accounts. His experience spans several industries and he possesses skills in communication, analysis, and policy/procedure compliance.

1. Jamilio McClain
510-697-9386 phone Mr.JrMcClain@gmail.com
Education:
6/92-5/96 Saint Mary’s College, Moraga, Ca, Bachelor of Arts, Psychology
Skills:
Knowledgeable of private and public payer insurance, Medicare
Customer Service management Experience
Experienced Reimbursement Counselor
Knowledgeable Pharmacy benefits manager including speciality pharmacy’s
Strong communicator
Experience/Responsibilities
ABM Industries 2/14-present
Project manager of the security team for the Apple Iphone 6 launch
Provide guidance, structure and supervise various security memebers
Flexible, willing to work on different projects
Strong analytical skills
Ensure compliance with all policy and procedures
Report writing and site patrol duties
Provide lost and found
Lash Group 11/13-2/14 Benefit Reimbursement Specialist-Nutropin
Verified patient benefits, completed data entry, and appropriate forms
Documented patient benefits coverage
Worked with public and private payers,(Medicaid, Government health insurance)
Obtained and applied authorizations for services
Providing assistance to patience and/or payers by answering questions
Allied Barton (San Francisco)06/12-06/13 Lobby Ambassador-Metropolitan/Ellington HOA
Performed security patrols on foot
Permitted authorized personel on sight
Observed personnel to make sure there was no theft of property
Responsible for guest relations, management of all facilities including activity room, swim and spa area
conference room, theatre, and business office
Provided customer service for guest
Experienced in HOA setting
Express Employment Costco (San Rafael) 05/12-06/12 Customer Sales Associate
Sales representative
Prospected new customers
Procured sales
Qualified leads
Presented solutions
Closed sales
Genentech 02/10-05/10 Consultant-Reimbursement Specialist
Investigated patient insurance benefits
Identified network providers, provider restrictions, co-pays as needed
Documented requirements for prior authorizations, medical review process and documented activities
Wrote reports for patients and providers
Pursued benefit coverage for patient
Maintained payer profiles by recording payer specific data promptly into computer system system
Collaborated with team members

2. US Census (Oakland Ca) 01/09-05/09 Customer Service-Enumerator
Responsible for updating and organizing address’s in local area.
Surveyedthe neighborhood
Updated information in computer system
Spoke with neighbors
Ruby Tuesdays (Atlanta GA) 08/07-12/08 Customer Service-Server
Provided fantastic customer service
Suggestively sold various items such as beverages, appetizers, entrees, and desserts.
Trained future servers with side by side techniques
Presented policy and procedures
Medicare, Medicaid Peachcare Program, Aetna Insurance(Atlanta, GA) 11/04 - 12/07 ACS
Provided training for projects
Managed Call Center
Responsible for training quality Assurance, claims, and banking departments
Trained new hires
Developed training material
Communicated new policies, quality assurance and interdepartmental changes
Verified medical benefits (private/public, insurance, secondary insurance), and pharmacy benefits
Investigated and researched member eligibility issues, problem provider claims and member insurance
concerns.
Lead trainer on the team that launched and executed Medicare part D
Processed claims
Answered member and provider questions, including payment, eligibility, registration
Appraisal Pro’s Self-Employed (Atlanta, GA) 04/03-11/04
Appraiser Provided assessments and other services for Appraisal pro’s
firm
Wrote reports, Analyzed data
Computed data,
Consulted with mortgage brokers and customers with home report information
Pepsico (Purchase, NY) 7/96-04/03 School Specialist/Account Manager
Outside sales experience
Duties included implementing sales program for school districts.
Grew top 100 school districts in the southeastern United States.
Developed new business,
Managed food service ditributors
Trained new associates
Managed key cutomers, ex. Subway, Marriott, Oakland Coliseum
References gladly furnished upon request.