Amanda Coluccio
Poughkeepsie,NY
Summary
Detail-oriented Claims Specialist known for optimizing claims handling and maintaining compliance with reporting policies. Committed to improving claims management processes and facilitating effective recovery programs. Multiple years of administrative duties on top of Claims Specialist experience.
Overview
14
14
years of professional experience
Work History
Claims Specialist
Healthcare Services Group
Bensalem, Pennsylvania
03.2018 - 07.2026
- Completion of claim handling that drives appropriate loss and expense outcomes
- Facilitated WC claim closures, enhancing overall claims management efficiency
- Managed injured worker outreach program to support recovery and return-to-work initiatives
- Verified Field Operations were following Return-to-Work Policy and Procedures
- Coordinated and managed medical case management vendor; designates involvement at the time of reporting
- Provided oversight for workers' compensation cases for non-litigated cases within assigned territory
- Acted as a liaison between HCSG and claims organizations (WC Carriers and/or TPAs)
- Maintained tracking system for incident follow-up to ensure timely resolution
- Maintained compliance with incident reporting policies and procedures
- Assists with review and internal/external reporting determination of workplace incidents
Customer Service
Edward Berger Bridal Millinery
Trenton, NJ
08.2012 - 03.2018
- Handle incoming client calls/messages.
- Collaborated with clients to resolve invoice and order issues
- Resolve client order issues
- Enter client orders into order entry system
- Guided management in meeting client order requests
- Match invoices to order validating accuracy and/or recognizing discrepancies
- Process charges to client credit cards
- Processed client account credits
- Run inventory reports for management
Education
Studies - Medical Billing And Coding
Sanford-Brown Institute
Trevose, PA06-2011
Some College (No Degree) -
Bucks County Community College
Newtown, PASkills
- Claims processing
- Loss management
- Medical case management
- Policy compliance
- Incident reporting
- Customer relationship management
- Data analysis tools
- Claims management software
- Salesforce program
- Workers' compensation
Timeline
Claims Specialist
Healthcare Services Group
03.2018 - 07.2026
Customer Service
Edward Berger Bridal Millinery
08.2012 - 03.2018
Studies - Medical Billing And Coding
Sanford-Brown Institute
Some College (No Degree) -
Bucks County Community College