Brenda Palma
Ballston Spa,NY
Summary
Motivated professional seeking an opportunity with a growth-oriented company to leverage current abilities and acquire new skills.
Overview
21
21
years of professional experience
Work History
Claims Administrative Support
Progressive Insurance
Albany, NY
11.2022 - Current
- Enter and assign daily assignments of arbitrations and suits.
- Managed workload to meet or exceed productivity and quality standards.
- Assists with side projects as needed by management team members such as inventory transfers.
- Process payments for settled disputes in accordance with company policies and procedures.
Medical Claims Representative
Progressive Insurance
Albany, NY
01.2020 - 11.2022
- Reviewed medical records, police reports and other documents related to claim investigations.
- Determined reserves for each claim based on estimated costs of settlement or defense.
- Conducted interviews with claimants, witnesses and medical professionals to obtain additional information about the claim.
- Communicated effectively with policyholders, providing updates and explaining claim processes.
- Reviewed and processed medical billing related to injuries from a motor vehicle accident.
Sales Representative, Benefits Counselor and Enrollment Specialist
Colonial Life
Ballston Spa, NY
05.2015 - 12.2019
- Acquire new contracts with businesses providing their employees with voluntary benefits
- Counsel employees regarding their core and voluntary benefits
- Enroll core benefits and voluntary benefits on multiple platforms
- Part of the NET (National Enrollment Team) which allows me to travel and enroll businesses with both core and voluntary benefits nationwide
- Assist policy holders with their claims process
- Licenses currently held in New York, Vermont and Connecticut.
Financial Counselor
Saratoga Hospital
Saratoga Springs, NY
12.2009 - 07.2014
- Processed billing for the three health centers Saratoga Hospital owns in Galway, Saratoga and Schuylerville
- Process Worker's Compensation and No Fault billing
- Assist in processing billing for most other major insurance carriers both by paper and electronically
- Post insurance payments
- Assist patients with applying for our FAP (Financial Assistance Program)
- Handle the daily deposit for payments received from patients or insurance carriers for the three health Centers
- Acting Office facilitator which entails me to direct meetings with the patient accounts department relating to any issues or ideas any employees may have.
No Fault Claims Analyst
Travelers Insurance
Albany, NY
01.2005 - 05.2007
- Analyze and medically manage No Fault Claims
- Daily contact with policyholders regarding their claim
- Investigation of claims to determine coverage
- Contact medical providers for treatment information
- Send out all regulation forms within the NYS time frames
- Process billing within the NYS time frames
- Work closely with unit RN's to help in medically managing the claim
- Process lost wages
- Work closely with other lines of business daily such as Worker's Compensation and Property Damage.
Salvage Coordinator
Total Loss Department
03.2003 - 01.2005
- Provided support to the Total Loss Department and processed financial paper work for totaled vehicles sold to salvage yards
- Apply credits for salvage vehicles sold
- Process titles for salvage vehicles
- Assist claims adjusters and policy holders.
Education
High School Diploma -
Saratoga Springs High School
Saratoga Springs, NY06-1989
Skills
- Excellent interpersonal skills, phone manner, and office etiquette
- Software: Windows operating systems, Microsoft Word, Excel, Harmony, MEDENT
- Claims Investigation
- Claims Processing
- Insurance knowledge
- Payments posting
- Medical terminology knowledge
- Policy Review
- Medical Terminology
References
References furnished upon request.
Training
- Completed a one week training class in Tampa, Fl. for 1st Party Medical Management
- Completed many in-house training regarding coverage, lost wages, file handling, medically managing claims and other lines of business
- Completed the I-Care Customer Service Course
Timeline
Claims Administrative Support
Progressive Insurance
11.2022 - Current
Medical Claims Representative
Progressive Insurance
01.2020 - 11.2022
Sales Representative, Benefits Counselor and Enrollment Specialist
Colonial Life
05.2015 - 12.2019
Financial Counselor
Saratoga Hospital
12.2009 - 07.2014
No Fault Claims Analyst
Travelers Insurance
01.2005 - 05.2007
Salvage Coordinator
Total Loss Department
03.2003 - 01.2005
High School Diploma -
Saratoga Springs High School
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