Summary
Overview
Work History
Education
Skills
Timeline
Generic

Carla Gianfrancesco-Tipler

Allison Park,PA

Summary

Accomplished Insurance Claims Specialist at Henderson Brothers, Inc., adept in claims processing and documentation, with a proven track record in enhancing team efficiency and customer satisfaction. Excelled in data analysis and conflict resolution, demonstrating exceptional organizational skills and a commitment to detail. Renowned for fostering collaborative environments and achieving significant service goals.

Overview

17
17
years of professional experience

Work History

Insurance Claims Specialist

Henderson Brothers, Inc.
Pittsburgh, PA
03.2015 - 11.2024
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Organized, updated, and maintained information by using spreadsheets, databases, or word processing applications.
  • Maintained detailed records of all claim activities including correspondence, decisions, payments and provided status updates.
  • Collaborated with fellow team members to manage large, complex claims.
  • Provided support and guidance to colleagues to maintain a collaborative work environment to achieve project objectives, goals, and meet deadlines through the use of effective interpersonal and people skills.
  • Maintained updated insurance knowledge through continuing education and advanced training sessions conducted by management and providers on the different types of policies, meaning of the language within, types of claims, products and services.
  • Assisted customers in filing new insurance claims by preparing and reviewing claim forms and documents, ensuring the accuracy and completeness of information.
  • Assisted management, producers, clients, claimants, and providers with identifying needs, problems, account status changes, questions, or requests for additional documentation regarding claims promptly and efficiently.

Administrative Assistant

Environmental Data Services
Pittsburgh, PA
02.2010 - 02.2015
  • Compiled data from various sources into organized reports for review by management team.
  • Organized files, faxed reports, and scanned documents, in an organized fashion.
  • Composed letters, memos, reports, spreadsheets, emails, presentations, and other written correspondence using Microsoft Word and Microsoft Excel.
  • Updated system to organize office documentation, maximizing efficiency and increasing productivity.
  • Worked effectively in team environments to make the workplace more productive.
  • Answered phone calls and emails to provide information, resulting in effective business correspondence.
  • Managed inventory and supplies to ensure materials were available when needed.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.

Office Manager

Third Generation Electric
Pittsburgh, PA
01.2008 - 01.2010
  • Answered phone calls, responded to emails, routed mail, and greeting customers in a professional friendly manner.
  • Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
  • Performed bookkeeping duties such as reconciling bank statements, writing checks, paying bills, paying vendors, creating journal entries, coding and entering daily invoices using Quick Books Accounting software.
  • Administered payroll and maintained proper documentation of employee personnel.
  • Provided administrative support to management team including preparing reports and presentations using Microsoft word and excel.
  • Reviewed files and records to obtain information and respond to requests.
  • Managed office budget to handle inventory, postage, vendor services, ordered supplies and equipment to maintain adequate inventory levels.
  • Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.

Education

Associate of Applied Science - Cosmetology / Teacher

Pittsburgh Beauty Academy
Pittsburgh
05-1989

High School Diploma -

Shaler Area
Pittsburgh
06-1985

Some College (No Degree) - Nursing

Community College of Allegheny County
Pittsburgh, PA

Skills

  • Attention to detail
  • Excellent verbal and written communication skills
  • Organizational, time management, and prioritizing skills
  • Records management and Data analysis
  • Teamwork and multitasking skills
  • Customer service and conflict resolution skills
  • Claims and documentation processing
  • Proficient in Microsoft word, Excel, Power Point and Applied EPIC system

Timeline

Insurance Claims Specialist

Henderson Brothers, Inc.
03.2015 - 11.2024

Administrative Assistant

Environmental Data Services
02.2010 - 02.2015

Office Manager

Third Generation Electric
01.2008 - 01.2010

Associate of Applied Science - Cosmetology / Teacher

Pittsburgh Beauty Academy

High School Diploma -

Shaler Area

Some College (No Degree) - Nursing

Community College of Allegheny County
Carla Gianfrancesco-Tipler