Summary
Overview
Work History
Education
Skills
Timeline
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Darlene Gullatta

Independence,OH

Summary

Results-driven professional with extensive experience at Sedgwick CMS, excelling in insurance claims review and documentation accuracy. Proven ability to mentor teams and enhance processes, demonstrating strong problem-solving skills and attention to detail. Adept at managing high-volume caseloads while ensuring compliance and delivering exceptional customer service.

Diligent claims associate with solid background in processing and analyzing claims. Demonstrates proficiency in managing complex cases and ensuring accurate documentation. Skilled in problem-solving and effective communication to resolve disputes efficiently.

Results-driven claims professional with strong analytical skills and keen eye for detail. Adept in processing claims efficiently while ensuring accuracy and compliance with regulations. Known for fostering team collaboration and adapting to changing requirements seamlessly. Dependable, focused, and skilled in conflict resolution and customer service.

Overview

19
19
years of professional experience

Work History

Claims Associate

Sedgwick CMS
10.2019 - Current
  • Analyzed claims data to identify discrepancies and ensure accurate processing. C
  • Coordinated with internal teams to resolve complex claim issues efficiently.
  • Reviewed documentation for compliance with company policies and industry regulations.
  • Mentored junior associates on best practices in claims management and resolution.
  • Developed training materials to enhance team understanding of claims processes and systems.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Managed high-volume claim caseloads, ensuring accurate documentation and adherence to company policies.
  • Supported risk management efforts by analyzing trends in claim data to identify potential areas of concern or opportunity for improvement.
  • Verified client information by analyzing existing evidence on file.
  • Generated, posted and attached information to claim files.
  • Checked documentation for accuracy and validity on updated systems.
  • Collected all documents needed to bill Claims
  • Used software to find Parties and insurance information
  • Ordered Police Reports through software
  • Ensured compliance with relevant regulations and industry standards throughout all aspects of the billing process.
  • Responded to customer concerns and questions on daily basis.
  • Checked insurance eligibility using software
  • Completed on average 50 claims a day.

Purchasing Manager

GS Steel
03.2006 - 06.2019
  • Developed and implemented purchasing strategies to optimize supply chain efficiency.
  • Negotiated contracts with suppliers to secure favorable terms and reduce costs.
  • Managed vendor relationships, ensuring compliance with quality standards and delivery schedules.
  • Sourced vendors, built relationships, and negotiated prices.
  • Purchased new products and oversaw inventory stocking and availability.
  • Managed supplier relationships to ensure timely delivery of products and services.
  • Used Microsoft Office to authorize and monitor purchase orders and consumables.
  • Monitored and evaluated vendor performance to determine compliance with quality standards.
  • Generated reports, documents and analysis in Microsoft Excel for senior management review and approval.

Education

High School Diploma -

Crestwood
Mantua, OH
06.1986

Skills

  • Microsoft office
  • Insurance claims review
  • Teamwork and collaboration
  • Customer service
  • Attention to detail
  • Data entry
  • Data entry software
  • Great mathematical skills
  • Billing software Voyager
  • Problem-solving abilities
  • Multitasking
  • Reliability
  • Excellent communication
  • Organizational skills

Timeline

Claims Associate

Sedgwick CMS
10.2019 - Current

Purchasing Manager

GS Steel
03.2006 - 06.2019

High School Diploma -

Crestwood

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