David Fogliasso
Redding,CA
Summary
Senior claims processor and trainer with 20+ years of experience in medical claims, HIPAA compliance, and employee onboarding. Known for accurate claim resolution, clear communication, and practical training materials.
Overview
23
23
years of professional experience
Work History
Senior Processor/Trainer
Blue Shield of CA
Redding, California
04.2003 - 03.2026
- Developed comprehensive training materials to facilitate effective employee onboarding and classroom instruction.
- Delivered hands-on training on company procedures and workplace expectations.
- Conducted onboarding sessions to orient new staff members about company policies and procedures.
- Trained newly hired top talent to fill key positions and maximize productivity.
- Assessed learner progress during sessions and adjusted instruction methods.
- Adapted teaching methods according to the needs of individual learners or groups.
- Provided constructive feedback and positive reinforcement to keep trainees motivated.
- Supported supervisors with training schedules, attendance, and session coordination.
- Proposed actionable changes to enhance existing training processes.
- Processed medical claims using Blue Shield of California systems and benefit guidelines.
- Resolved claim errors by reviewing provider records and policy requirements.
- Followed HIPAA standards while managing sensitive health plan information.
- Escalated complex cases and guided junior processors to enhance workflow efficiency.
- Maintained accurate documentation for audits, appeals, and claim file reviews.
Education
Master of Science - Master of Accountancy
University of Arizona Global Campus
Tucson, AZ10-2021
Skills
- Claims processing
- Claims systems
- Benefit guidelines
- Medical claims
- HIPAA compliance
- Audit documentation
- Training materials
- Employee training
- Workflow optimization
- Problem solving
- Attention to detail
- Effective communication
Timeline
Senior Processor/Trainer
Blue Shield of CA
04.2003 - 03.2026
Master of Science - Master of Accountancy
University of Arizona Global Campus