Domenique Rotondo
Smithfield
Summary
Professional in claims management, equipped to drive accurate and efficient claim resolutions. Proven track record in handling diverse cases and ensuring compliance with regulatory standards. Known for strong team collaboration and adaptability, bringing valuable problem-solving skills and reliability to every project.
Overview
10
10
years of professional experience
Work History
Medical Only Claims Examiner
Markel Insurance Company
10.2024 - Current
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Claims Associate
Markel Insurance Company
04.2023 - 10.2024
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of claims handling.
- Participated in cross-functional projects and initiatives, leveraging claims expertise to support company-wide objectives.
- Developed in-depth understanding of insurance policies and procedures.
- Generated, posted and attached information to claim files.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Administrative Assistant
The Egis Group
10.2022 - 04.2023
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
Server/Bar Tender
Applebees Bar and Grill
09.2020 - 10.2022
- Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
- Served food and beverages promptly with focused attention to customer needs.
- Worked with POS system to place orders, manage bills, and handle complimentary items.
- Collaborated with team members during busy shifts for efficient workflow and excellent guest experiences.
- Cultivated warm relationships with regular customers.
PSR
Koch Eye Associates
11.2020 - 04.2021
- Took copayments and compiled daily financial records.
- Reviewed and corrected claim errors to facilitate smooth processing.
- Assisted patients in filling out check-in and payment paperwork.
- Used [Software] to schedule appointments.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Organized patient records and database to facilitate information storage and retrieval.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Facilitated communication between patients and various departments and staff.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
Lead Teacher
Pumpkin Patch Early Learning Center
08.2015 - 11.2020
- Chose optimum curriculum for each class and devised creative daily lesson plans to meet requirements and needs of different learners.
- Created after-school program to enhance student involvement in school processes.
- Designed lesson plans for teaching staff and worked closely with administration for compliance with state curricula.
- Maintained detailed records of attendance, test scores and assignment grades for each student to identify trends and rectify issues.
- Worked one-on-one with students and student teachers to increase overall classroom success.
- Communicated frequently with parents about student growth and progress, recommending at-home reinforcement to support struggling students.
- Maintained patience and level-headedness in diverse situations to support student development and personal growth.
- Conferred with parents about student progress to boost family involvement and enhance student support.
- Guided student teachers and teaching aides in classroom management, leading by example and thoroughly answering questions.
Education
No Degree - Teachers Assistant Certificate
CCRI
High School Diploma -
Cranston High School West
Cranston, RI06.2011
Skills
- Claims processing
- Verbal communication
- Data verification
- Customer service
- Critical thinking
- Data entry
- Strong work ethic
- Computer skills
- Office administration
- Time management
Timeline
Medical Only Claims Examiner
Markel Insurance Company
10.2024 - Current
Claims Associate
Markel Insurance Company
04.2023 - 10.2024
Administrative Assistant
The Egis Group
10.2022 - 04.2023
PSR
Koch Eye Associates
11.2020 - 04.2021
Server/Bar Tender
Applebees Bar and Grill
09.2020 - 10.2022
Lead Teacher
Pumpkin Patch Early Learning Center
08.2015 - 11.2020
High School Diploma -
Cranston High School West
No Degree - Teachers Assistant Certificate
CCRI
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