Open To Work
GINA GIGLIO
Peoria,AZ
Work Preference
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
1
1
Certification
20
20
years of professional experience
Work History
Claims Assistant/Advocate & Assistant to Vice President of Claims
ALLIANT INSURANCE SERVICES
Phoenix, AZ
01.2013 - 12.2019
- Remotely assisted VP of Claims while independently administering claims across multiple insurance lines for mid-sized and large national accounts.
- Managed scheduling, appointments, document control, presentation preparation, and incoming calls for VP of Claims.
- This involved analyzing, reporting, monitoring, reserving, and advocating claims on behalf of clients with adjusters/carriers.
- Provided personal claims support to reduce costs and frequency of claims.
- Continually sought to achieve the best possible outcomes by reviewing potential subrogation recovery and with favorable settlement negotiations.
- Also led quarterly claims reviews for local account.
- Trained new hires on the claims process.
- Advocated for client with TPA to resolve billing issues, ensuring timely resolution and client satisfaction.
- Identified billing discrepancies, amended invoices or reimbursed accounts, and documented changes for accuracy.
Accounts Payable Technician
TRIWEST HEALTHCARE ALLIANCE
Phoenix, AZ
01.2008 - 12.2013
- Fulfilled A/P contract requirements for Department of Defense (DoD) client account, ensuring compliance and accuracy.
- Managed weekly payment processing of over 700 transactions to ensure timely financial operations.
- Processed payroll garnishments, tax payments, tuition reimbursements, healthcare refunds, medical record invoices, rents, and utilities—while meticulously adhering to Government Accounting Standards.
- Coded items to corresponding project, general ledger account, and cost centers.
- Secured W-9s and 501(c)(3) documents, streamlining process across team and stakeholders for improved documentation management.
- Established and implemented escheatment process for unclaimed property to ensure timely compliance with regulatory requirements.
- Led development of permanent vendor records to improve efficiency and productivity.
- Assisted other internal departments during downtime with contract management, receivable reimbursements, and account reconciliation.
- Coordinated military’s medical benefits program, TRICARE, across 90 locations in 21 states.
Field/Jobsite Administrative Assistant
ROSENDIN ELECTRIC
Vallejo, CA
01.2007 - 12.2008
- Coordinated HR activities for electrical contractor during expansion project at Kaiser Permanente Hospital, ensuring smooth workflow and compliance.
- Managed payroll support, record keeping, employee file maintenance, correspondence, reporting, equipment management, and scheduling to streamline administrative processes.
- Directly supported Senior Project Manager and Project General Foreman while also assisting field employees.
- Onboarded employees and prepared new hire paperwork; ensured completion of safety training and acquisition of safety gear.
- Processed termination and layoff paperwork in accordance with company policy and state regulations to maintain compliance.
California Workers’ Compensation Claims Adjuster
TRAVELERS
Walnut Creek, CA
01.2003 - 01.2004
- Investigated workers' compensation claims to determine eligibility and extent of coverage.
- Facilitated communication between claimants, medical providers, and legal representatives to ensure clarity and resolution of claims.
- Investigated claims to determine liability and gather necessary documentation.
- Identified potential fraud indicators by analyzing trends in claims data, enhancing risk management strategies.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Reviewed medical records, interviewed employers and claimants, analyzed wage loss calculations, and reviewed evidence for accuracy.
- Managed communication between claimants, medical providers, and legal representatives.
- Coordinated with medical professionals to arrange treatment for injured claimants and provide relevant information to medical offices regarding policy coverage and claimant work conditions.
- Monitored claim progress and issued appropriate notices to maintain continued progress on claim processing and eliminate liability to company.
- Negotiated settlements between claimants and employers or insurers, achieving fair resolutions and minimizing disputes.
- Processed benefit payments in accordance with applicable laws and regulations.
- Calculated amounts owed to claimants and issued company checks for appropriate compensation to close claims completely.
- Analyzed trends in claims data to identify potential fraud indicators.
- Negotiated settlements between claimants and employers or insurers.
Workers Compensation Claims Assistant
SAFEWAY
Walnut Creek, CA
01.2000 - 06.2003
- Reviewed workers' compensation claims for accuracy and completeness.
- Calculated benefits due in compliance with laws, policies, and guidelines to ensure accurate claim resolution.
- Assisted in processing claims to ensure timely resolution.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Ensured proper coding was used when entering data into system databases.
- Coordinated with third-party vendors to obtain additional documentation when necessary.
- Handled sensitive information in accordance with company policy and HIPAA regulations.
- Supported team members with administrative tasks to facilitate smooth operations.
Education
Medical Terminology and Human Diseases -
SOLANO COMMUNITY COLLEGE
Fairfield, CAWorker's Compensation Claims Administrator Certification Courses - WCCA 10 and WCCA 11
IEA AND THE INSTITUTES
Skills
- Claims Management
- Claims Review
- Claims Investigation
- Claims Support
- Regulatory Compliance
- Regulatory Standards
- Policy Interpretation
- Policy Verification
- Policy Limits
- Financial Processing
- Invoice Reconciliation
- Accounts Payable
- Document Management
- Calendar Management
- Data Entry
- Project Management
- Process Improvement
- Time Management
- Communication Skills
- Collaborative Relations
- Problem Solving
- Detail-Oriented
- Analytical Skills
- Decision-Making
- Task Prioritization
- Multitasking
- Data Privacy
- EPIC
- Oracle PeopleSoft
- Microsoft Office
- Google Apps
- MacOS Applications
- Mail Handling
- Workers' Compensation
- Commercial Auto
- General Liability
- Commercial Property
- Inland Marine
- Professional Liability
Certification
- Arizona Property & Casualty Producer License, 9091662, 01/31/22
Timeline
Claims Assistant/Advocate & Assistant to Vice President of Claims
ALLIANT INSURANCE SERVICES
01.2013 - 12.2019
Accounts Payable Technician
TRIWEST HEALTHCARE ALLIANCE
01.2008 - 12.2013
Field/Jobsite Administrative Assistant
ROSENDIN ELECTRIC
01.2007 - 12.2008
California Workers’ Compensation Claims Adjuster
TRAVELERS
01.2003 - 01.2004
Workers Compensation Claims Assistant
SAFEWAY
01.2000 - 06.2003
Medical Terminology and Human Diseases -
SOLANO COMMUNITY COLLEGE
Worker's Compensation Claims Administrator Certification Courses - WCCA 10 and WCCA 11
IEA AND THE INSTITUTES