Summary
Overview
Work History
Education
Skills
Accomplishments
References
Certification
Timeline
Generic

JENNIFER DIFILIPPO

Haddon Township,NJ

Summary

My objective is to leverage my education and work experience by providing excellent claims management. Professional with significant experience in claims analysis and strong track record in team collaboration and achieving results. Skilled in risk assessment, claims processing, and regulatory compliance. Known for adaptability, problem-solving abilities, and clear communication. Prepared to contribute effectively to complex projects and support organizational goals.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Workers Compensation Senior Claims Analyst

Enlyte / Genex Services
04.2022 - Current
  • Investigate, evaluate, and settle complex and high exposure indemnity claims
  • Determine coverage, policy interpretation, exposure recognition move claims toward resolution using Best Practices
  • Interview claimants and witnesses, establish claim reserves, investigate, obtain evidence, interpret official reports
  • Communicate and work closely with defense attorneys to bring claims to appropriate resolution
  • Ensure accurate, timely, and appropriate delivery of workers' compensation benefits
  • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies and in accordance with any statutory, regulatory and ethics requirements
  • Evaluate claims for recovery potential and open subrogation files
  • Take appropriate measures to develop, pursue and recover on claims where potential exists
  • Provided exceptional customer service by addressing client concerns promptly and maintaining open lines of communication throughout the claims process.

Rehabilitation Manager / Workers Compensation Case Manager / PTA

Pacific Spine & Rehab LLC
10.2012 - 04.2022
  • Worked with Hawaii Workers Compensation claims, managing all aspects of case management & care coordination
  • Directed and coordinated policies, objectives, initiatives, and programs for department
  • Coordinated delivery of exceptional claims management by evaluating workflow and facilitating changes
  • Collaborated with multidisciplinary staff to improve overall claim processing and response times
  • Verified claims information and communicated with adjusters, nurse case managers, and care providers
  • Developed Return to Work programs and performed assessments to determine individual limitations and strengths
  • Addressed disabilities and put together career plans

PTA

Silver Care Center / Alaris Health
01.2011 - 10.2012
  • Provided physical therapy treatments and modalities
  • Implemented, reviewed, revised, and progressed individual treatment programs while recording detailed prognosis, treatment, responses, and progress notes in patient charts
  • Contributed to care plan development and monitoring
  • Treated and assessed variety of orthopedic, geriatric, neurologic, pulmonary, and de-conditioned patients
  • Performed AD, orthotic, and prosthetic fittings

PTA

Orthopedic & Neurosurgical Services
05.2006 - 01.2011
  • Provided physical therapy treatments and modalities
  • Implemented, reviewed, revised, and progressed individual treatment programs while recording detailed prognosis, treatment, responses, and progress notes in patient charts
  • Contributed to care plan development and monitoring
  • Treated and assessed variety of orthopedic, geriatric, neurologic, pulmonary, and de-conditioned patients
  • Performed AD, orthotic, and prosthetic fittings

Education

HEALTHCARE MANAGEMENT CERTIFICATE -

Colorado State University Global Campus
Online
01.2009

BACHELORS IN SCIENCE - Physical Therapist Assistant

Hahnemann University At Drexel University
Philadelphia, PA
05.1996

Skills

  • Outstanding written and oral communication skills
  • Extensive medical background
  • Organized
  • Microsoft Office
  • Time Management
  • Critical thinking abilities
  • Professionalism and Integrity
  • Strong negotiation skills
  • Claims Processing Efficiency

Accomplishments

  • Certified Return to Work Specialist
  • Certified Functional Capacity Evaluator

References

Will Furnish upon request

Certification

  • Certified Functional Capacity Evaluator
  • Certified Industrial Rehab Specialist

Timeline

Workers Compensation Senior Claims Analyst

Enlyte / Genex Services
04.2022 - Current

Rehabilitation Manager / Workers Compensation Case Manager / PTA

Pacific Spine & Rehab LLC
10.2012 - 04.2022

PTA

Silver Care Center / Alaris Health
01.2011 - 10.2012

PTA

Orthopedic & Neurosurgical Services
05.2006 - 01.2011

HEALTHCARE MANAGEMENT CERTIFICATE -

Colorado State University Global Campus

BACHELORS IN SCIENCE - Physical Therapist Assistant

Hahnemann University At Drexel University

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