Summary
Skills
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Michelle Capellino

Michelle Capellino

Claims Director
Yucca Valley,CA

Summary

Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence. Over 30 years experience in all aspects of Healthcare Administration ranging from facility, provider, health plan, full knox keene to restricted knox keene management. Extensive claims and Provider Dispute experience, management of health plan demands, grievance and appeals and recovery.

Skills

Claims management expertise

Team building and motivation

Effective communication techniques

Decision-making confidence

Risk assessment

Time management aptitude

Process improvement strategies

Conflict resolution techniques

Vendor relationship management

Project management experience

Organizational change management

Advanced analytical skills

In-depth insurance knowledge

Claims system technology

Strong leadership skills

Dispute resolution expertise

Claims auditing

Planning and organization

Team motivation

Claims analysis

Claims processing

Quality assurance

Performance monitoring

Policy interpretation

Customer expectations management

Expense control

Claims investigation and research

Insurance policy review

Call center transactions

Insurance regulations

Teamwork and collaboration

Customer service

Problem-solving

Time management

Excellent communication

Critical thinking

Decision-making

Team building leadership

Planning and coordination

Relationship building and management

Customer relationship development

Conflict resolution

Operations management

Accounting management

Continuous improvement

Michelle CapellinoClaims Director