Summary
Overview
Work History
Education
Skills
Timeline
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Kathleen Giaramita

Patchogue,NY

Summary

Highly skilled Senior Claims Examiner with sound knowledge of claims management processes and regulatory compliance. Strengths include thorough investigation, accurate claim assessment, and negotiation skills which have led to successful resolutions in past roles. Well-versed in managing complex cases, handling multiple tasks concurrently, and contributing positively to team objectives.

Overview

27
27
years of professional experience

Work History

Senior Claims Examiner

Sedgwick CMS
Uniondale, NY
10.2022 - Current
  • Reviewed and evaluated complex insurance claims to determine coverage, liability, and damages.
  • Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Provided training sessions for new employees on proper procedures for handling claims.
  • Negotiated settlements with claimants or their representatives in order to reach an equitable resolution.
  • Maintained detailed records of all activities associated with each case file.

Claims Adjuster

National Subrogation Services
Woodbury, NY
08.2017 - 10.2020
  • Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
  • Maintained accurate documentation of all claim activity within designated system.
  • Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
  • Attended continuing education classes in order to stay abreast of changes in industry standards.
  • Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.

Senior Claims Associate

Liberty Mutual
Islandia, NY
06.1997 - 08.2016
  • Conducted quality assurance reviews of submitted claims to ensure accuracy prior to payment.
  • Researched discrepancies between submitted documentation and processed payments.
  • Assisted in developing training materials for new hires in the department.
  • Created detailed records documenting all activities related to each individual claim.
  • Collaborated with other departments to resolve customer inquiries related to their claims status.

Education

Associate of Arts - Business

University of Phoenix
Tempe, AZ
05-2009

Skills

  • Invoice Processing
  • Payment tracking
  • Problem Resolution
  • Payment Processing
  • Coverage assessments
  • Claims investigations

Timeline

Senior Claims Examiner

Sedgwick CMS
10.2022 - Current

Claims Adjuster

National Subrogation Services
08.2017 - 10.2020

Senior Claims Associate

Liberty Mutual
06.1997 - 08.2016

Associate of Arts - Business

University of Phoenix

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Kathleen Giaramita