Open To Work
Kelly Keane-Savino
Bayville,NJ
Summary
A top-performing Claims Representative credited with almost 2 decades of experience in municipality workers' compensation claims while successfully negotiating and delivering substantial revenue growth and excellent settlements. Longevity shows a dedication striving to achieve the best results for the organization. Highly accomplished in client & customer service and the ability to build and maintain relationships with collaborators. In addition to experience in Human resources and administrative responsibilities, 2 decades of data entry experience, appointment scheduling, & excellent organization skills.
Organized professional with a background in office administration. Known for high productivity levels and the ability to efficiently complete tasks, ensuring smooth operations. Skilled in data entry, file management, and scheduling, with strong capabilities in multitasking and prioritizing.
Overview
25
25
years of professional experience
1989
1989
years of post-secondary education
Education
High school or equivalent - English major, Secondary, Business
Graduated
Work History
Elderly Caretaker
Private Care
Staten Island, NY
04.2020 - 05.2025
- Reported signs of elderly abuse and witnessed misappropriation to supervisor.
Workers compensation claims analyst
Claims Resolution Corporation
Neptune City
10.2018 - 03.2020
- Performed & completed three-point contact on all lost time New Jersey workers' compensation claims.
- Conducted proper investigation and evaluation.
- Responsible for performing file reviews on dedicated accounts while providing exceptional customer service to all clients.
- Interacts with injured employees to ensure awareness and understanding of the workers' compensation process, requirements, and entitlements.
- Establish claim reserve levels by estimating the cost of each assigned claim; monitor reserves and update amounts as necessary.
- Prepared reports for the excess carrier as needed.
- Coordinate medical treatment for injured employees and provide information to treating physicians regarding employee's medical history, health issues, and job requirements.
- Serve as a liaison between medical providers, employees, legal professionals, and City Departments.
- Inform municipality of an injured employee and their work restrictions and coordinate appropriate accommodations.
- Compare and reconcile claim records with city payroll records to ensure timely and accurate benefit payments;
- Worked closely with insured, medical providers, DME providers, nurse case managers, and attorneys daily.
- Handles all non-litigated cases and assisted on most litigated claims from inception to close.
Workers Compensation Adjuster / Cost Containment specialist
Bergen Risk Managers, Inc.
Ramsey
05.2000 - 10.2018
- Handling of multiple workers' compensation claims for various municipalities in Bergen County.
- Handling of the claims from start to finish.
- Determine benefits due, the validity of the claim.
- Establish reserves and authorizes payments within reserving authority limits.
- Maintaining an active diary, responsible for all medical appointments, return-to-work dates, authorizations for all physical therapy and Orthopedic referrals.
- Building a strong relationship with claimants, employers Health Care professionals regarding the status of the injury and treatment plan, plus medical management in order to integrate the delivery of the medical services into the overall claim strategy.
- Aggressively manage inventory to ensure timely file closings.
- Medical billing, CPT coding, heavy phones, filing and all general office work.
- Excellent communication skills, strong organization skills and strong written and oral skills.
- Excellent cost containment skills.
- Investigate, evaluate a large volume of workers' compensation claims for a third-party administrator.
- Assistant to the workers compensation manager in the day-to-day operations.
- Handled a variety of administrative duties as well.
- Worked closely with clients, medical providers, nurse case managers, and attorneys daily.
- Reviews and reprices medical bills.
- Handled all non-litigated claims from inception to close.
Skills
- Claim Representation
- Insurance Terminology
- Team Player
- Workers Compensation Laws
- Investigating Claims
- Federal, State, Local Statutes
- Loyalty & Longevity
- Billing
- Microsoft Excel
- Outlook
- Receptionist
- Administrative Assistant
- Microsoft Word
- Workers' Compensation
- Data Entry
- Filing
- Scheduling
- Accounts Payable
- Administrative Experience
- Front Desk
- Microsoft Outlook
- Schedule Management
- Customer Service
- CPT Coding
- ICD-10
- ICD-9
- Human Resources
- Medical Billing
- Medical Terminology
- Medical Office Experience
- Medical Records
- Transcription
- Insurance Verification
- HIPAA
- Medical Scheduling
- Medical Coding
- Anatomy Knowledge
- Medical Receptionist
- Phone Etiquette (10 years)
- Personal Assistant Experience
- Negotiation
- Accounts Receivable
Assessments
- Data Entry Clerk, Familiar, 05/01/20, Maintaining data integrity by detecting errors
- Medical Receptionist Skills, Proficient, 05/01/20, Managing physician schedules and maintaining accurate patient records
- Customer Focus & Orientation, Proficient, 05/01/20, Responding to customer situations with sensitivity
- Recruiting, Completed, 11/01/19, Managing the candidate sourcing and selection process
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Work Preference
Job Search Status
Open to workWork Type
Full TimePart TimeLocation Preference
On-SiteRemoteSalary Range
$35000/yr - $78000/yrTimeline
Elderly Caretaker - Private Care
04.2020 - 05.2025
Workers compensation claims analyst - Claims Resolution Corporation
10.2018 - 03.2020
Workers Compensation Adjuster / Cost Containment specialist - Bergen Risk Managers, Inc.
05.2000 - 10.2018
Tottenville High School - High school or equivalent, English major, Secondary, Business