Melessa Mannino
Disability Representative
New Baltimore
Summary
Claims Examiner with deep knowledge of Short Term Disability claims industry. Solid abilities in developing objectives and strategies to settle STD claims. Excellent skills compiling, coding, categorizing and auditing information to process claims.
Overview
8
8
years of professional experience
5
5
years of post-secondary education
Work History
Disability Claims Representative
Sedgwick
Southfield
09.2020 - Current
- Identified and forwarded claims to specialized internal and external resources in areas such as medical review, investigations, tender of claim, claim subrogation or physical damage experts.
- Responded to telephone and written inquiries from clients, insurance carriers, claimants, repair shops, appraisers, physical damage experts and physicians within statutory requirements.
- Evaluated, investigated and negotiated settlements on new and pending claims to determine liability.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
Patient Care Coordinator
Pulmonary Critical Care & Sleep Associates
Saint Clair Shores
02.2016 - 09.2020
- Delivered excellent patient experiences and direct care.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Worked with patients to schedule tests and procedures.
- Monitored patient health records for accuracy to meet compliance with healthcare guidelines.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
- Provided excellent customer service to patients and medical staff.
Education
High School Diploma -
Lake Shore High School
Saint Clair Shores, MI 09.1987 - 05.1991
Associate of Applied Science - Respiratory Therapy
Macomb Community College
Warren, MI 08.1995 - 05.1997
Skills
Claims
undefinedTimeline
Disability Claims Representative
Sedgwick
09.2020 - Current
Patient Care Coordinator
Pulmonary Critical Care & Sleep Associates
02.2016 - 09.2020
Associate of Applied Science - Respiratory Therapy
Macomb Community College
08.1995 - 05.1997
High School Diploma -
Lake Shore High School
09.1987 - 05.1991
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