Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Oney Tristano

Cuyahoga Falls,OH

Summary

Licensed Insurance Claims Associate with 2+ years experience versed in investigating, evaluating, and analyzing liability concerning medical malpractice claims. Experience in litigation management, medical records and coverage analysis. Excellent oral and written communication skills seeking a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Claim Associate

CCMSI/VCM
03.2021 - Current
  • Investigate, evaluate and adjust medical malpractice claims in accordance with established claim handling standards and laws.
  • Review and approve related medical, legal, damage estimates and miscellaneous invoices on designated claims.
  • Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the claim adjustment process.
  • Establish reserves and/or provide reserve recommendations within established reserve authority levels.
  • Summarize all correspondence and medical records in claim log notes as well as file same in the appropriate claim.

Pharmacy Technician

CVS
09.2014 - 10.2016
  • Answered incoming phone calls and addressed questions from customers and healthcare providers.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Stocked, labeled, and inventoried medication to keep accurate records.

Education

Bachelor of Arts - Political Science

Saint Peter's University
Jersey City, NJ
05.2019

Skills

  • Litigation Management
  • Excellent oral and written communication skills
  • Independent critical thinking skills
  • Superior coverage analysis and confirmation skills
  • Ability to coordinate and prioritize with exceptional time management
  • Discretion and confidentiality
  • Flexibility, initiative, and the ability to work with a minimum of direct supervision
  • Microsoft Office Programs
  • LexisNexis

Certification

  • Texas All Lines Adjuster License - January 2023

- Oklahoma Adjuster License

- New Mexico Adjuster License

- Idaho Adjuster License

- Florida Adjuster License


  • Paralegal Certificate - December 2019

Capital University Law School - Columbus, OH

Timeline

Claim Associate

CCMSI/VCM
03.2021 - Current

Pharmacy Technician

CVS
09.2014 - 10.2016

Bachelor of Arts - Political Science

Saint Peter's University

Similar Profiles

CREATE PROFILE
Oney Tristano