Patricia Salerno
Huntingdon Valley,PA
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Licensed Claims Adjuster experienced in reviewing damage appraisals, determining coverage and paying claims. Active member of the National Society of Professional Insurance Investigators. Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
26
26
years of professional experience
Work History
Claims Adjuster II
Repwest Insurance
Ivyland, PA
12.2019 - Current
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments and policy coverage.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Negotiated [Type] settlement agreements to resolve disputes.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Investigated claims involving potential and suspected fraudulent activities.
- Answered questions posed by insured and attorneys.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Reported to management on customer problems, field conditions, safety issues and policy problems.
- Documented all investigation activity and presented reports to management.
- Maintained claims data in [Type] systems.
- Substantiated legitimate claims and denied unjustified claims.
- Analyzed information gathered by investigations to report findings and recommendations.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Followed up with insured individuals regarding premium and deductibles payments.
- Partnered with legal counsel on litigation cases.
- Reviewed field inspections and coordinated all insurance claim audits.
- Followed up on potentially fraudulent claims initiated by claims representatives.
Reception,Medical Billing,Insurance Verification
Abington Jefferson Hospital
Abington, PA
07.2010 - 12.2019
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Answered large volume of incoming calls daily to resolve customer issues and schedule appointments.
- Supported various administrative duties by proofreading, transcribing and invoicing.
- Checked-in visitors, distributed visitor badges and managed logbooks to comply with security initiatives.
- Answered central telephone system and directed calls accordingly.
- Monitored and screened visitors to verify accessibility to inter-office personnel.
- Resolved customer problems and complaints.
- Scheduled and confirmed appointments and meetings for senior management team.
- Managed multiple tasks and met time-sensitive deadlines.
- Posted payments to accounts and maintained records.
Nursing Department Assistant
St Mary's Villa
Ambler, PA
04.2007 - 08.2010
- Monitored inventory of departmental supplies and replenished items to enable normal operations.
- Typed and distributed correspondence to internal and external partners to maintain good communications flow.
- Researched targeted government databases to obtain background information relevant to current projects and departmental functions.
- Obeyed sensitive and confidential report and presentation guidelines to comply with government regulations.
- Delivered top-notch administrative support to office staff, promoting excellence in office operations.
- Greeted guests in with friendliness and professionalism.
- Transferred and directed phone calls, guests and mail to correct staff members.
- Created and updated physical records and digital files to maintain current, accurate and compliant documentation.
- Assisted manager in all aspects of business operations.
Makeup Artist
Karizma Cosmedics
Jenkintown, PA
02.1998 - 04.2007
- Kept up-to-date with style industry standards, trends and techniques to provide optimal aesthetics services to every client.
- Conducted consultations to understand client's desired outcome and assessed skin type and face structure.
- Maintained full stock of inventory and properly sanitized makeup tools to avoid spread of infection.
- Applied makeup in accordance with clothing style.
- Provided clients with personalized skincare recommendations to support maintenance of healthy skin.
- Scheduled onsite and offsite makeup appointments for clientele.
- Built strong and lasting rapport with clients through consistent delivery of requested services and exceptional results.
- Consistently received positive performance reviews from guests.
- Answered phone calls and emails to schedule client appointments.
- Kept detailed records of customer information and services provided to increase return customers.
Education
Certificate in Aesthetics - Master Aesthetician
Ambler School of Beauty
Ambler, PA03.2005
Associate of Arts - Advertising,Photography
Art Institute of Philadelphia
Philadelphia, PA03.1984
GED -
Cardinal Dougherty High School
Philadelphia, PA06.1981
Skills
- Claims Evaluations
- Performance Feedback
- Eligibility Determinations
- Brand Visibility
- Property Adjusting
- Settlement Negotiation
- Field Investigations
- Case Presentations
Timeline
Claims Adjuster II
Repwest Insurance
12.2019 - Current
Reception,Medical Billing,Insurance Verification
Abington Jefferson Hospital
07.2010 - 12.2019
Nursing Department Assistant
St Mary's Villa
04.2007 - 08.2010
Makeup Artist
Karizma Cosmedics
02.1998 - 04.2007
Certificate in Aesthetics - Master Aesthetician
Ambler School of Beauty
Associate of Arts - Advertising,Photography
Art Institute of Philadelphia
GED -
Cardinal Dougherty High School
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