Salvatore Acquaviva
Ilion,NY
Summary
Results-oriented Claims Supervisor with 19 years of expertise in Medical Claims. Proven track record of assessing operational needs and implementing cost-saving solutions to drive customer and client satisfaction. Strong leadership and team-building skills.
Overview
29
29
years of professional experience
Work History
Medical Claims Department Supervisor
Wellfleet Insurance
Springfield, MA
09.2019 - Current
- Offer leadership and facilitate communication within the Special Risk and Intercollegiate Sports Units.
- Oversee a team of 5 to 7 employees.
- Deliver an exceptional level of service to both internal and external customers.
- Facilitating connections between Wellfleet and Third-Party Administrators.
- Develop workflow strategies that not only meet, but also surpass, departmental goals.
- Ensure that the processing of claims adheres to the state-mandated prompt payment guidelines.
- Assess and review employee performance to aid in their Individual Development Plan.
- Develop and maintain statistics for the Claims Department to assist the Senior Management Team.
- Comprehending the Health Insurance Portability and Accountability Act (HIPAA) and complying with departmental procedures.
Medical Claims Department Supervisor
Commercial Travelers / National Guardian Life
Utica, NY
08.2005 - 08.2019
- Provide leadership and enhance communication to guarantee the effective functioning of the Claims Department.
- Oversee the Claims Department staff, consisting of 25-28 employees.
- Deliver an outstanding level of service to both internal and external clients.
- Identify and execute enhancements to system programs to enhance efficiencies.
- Develop workflow strategies to meet and surpass departmental goals.
- Ensure that the processing of claims adheres to the state-mandated prompt payment guidelines.
- Managed a business portfolio valued at $53 million, encompassing Student Medical and Patient Protection and Affordable Care Act (PPACA) policies.
- Assess and review employee performance to aid in their Individual Development Plans.
- Proficient knowledge of CPT coding and ICD-9 - ICD-10 codes.
- Assess claims processing through a Claims Department Auditor.
- Comprehending the Health Insurance Portability and Accountability Act (HIPAA) and complying with departmental procedures.
Operations Supervisor
Bank Of America / Fleet Boston Financial
Utica, NY
03.1996 - 03.2005
- Oversaw the daily operations of the Banking Statements and Items group.
- Managed a team of 6-10 associates, overseeing their progress towards meeting departmental performance benchmarks.
- Directed and mentored team members with hands-on training and consistent encouragement, emphasizing the use of positive reinforcement.
- Coordinated and supervised the daily workflows within the group to maintain appropriate staffing levels.
- Successfully completed research cases within the established Customer Service Level Agreements.
- Handled daily incoming requests within the Exceptions Group.
Education
High School Diploma -
Frankfort-Schuyler Central High School
Frankfort, NYBusiness Administration - Banking and Insurance
Mohawk Valley Community College
Utica, NYSkills
- Team Leadership
- Staff training and development
- Goal Development
- Motivational Leadership
- Cost Analysis
- Effective Time Management
- Developing Strong Connections
- Excellent communication skills
- Microsoft Office (Word, Excel, Outlook, Teams)
Timeline
Medical Claims Department Supervisor
Wellfleet Insurance
09.2019 - Current
Medical Claims Department Supervisor
Commercial Travelers / National Guardian Life
08.2005 - 08.2019
Operations Supervisor
Bank Of America / Fleet Boston Financial
03.1996 - 03.2005
High School Diploma -
Frankfort-Schuyler Central High School
Business Administration - Banking and Insurance
Mohawk Valley Community College
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