Summary
Overview
Work History
Education
Skills
Timeline
Hi, I’m

Stephanie Locicero

Tampa,FL

Summary

To obtain a career in the administrative profession where my skills, abilities and experience can be utilized and fully expanded, with opportunity of advancement based on initiative and results.

Diligent [Desired Position] with extensive background in claims consulting. Demonstrated success in analyzing and resolving complex claims, ensuring compliance and client satisfaction. Proven ability to utilize negotiation and investigative skills to achieve favorable outcomes.

Overview

17
years of professional experience

Work History

CGI Insurance

Claims Consultant
08.2024 - Current

Job overview

  • Analyzed complex claims to ensure compliance with company policies and regulatory requirements.
  • Collaborated with stakeholders to streamline claims processing and enhance customer satisfaction.
  • Developed training materials for new consultants to improve onboarding efficiency and knowledge retention.
  • Led initiatives to identify process inefficiencies, resulting in improved claims resolution timelines.
  • Resolved complex claims, utilizing expert knowledge of policy coverage and industry regulations.
  • Provided expert advice on coverage limits and exclusions, helping clients make well-informed decisions about their insurance needs.
  • Managed large caseloads effectively, prioritizing tasks to ensure prompt attention to urgent matters.

Care Plus (Humana)

Claims Examiner
02.2008 - 08.2024

Job overview

  • Processing Florida Medicare claims
  • Determining causes of claims errors
  • Analyzing data on adjustments, overpayments and contractual issues
  • Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
  • Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.

Education

Hillsborough Community College
Tampa, Florida

Associate in Science from Radiology
01.2002

University Overview

University of Central Florida
Orlando, Florida

Bachelor of Science from Health Services Administration
01.1997

University Overview

Skills

  • Exceptional skills in organization and coordinating abilities in managing multiple projects and tasks simultaneously
  • Accustomed to dealing with all levels of professional and support personnel ensuring positive results
  • Excellent communication abilities in oral and written form
  • Extensive computer knowledge Thoroughly familiar with various software applications such as:
  • Windows desktop environments
  • Microsoft Office
  • Corel Word Perfect
  • Medical Manager software
  • Medical bills such as UB 92 or HCFA 1500 contracts/rates

Timeline

Claims Consultant
CGI Insurance
08.2024 - Current
Claims Examiner
Care Plus (Humana)
02.2008 - 08.2024
Hillsborough Community College
Associate in Science from Radiology
University of Central Florida
Bachelor of Science from Health Services Administration

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Stephanie Locicero