Victoria Zerino
Staten Island,NY
Summary
Detail-oriented and analytical with keen ability to interpret complex data and identify trends. Possesses foundational knowledge of insurance policies and claims processes, coupled with strong proficiency in data analysis and problem-solving. Committed to driving efficiency and accuracy in overall insurance assessments to enhance organizational outcomes.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Accident and Health Claims Analyst
Starr Insurance
New York, NY
08.2024 - Current
- Analyzed claims data to identify discrepancies and ensure compliance with company policies.
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions, in addition to determining potential fraud indicators.
- Enhanced customer satisfaction by resolving complex claims issues in a timely manner between 7 TPAs.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Personally identified 9 confirmed fraud cases valued at $62,765.18, helping to protect the organization and uphold compliance standards.
- Worked closely with legal counsel when necessary during complex cases involving litigation or arbitration proceedings related to disputed claim outcomes.
Accident and Health Claims Associate
Starr Insurance
New York, NY
05.2023 - 08.2024
- Analyzed claim documentation to determine eligibility and validity, enhancing accuracy of assessments.
- Collaborated with underwriters and adjusters to resolve discrepancies in claims submissions.
- Identified trends in claim submissions, providing insights for process improvements to enhance efficiency.
- Participated in cross-functional projects and initiatives, leveraging claims expertise to support company-wide objectives.
- Provided exceptional customer service by addressing inquiries promptly and resolving issues professionally.
Cyber Security Underwriting Intern
Starr Insurance
New York, NY
05.2022 - 08.2022
- Assisted in maintaining accurate records of all relevant documentation, ensuring compliance with regulatory requirements.
- Conducted research on client backgrounds, enhancing underwriting decisions and accuracy.
- Collaborated with senior underwriters to streamline documentation processes and improve workflow efficiency.
- Maintained organized records of underwriting files, supporting audit readiness and data integrity.
- Participated in team meetings to discuss emerging trends and changes in underwriting policies.
Education
Bachelor of Science - Business Administration And Management
College of Staten Island
Staten Island, NY05-2023
Skills
- Claims investigation
- Data interpretation
- Data visualization and presentations
- Time management
- Policy interpretation
- Proficient in Microsoft Office
Certification
- Certified Associate in General Insurance (AINS)
- Certified Bloomberg Market Concepts (BMC)
- Licensed New York Independent Accident and Health Insurance Adjuster Examination Series 17-63
Languages
English
Native or Bilingual
Timeline
Accident and Health Claims Analyst
Starr Insurance
08.2024 - Current
Accident and Health Claims Associate
Starr Insurance
05.2023 - 08.2024
Cyber Security Underwriting Intern
Starr Insurance
05.2022 - 08.2022
Bachelor of Science - Business Administration And Management
College of Staten Island