Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Virginia DaCova

Wakefield,MA

Summary

Driven and compassionate professional with extensive experience in caregiving and claims administration, notably with Delta Dental Plans of Massachusetts. Excelled in enhancing patient quality of life and streamlining claim processes, achieving over 99% accuracy. Skilled in Microsoft Windows and adept at building strong relationships, demonstrating exceptional problem-solving and communication abilities.

Overview

35
35
years of professional experience

Work History

Caregiver

Self-employeed
05.2022 - 09.2024
  • Assisted clients with activities of daily living, promoting independence and quality of life.
  • Assisted with dressing guidance, grooming, meal preparation, and medication reminders.
  • Performed light housekeeping duties to maintain cleanliness standards while respecting the patient''s personal space.
  • Assisted clients with daily living needs to maintain self-esteem and general wellness.
  • Built strong relationships with clients to deliver emotional support and companionship.
  • Engaged patients in meaningful conversation, socialization, and activity while providing personal care assistance.
  • Maintained a safe and clean environment for patients, reducing risks and ensuring optimal health outcomes.
  • Enhanced patient comfort by providing compassionate and attentive care, addressing individual needs and preferences.

Claims Administrator

Delta Dental Plans of Massachusetts
09.1989 - 05.2022
  • Balanced workload effectively, prioritizing tasks to ensure timely completion of all claim-related responsibilities.
  • Supported continuous improvement efforts by identifying opportunities for process enhancements in the claims handling process.
  • Reduced claim processing time by streamlining workflows and implementing efficient practices.
  • Claim administration team by processing adjustments, posting check refunds and completing inquires.
  • Request additional information via processing policy or analyze and determine appropriate payment.
  • Uses business knowledge to independently resolve advanced claim processing, scenarios including, but not limited to COB (coordination of benefits) TPL (third party liability) Manual pricing Ortho claims.
  • Ortho claims set up monthly payments or prorate claims.
  • Consistently Process advanced and complex claim queues with 99% or greater accuracy rate.

Education

High School Diploma -

Everett High School
Everett, MA

Skills

Highly reliable to complete assignments

Work well in a fast paced environment, handling a

wide variety of tasks

Excellent telephone communications skills

Knowledge of Microsoft Windows

Respectful and Compassionate

Time Management

Elderly Care

Problem-Solving

Languages

Italian
Professional Working
Portuguese
Professional Working

Timeline

Caregiver

Self-employeed
05.2022 - 09.2024

Claims Administrator

Delta Dental Plans of Massachusetts
09.1989 - 05.2022

High School Diploma -

Everett High School

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Virginia DaCova