1. R E B E C C A M A R C A N T U O N O
PROFILE
Highly motivated and skilled claims professional. Offering an exceptional
ability to work under high pressure, a proficiency in analyzing all aspects
of the claim and a proven ability to get the job done.
EXPERIENCE
2004 - Present Liberty Mutual Marlton, NJ
QI Specialist II
Reviews and analyzes file handling to determine compliance with
claims handling standards.
Assists and participates in calibration training, analysis of results,
development of QI reporting and presentation of findings.
Facilitates calibration of QI team.
Assists management in compiling and analyzing results.
Presents findings to claims management.
Participates in smaller size operational RCPS events and provides
support for implementation of improvements.
Senior Claims Specialist II
Effectively medically managed high pending of complex claims.
Exceeded quality goals (nice calls, QA results).
Utilized excellent investigation skills.
Completed thorough file reviews and adheres to standard work.
Held weekly roundtable meetings to discuss complex claims.
Participated in special projects (appeals pilot team, IME letters team,
ELT training).
Completed detailed and clear home office coverage memos when
needed.
Provided excellent written and verbal customer service.
Assisted with new hire training.
Steped in when team manager is unavailable.
“Go to” person in unit.
Appointed Team Manager
Managed team of 6 direct reports.
Provided effective coaching and feedback.
Held daily sunrise team meetings.
Assisted in creation of Standard Work.
2. Participated in monthly diagnostic reviews.
Completed weekly team think reviews on each direct report.
Worked well with management team.
Litigation Claims Specialist
Completed timely review of new assignments.
Effectively determined cases to settle or defend.
Assertively communicated with plaintiff attorneys and house council.
Obtained excellent negotiation skills.
Senior Claims Representative
Medically managed high pending.
Completed thorough recorded statements on daily basis.
Provided excellent customer service.
Communicated effectively with doctors, attorneys, and other insurance
companies.
Learned new aspects of the claims process on a daily basis.
Quickly promoted to Claims Specialist role.
2002-2004 Jake’s Dog House Cherry Hill, NJ
Web Development/Community Relations
Edited digital images and created copy for products.
Updated website and online ebay auctions design/layout.
Provided customer and quality support via email and telephone.
Assisted with online, telephone and store sales.
Coordinated charity events.
EDUCATION
2002 Towson University Towson, MD
B.A., Mass Communications
2009 American Education Institute
Senior Claim Law Associates
SKILLS
Expert in Navigator, Medlogix, CVO and CEP. Proficient in Microsoft
Office and Excel. Excellent leadership skills. Dedicated employee.
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