karen giannini

Responsible for the management, training and direction of 30 employees in the claims, customers service call center, quality and audit departments.

* Responsible for the management, training and direction of 65 employees in the investigation/Call Center department. Investigated and audited and performed collections on claims for potential recovery for accident types that were related to MVA, Assault, Worker’s Compensation, Medical Malpractice, Product and other General Liabilities. * Major Accomplishments: *  Increase activations for recovery from 1500 to over 4000 per month. *  Gross revenue increase from 3 million to over 7 million a month.

* Managed a staff of 48 employees. Extensive experience COB and TPL Recoveries, auditing, quality control. System beta testing, planning, organizing, and evaluating claims and customers service objectives and goals. Determined and implemented cost effective measures. * Major Accomplishments: *  Assisted the IS department in designing and implementing a claims inventory system. *  Increased productivity by 60%. *  Implemented a competent and efficient customer’s service telephone system. *  Recovered over 2.8 million in TPL.

* Responsible for the management, training and direction of 45 employees in the mailroom, claims, auditing for quality control, customer’s service call center, UR, account management and IS departments. Set standards of performance and achievement of departmental objectives and goals, beta testing for system enhancements. Coordinated operational utilization review functions with external utilization vendor. * Major Accomplishments: *  Established reference manuals in the UR, Claims, and Customers Service departments. *  Implemented a more efficient workflow in mailroom, claims and customer service departments. *  Increased auto-adjudication of claims by 71%.

Since 1987, NASCO has partnered with insurance companies to provide IT solutions designed to ensure that their health insurance claims are paid accurately and efficiently. NASCO's customers benefit from an integrated claims processing system, a highly configurable membership solution, and a multitude of performance-based services designed to improve operational efficiencies and reduce costs. Having processed over 1 billion claims, the NASCO Processing System is unsurpassed in the market for reliability, flexibility, scalability and operational performance. We offer exciting career opportunities for talented professionals with a common desire to help our customers provide superior service for more than 15 million people.