Kellie Mallam
Roca,NE
Summary
Detail-oriented insurance claims professional with experience investigating, evaluating, and resolving property claims while ensuring compliance with company policies and industry regulations. Skilled in coverage analysis, claim documentation, and data-driven decision-making. Adept at identifying trends, analyzing claim outcomes, and collaborating with teams to improve claims processes and customer satisfaction. Recognized for strong analytical thinking, accuracy, and the ability to manage multiple priorities in fast-paced environments while delivering fair and timely claim resolutions. Highly adaptable to evolving technology, with a proven ability to quickly master new platforms, applications, and claims management systems. Reliable and flexible, meeting changing needs, embracing new technologies, and maintaining high standards in all tasks.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Insurance Claims Specialist
State Farm
Roca, NE
01.2023 - Current
- Managed insurance claims processes and provided timely resolutions through consistent follow-up and updates, leading to increased customer satisfaction.
- Evaluated insurance claims to determine accuracy and compliance with policy guidelines.
- Collaborated with cross-functional teams to streamline claims processing, resulting in reduced turnaround time for claim resolutions.
- Resolved complex claim disputes through effective negotiation and communication techniques.
- Improved overall efficiency of the department by mentoring less tenured staff members on best practices in insurance claims handling and resolution techniques.
- Maximized client retention by addressing concerns promptly and professionally, consistently demonstrating empathy and understanding during difficult situations.
- Boosted company reputation by delivering exceptional customer service during claim investigations and settlements.
- Recorded and processed new claims during initial loss reporting, ensuring accurate documentation and compliance.
- Protected company assets by locating subrogation opportunities to enhance cost recovery from liable third parties.
- Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
- Embraced emerging technologies and functioned as an advanced trained specialist to facilitate successful technology rollouts.
Physical Therapist Assistant
Madonna Rehabilitation Hospital
Lincoln, NE
02.2013 - 01.2023
- Demonstrated collaboration and teamwork with supervising physical therapist(s) to provide a cohesive plan of care for each patient
- Administered active and passive manual therapeutic exercises, neuromuscular re-education, aquatic physical therapy, and heat, sound, and electrical modality treatments, such as ultrasound.
- Instructed patients in proper body mechanics and in ways to improve functional mobility, such as aquatic exercise.
- Tailored treatment plans based on patient requirements throughout the care process
- Listened actively to patients to create a supportive atmosphere, enhancing rehabilitation progress.
- Observed patients during treatments to compile data on responses and progress and provided results to physical therapist in person and through progress notes.
- Documented patient progress notes to ensure accurate records and facilitate effective treatment planning.
- Communicated with and instructed caregivers and family members on patient therapeutic activities and treatment plans.
- Measured patients' range-of-joint motion, body parts, or vital signs to determine effects of treatments or for patient evaluations.
- Easily adapts to scheduling changes during a fast-paced working environment
- Consistently strives for efficient time management and organization to keep a fast-paced clientele day running smoothly
- Dedicated and passionate about providing high quality, thorough work - both with clientele and in documentation
- Provided welcoming environment to ensure patient comfort and satisfaction, guiding them through facility and directing to appropriate areas.
- Participated in continuing education courses to enhance professional skills.
- Performed clerical duties, such as answering telephone, taking messages, scheduling new evaluations and current patients, faxing letters to doctors offices and calling to obtain physical therapy prescriptions, and filling out forms.
- Assisted in training new employees for clerical tasks to ensure smooth operations.
- Completes Medicare chart audits for each practicing therapist twice per month
Physical Therapist Assistant
Lincoln Orthopedic Physical Therapy
Lincoln, NE
05.2011 - 01.2013
- Administered active and passive manual therapeutic exercises, therapeutic massage, neuromuscular re-education, and heat, sound, and electrical modality treatments, such as ultrasound.
- Instructed patients in proper body mechanics and in ways to improve functional mobility, such as aquatic exercise.
- Modify treatment plans and adapt to patient needs throughout continuum of care
- Observed patients during treatments to compile data on responses and progress and provided results to physical therapist in person and through progress notes.
- Measured patients' range-of-joint motion, body parts, or vital signs to determine effects of treatments or for patient evaluations.
- Documented patient information, such as notes on progress.
- Participated in various continuing education courses and seminars to enhance professional knowledge.
- Executed various clerical duties, including managing phone calls and scheduling appointments., such as answering telephone, taking messages, scheduling new evaluations and current patients, faxing letters to doctors' offices and calling to obtain physical therapy prescriptions, and filling out forms.
- Conducted thorough Medicare chart audits for each therapist bi-monthly to ensure compliance.
- Created a welcoming environment for each patient to feel comfortable
Physical Therapy Tech
Lincoln Orthopedic Physical Therapy
NE
08.2009 - 05.2011
- Instructed therapeutic activities to support patient recovery under supervision
- Performed ultrasound treatments to aid in patient rehabilitation as directed by physical therapists
- Set up electrical stimulation units to facilitate effective therapy sessions guided by physical therapists
- Inventory management and order placing
- Managed front desk operations
- Responded to multi-line phone calls
- Schedule appointments and make reminder phone calls
- Performed opening and closing procedures for clinic, complete closing duties and restock linens
Education
Physical Therapist Assistant - Physical Therapy
Southeast Community College
Lincoln, NE03-2011
Skills
- Claims handling
- Claims evaluation and review
- Coverage assessment
- Policy interpretation
- Payment and investigation escalations
- Regulatory compliance adherence
- Customer service
- Documentation skills
- Decision-making
- Critical thinking and problem-solving
- Results driven mindset
- Time management and work organization
- Adaptability
- Advanced computer skills
- Teamwork and collaboration
- Claims team development
- Active listening
- Effective communication skills
- Motivation and initiative
Certification
- Physical Therapist Assistant License #1017
- CPR Certified through October 2024
Timeline
Insurance Claims Specialist
State Farm
01.2023 - Current
Physical Therapist Assistant
Madonna Rehabilitation Hospital
02.2013 - 01.2023
Physical Therapist Assistant
Lincoln Orthopedic Physical Therapy
05.2011 - 01.2013
Physical Therapy Tech
Lincoln Orthopedic Physical Therapy
08.2009 - 05.2011
Physical Therapist Assistant - Physical Therapy
Southeast Community College