LISA ZUCCARELLO

73 Richmond Boulevard, Unit 3B, Ronkonkoma, New York 11779

(631) 648.9843
(631) 626.3543
Lisazuccarello@yahoo.com
Highly talented and versatile manager, equipped with 22 years of successful care
er path in business planning, general and office management, as well as employee
development. Background includes 8 years of experience with Travelers insurance
company. Demonstrated proven strategic planning and decision-making skills in s
treamlining business processes and defining improvement initiatives to ensure ov
erall efficiency. Proactive, aggressive, and goal-driven individual, with strong
commitment to excellence; known for solid organizational and leadership adeptne
ss in improving colleagues to achieve common goal. Accustomed to assessing vario
us client needs to proffer high quality of service and achieve total satisfactio
n.
CORE STRENGTHS
Organizational Management
Budget Control
Operational Streamlining
Client Needs Assessments
Supervision/Team Building
Customer Relations
Regulatory Compliance
Conflict Resolution

PROFESSIONAL HISTORY
TRAVELERS ~ Melville, NY
FIRST PARTY CLAIM MANAGER 2010-Present
Competently act as training manager tasked to coordinate with line lead in conce
ptualizing and implementing new workflows that deliver credibility and realistic
goal-setting objectives to the team. Manage all facets of the hiring process. T
rain all new hires and maintain 7-8 team members through an extensive on-board p
rogram with concentration on the delivery of finest customer service. Collaborat
e with low-performing claim professionals in executing performance management programs
, ensuring that business standards and practices are maintained and legally prot
ected.
- Held responsible in creating file reviews on a monthly basis while devel
oping annual Performance Management Reports
- Processed compensations and rewards while initiating pay for productivity ince
ntives to foster and sustain a motivating environment to all employees
- Monitored reserve increases to ensure proper coverage of all known expos
ures fostering financial security and growth
- Oversaw billing system and bill scanning errors as well as served as off
ice liaison to scanning vendor (ACS), billing vendor (Mitchell Billing systems),
and the Travelers bill entry department
- Functioned as point manager for the claim professional licensure, tracki
ng all employee licenses along with documenting license state and expiration avo
iding penalty by sustaining compliance
- Coordinated claim professional surveys while tracking feedback to assure
that outside vendors delivered on time products in adherence to established sta
ndards
- Displayed proactive involvement in monthly arbitrations as a Certified I
ntercompany PIP Arbitrator Representative
FIRST PARTY MEDICAL CLAIM INVESTIGATION TECHNICAL SPECIALIST 2008-2009
Assumed full accountability in reviewing various suspicious claims involving sta
ged accidents, provider fraud and billing discrepancies, code manipulation, as w
ell as exaggerated charges in an aggressive effort to deter provider fraud.
- Effectively collaborated with the Special Investigation Unit and staff c
ounsel in collecting statements, organizing examinations under oath, and notifyi
ng the National Insurance Crime Bureau (NICB) on fraudulent activities
FIRST PARTY MEDICAL CLAIM LITIGATION TECHNICAL SPECIALIST 2006-2008
Supervised full spectrum in overseeing moderate to high-dollar litigated no-faul
t claims in accordance with Regulation 68 and Travelerss best practices.
- Formulated litigation plans in collaboration with staff/panel counsel, a
s well as monitored legal expenses to implement cost-effective solutions
- Coordinated and partook in multiple trial conferences on a monthly basis
- Offered claim testimony throughout Long Island and five boroughs
- Identified and reviewed all suits prior to trial in order to identify cu
rrent defensibility along with processing well organized settlements as necessar
y
FIRST PARTY MEDICAL CLAIM REPRESENTATIVE 2003-2006
Assessed coverage, negligence, medical necessity, and causal relationship of mod
erate to severe injury claims. Generated and maintained appropriate claim and ex
pense reserves. Ensured total compliance with Regulation 68 guidelines. Brought
file to timely resolution using pay what is owed and cost effective solutions.
- Employed deductibles, computed wages, and implemented medical payout and
return-to-work strategies through independent medical evaluations and peer revi
ews
- Captured all subrogation and special investigation opportunities and ref
erred file when applicable
- Reviewed low to moderate provider suits for defensibility
- Negotiated low to moderate provider suits
EARLIER EXPERIENCE
USI ADMINISTRATORS, Melville, NY
PROVIDER CREDENTIALING SPECIALIST
LONG ISLAND MEDICAL CARE SERVICES, North Babylon, NY
BILLER/RECEPTIONIST
S&D FACTORY OUTLET, Copiague/West Islip/Hicksville, NY
MANAGER
EDUCATION & TRAINING
Certificate in Medical Executive Program
Katharine Gibbs School ~ Melville, NY
Claim Management Technical Training
- Foundations of Leadership
- Coaching for Performance Excellence
- Management Essentials
- Leadership: Coaching for Quality
- Lessons in Leadership Claim Facilitator Training
- Delivering the Travelers Experience Foundation Trainer
- iCare Customer Service Facilitator Certification
- Leadership Link Facilitator Certification
- Claim University Train-the-Trainer Claim Technical Training
- Timely Bodily Injury Settlements and the Scheduled Release
- Bodily Injury Claim Evaluation and Reserving
- Homeowner Liability
- Negotiations for the Liability Claims Professional
- Introduction to Suits and Litigation
- New York No-Fault Training
ACTIVITIES
Employee Fun Committee ~ Reward and Recognition Program ~ Innovation Committee
Certified Travelers Claim Facilitator