Jenna Raine Morris
Katy
Summary
Highly motivated examination professional with experience in the insurance industry. Proven track record of efficiently processing a high volume of claims while ensuring accuracy and compliance. Excellent problem-solving and communication skills with a commitment to providing superior customer service. Experienced in working with complex medical and legal documents, and utilizing multiple computer systems to maintain accurate records.
Overview
13
13
years of professional experience
Work History
Senior Litigation Examiner of Commercial TPA Claim
GEICO
Katy
12.2016 - Current
- Bad faith, extra contractual payment investigations and catastrophic injury handling
- Experience in first and third party medical coverage including PIP, BI, UM/UIM coverages
- Specialize in property damage excess and bodily injury excess cases
- Early resolution of minor impact claims
- Reserving multi million dollar exposures timely
- Provided training sessions for new employees on the various aspects of litigation claim processing
- Developed relationships with legal counsels to efficiently settle lawsuits and pre litigation cases
- Evaluate and process complex medical claims, fatalities and excess policy limit claims for payment accuracy according to established guidelines
- Investigate and defend litigation cases against the insured's and the company.
- Handled umbrella claims up to 10 million dollars
Strategic Litigation Record Retrieval Analyst
Strategic Litigstion Management
Dallas
11.2015 - 12.2016
- Maintained accurate records of all data collected during analysis processes.
- Maintained accurate and up-to-date records of all documents and files.
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
- Generated reports from software systems to track claim status and denials.
- Trained new employees on medical coding practices.
Dining Room Coordinator
Lupe Tortilla
Houston
04.2012 - 10.2015
- Resolved conflicts between customers and staff members in a professional manner.
- Organized special events such as banquets, weddings, business meetings.
- Developed menus for special occasions such as holidays or private parties.
Education
Certificate - Pharmacy Technician Assistant
Penn Foster Career School
Scranton, PA11-2011
Some College (No Degree) - Business Administration And Management
Upper Iowa University
Fayette, IASkills
- Litigation management
- Medical coding
- Conflict resolution
- Legal research
- Policy interpretation
- Effective communication
- Problem solving
- Time management
- Insurance policy review
- Team motivation
- Expense control
- Bad faith investigations
- Policy limit analysis
- Early resolution techniques
Languages
English
Full Professional
Accomplishments
- Top performer for the year 2024
- Achieved Houston A.C.E for all 4 quarters
- Highest productivity and file quality of 2024
- Exemplary senior examiner 2022 and 2024
References
References available upon request.
Timeline
Senior Litigation Examiner of Commercial TPA Claim
GEICO
12.2016 - Current
Strategic Litigation Record Retrieval Analyst
Strategic Litigstion Management
11.2015 - 12.2016
Dining Room Coordinator
Lupe Tortilla
04.2012 - 10.2015
Certificate - Pharmacy Technician Assistant
Penn Foster Career School
Some College (No Degree) - Business Administration And Management
Upper Iowa University