Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Marcina Gelsey

Jacksonville

Summary

Experienced senior manager proficient in managing reporting, budgeting and compliance areas. Adept at updating and working with executive leadership. Bringing superior skills in planning, negotiation and complex problem-solving gained several years experience.

Accomplished management professional adept at building high-performing teams. Proven ability to drive cross-functional collaboration and implement innovative solutions to complex business challenges. Committed to delivering results that exceed expectations while maintaining a focus on continuous improvement and sustainable growth.

Overview

37
37
years of professional experience
1
1
Certification

Work History

Senior Manager, Issue Management

Florida Blue
Jacksonville
02.1988 - Current
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • Produced thorough, accurate and timely reports of project activities.
  • Resolve data and enrollment issues
  • Conducted performance reviews and provided feedback to direct reports for career development.
  • Analyzed business performance data and forecasted business results for upper management.
  • Delegated work to staff, setting priorities and goals.
  • Conducted regular performance appraisals for direct reports to provide feedback on their work performance.
  • Led cross-functional teams to achieve project milestones, ensuring collaboration and efficiency.
  • Developed long-term relationships with key stakeholders including customers, suppliers, regulatory bodies.
  • Guided change management initiatives to ensure smooth adoption of new business practices.
  • Provided strategic direction to departmental heads regarding resource allocation decisions.
  • Developed and implemented strategies to improve operational efficiency, reduce costs, and increase productivity.
  • Implemented process improvements to increase operational efficiency and reduce costs.
  • Managed a team of 10+ employees by providing guidance, setting goals and objectives, delegating tasks, and monitoring performance.
  • Managed crisis situations, implementing contingency plans to minimize impact on operations.
  • Created detailed reports on project progress for senior management review.

Manager

Florida Blue
Jacksonville
02.1988 - Current
  • Enforced customer service standards and resolved customer problems to uphold quality service.
  • Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
  • Implemented quality control measures to uphold company standards.
  • Conducted regular meetings with staff to discuss progress and identify areas of improvement.
  • Planned and led team meetings to review business results and communicate new and ongoing priorities.
  • Analyzed market trends and competitor activity to inform business strategy.
  • Assigned work and monitored performance of project personnel.
  • Managed inventory levels to meet demand without overstocking, reducing waste.
  • Established and monitored KPIs to evaluate performance and identify areas for improvement.

Subrogation Manager

Blue Cross and Blue Shield
Jacksonville
02.1988 - Current
  • Established and monitored KPIs to evaluate performance and identify areas for improvement.
  • Produced thorough, accurate and timely reports of project activities.
  • Established processes to ensure efficient workflow throughout the organization.
  • Ensured compliance with all applicable laws, regulations, industry standards.
  • Resolved customer inquiries and complaints requiring management-level escalation.
  • Communicated with reinsurance brokers to obtain claim information for processing.
  • Utilized advanced problem-solving techniques to resolve disputes quickly and effectively.
  • Evaluated incoming requests from other departments regarding potential subrogation opportunities.
  • Analyzed medical records, bills, and other related documents to identify liability issues.
  • Negotiated settlements with responsible parties to maximize subrogation recoveries.

Workers' Compensation Claims Manager

Blue Cross Blue Shield of Florida
Jacksonville
02.1988 - Current
  • Maintained records and documentation related to all claims activities.
  • Negotiated settlements with claimants and attorneys on behalf of employers.
  • Served as a liaison between employers, injured workers, insurance carriers, healthcare providers, legal representatives, and other stakeholders involved in the claims process.
  • Researched and resolved complex Workers' Compensation issues.
  • Assisted with training new employees on company policies and procedures related to Workers' Compensation.
  • Managed a staff of adjusters responsible for processing Workers' Compensation claims.

Education

Associate of Arts - Management

Florida Community College
Jacksonville, FL
12-1998

Skills

  • Project management
  • Data analysis
  • Regulatory compliance
  • Customer service
  • Operational efficiency
  • Conflict resolution

Certification

  • Total Quality Management
  • Blue Belt Process Improvement
  • Subrogation Analyst

Timeline

Senior Manager, Issue Management

Florida Blue
02.1988 - Current

Manager

Florida Blue
02.1988 - Current

Subrogation Manager

Blue Cross and Blue Shield
02.1988 - Current

Workers' Compensation Claims Manager

Blue Cross Blue Shield of Florida
02.1988 - Current

Associate of Arts - Management

Florida Community College

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Marcina Gelsey