Pershenia Murray
Houston,TX
Summary
With a proven track record at GEICO and Disability Determination Services, I excel in claims management and team leadership, enhancing team performance and claims accuracy through meticulous auditing and effective training. Recognized for adaptability, superb organizational skills, dependability, and professionalism, I leverage expertise in policy interpretation and claims processes to drive excellence and efficiency in high-stakes environments. As a claims management professional, I am prepared to lead and enhance claims operations with a strong focus on team collaboration and achieving impactful results.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Claims Supervisor, Bodily Injury
GEICO
01.2014 - Current
- Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
- Assisted in the recruitment and selection of new claims adjusters, ensuring they possessed the necessary skills and expertise to excel in their roles.
- Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
- Managed a diverse caseload, prioritizing tasks effectively to meet strict deadlines and maintain quality standards.
- Maintained up-to-date knowledge on industry trends, best practices, and regulatory changes to ensure optimal decision-making in the claims management process.
- Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
- Enhanced team productivity by providing ongoing training and mentorship to claims adjusters.
- Developed strong relationships with external partners such as medical providers, attorneys, and investigators to facilitate effective information exchange during claim investigations.
- Conducted regular audits of claim files, ensuring compliance with company policies and industry regulations.
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
Adjudication Officer
Disability Determination Services
01.2002 - 10.2013
- Enhanced team performance by providing ongoing training and support to junior examiners in interpreting complex medical information.
- Maintained strong relationships with healthcare providers, obtaining relevant medical evidence necessary for informed decisions on disability claims.
- Handled sensitive personal information with discretion while adhering to strict confidentiality guidelines set forth by the Social Security Administration.
- Demonstrated adaptability when faced with policy changes or new legislation affecting the evaluation of disability claims, adjusting processes as needed without sacrificing accuracy or efficiency.
- Improved disability claim processing efficiency by applying thorough knowledge of Social Security Administration policies and procedures.
- Served as a mentor to new hires during their orientation and training period, sharing expertise and providing guidance to ensure a successful transition into the role.
- Expedited decision-making process for disability claims by effectively managing a high-volume caseload under strict deadlines.
- Recognized for exceptional performance through numerous awards and accolades, reflecting dedication to quality service and commitment to excellence within the field of disability evaluation services.
- Provided guidance to other examiners on interpreting various disability laws and regulations, ensuring consistent application across all cases.
Education
Bachelor of Science - Allied Health/ Health Care Administration
Albany State University
Albany, GA12-1999
Skills
- Claims management expertise
- Policy interpretation
- Claims auditing
- Claims investigation and research
- Disability claims process
- Team management
- Performance monitoring
- Organizational skills
- Effective communication
- Adaptability
- Staff training
- Professionalism
Certification
- CPR/AED Certification
- Licensed Adjuster, all lines
Timeline
Claims Supervisor, Bodily Injury
GEICO
01.2014 - Current
Adjudication Officer
Disability Determination Services
01.2002 - 10.2013
Bachelor of Science - Allied Health/ Health Care Administration
Albany State University
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