Chamika C Morrison
Aldan PA, ***18
********@*****.***
WHO I AM: I'm an eager professional looking to partner myself with the best of the best in the insurance industry, so that I may improve my knowledge, enhance, and utilize my current skills.
WORK
EXPERIENCE: Starr Companies Philadelphia PA, 2009-2016
Underwriting Associate
• Managed new and renewal primary commercial multi-line package prospects specifically for the energy industry.
• Processed accounts for Excess and Surplus lines policies, including workers comp and auto.
• Utilized various systems including Salesforce,ISONET,and Chubb to track and process transactions.
• Served as a Salesforce super user for processes system integration.
• Gathered company specific credit and financial data to assist with determining adequate pricing for proposal development.
• Exercised the use of different rating methodologies to best fit variances within the risks exposures.
• Released quotes by referral underwriting, within authority limits.
• Maintained all state regulatory reporting for all auto and workers comp accounts.
• Processed requests from brokers/agents and or internal/external entities as required.
• Collaborated with industry leaders to assist with claims management.
• Participanted in weekly team budget meetings, workflow changes, premium audit,system issues, and or regulatory concerns.
• Traveled with underwriters on broker visits to market our product(s)/brand.
• Trained all levels of staff on system processes and procedures as well as issue resolution.
Zurich North America Philadelphia PA, 2006-2009
Underwriting Assistant II
• Specialized in the processing and underwriting support of the most difficult business including multi-national/local area, package portfolio or specialty policies.
• Provided technical rating, submission entry of all D&O, EPL, Crime, and Fiduciary lines, utilizing manual and automated systems.
• Handled report generating and policy issuance support to underwriting teams.
• Implemented a new cost effective timely way of soliciting 80 to 120 renewals monthly, for corporate and middle market accounts, which improved our customer and broker satisfaction by 25%.
• Interacted with agents, vendors, and Zurich staff to obtain and provide necessary information in order to resolve issues and give timely, accurate service by attracting and retaining profitable business.
• Ability to manage multiple projects concurrently, while maintaining a high level of quality and consistently meeting and exceeding company objectives.
Horizon Blue Cross of New Jersey Mount Laurel NJ, 2005-2006
Benefit and Claims Consultant, Inter-plan transfer
• Managed fully and self-insured employer groups for national and managed care accounts.
• Expedited issues from group administrators, brokers, Doctors, and hospitals pertaining to employee benefits, claims and eligibility for all horizon contracts.
• Facilitated the Provider and Member Data Transactions to change demographic information or to load or update individual PCP capitation rates, provider panel info, and issue referrals.
• Researched and resolved provider related contract system configuration issues, generated trend reports for resolution by tech support. Served as a liaison between members, providers and other Blue Cross Plans.
Independence Blue Cross Philadelphia PA, 2000-2005
Sr. Team Service Provider Claims Specialist
• Team Service Representative- Premier National Dedicated Accounts
• Sr. Provider Claims Service Representative- Provider Hotline
• Provider Claims Representative- Thomas Jefferson Health System Dedicated Unit
• Supported Network Coordinators in their relationship management and contracting activities, including contract management, problem resolution, and provider education.
• Analyzed and resolved claim and billing information on all lines of business including medicare, other party liability, auto, and workers comp.
• Triaged precertification authorizations for accuracy and escalated them to appropriate case manager when necessary.
• Reviewed and provided contractual reimbursement rates, based on fee schedules, percentage of charge, UCR (Usual and Reasonable customary allowance) variable rates and DRG'S.
SKILLS: Strong customer service background, excellent communication and organizational skills. Extensive knowledge in the insurance industry, medical terminology, ICD-9, CPT, REV Codes, CMS 1500 and 1450 claim forms, and billing. System Proficiency: Chubb,NCCI,ISONET, ICE claim connect, York, Seimens, Smart chart,Microsoft Office, Excel, Power Point and WordPerfect, Nasco, Windows XP, Peoplesoft, Power MHS and internal citrix system mainframe.