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Teamicia Greene Experience
- 1. TEAMICIA GREENE 9887 Bon Haven Lane, Owings Mills, Maryland 21117 443.528.0218 teamiciag@hotmail.com PROFILE ORGANIZED, INVESTIGATIVE, INSURANCE CLAIMS PROFESSIONAL Astute, proficient insurance claims investigator with social perceptiveness, sound judgment, decision-making ability, and extensive professional capabilities that include examining varied claims accurately - personal injury, collision, and complex claims; developing case strategies; assessing issues and recommending solutions; employing best practices and state regulations to adhere to quality service standards; establishing rapport with varied teams such as legal professionals; and conveying information appropriately through routine reporting. Excellent written and oral communications skills and strong analytical skills. . • Adhered to state laws as well as best practices in daily execution of duties: conducted complex investigations, documented all relevant facts pertaining to claims, and reported findings to the requesting party. • Paid great attention to detail to avoid reworks and increase efficiencies, and completed timely and accurate insurance investigations. • Balanced insurance claims with exceptional customer service by maintaining assigned claims files in a confidential manner, protecting customers’ proprietary information, and documenting all relevant facts pertaining to claims. • Demonstrated investigative expertise and consistency in handling complex multi-property claims that resulted in coordination with several states, numerous company contacts, and external organizations as well. • Analyzed facts or detailed documentation and subsequently communicated findings to appropriate parties through precise accurate reports, claims consultation, or case strategy recommendations. • Supported management by identifying and recommending training for teammates, initiating meeting, and keeping leadership informed of developments that had a bearing on claims. AREAS OF EXPERTISE Property and Liability Loss Exposure Claims Management and Analysis Events Planning and Implementation Training and Development Interpersonal Coordination Leadership and Team Building PROFESSIONAL EXPERIENCE BALTIMORE CITY LAW DEPARTMENT CENTRAL BUREAU OF INVESTIGATIONS | BALTIMORE, MD 2014-Present Claims Investigator Page | 1
- 2. TEAMICIA GREENE 9887 Bon Haven Lane, Owings Mills, Maryland 21117 443.528.0218 teamiciag@hotmail.com Investigate assigned general liability claims to determine the facts of claim cases. Visit the accident sites and investigate the causes and circumstances. Find and interview witnesses, record conversations and collate information and draft reports in easy language. Check the policy details and match it with the stated claim. Process insurance claims after verifying and ascertaining their accuracy, completeness. Partner with management to manage general liability claims to authorize medical payments, scheduling, and arrangement of medical examinations. Where needed, negotiate with claimants and make recommendations on the settlements of general liability cases. PROFESSIONAL EXPERIENCE CONT’D Confer with attorneys on issues and facts related to general liability cases. Secure reports from city agencies regarding damages and injuries to gather all relevant facts related to claimant’s case. Assist in preparing cases for litigation including answering interrogatories and communicating with claimants and insured’s on a daily basis. Maintain electronic claim file, correspond with clients, and analyze claim documentation and legal findings. STATE FARM INSURANCE COMPANIES | FREDERICK, MD 2000–June 2014 Claims Adjuster Served as the medical claims processor for policyholders and insurers. Investigated insurance claims by interviewing both the claimant and the witness, analyzing police and hospital records, and inspecting property damage to determine how liable the company is for the claim. Contributed to reaching customer service satisfaction goals following company protocol and providing exceptional customer service. Successfully processed injury claims for several jurisdictions across the Mid-Atlantic region. Developed training classes and prepared presentations and manuals. Collaborated with physicians and healthcare providers to identify procedural and diagnostic codes. Performed needs assessments using organizational task/persona analysis. Evaluated Medicare claim reporting tool (MCRT) report submission to ensure accuracy and compliance with Federal Medicaid and SCHIP Extension Act of 2007 (MMSEA) Section III. Maintained a proactive involvement in conference calls to keep informed of medical claims regulations. Facilitated team meeting to define claim- processing requirements for Medicare. Utilized ICD-9 CM and CPT books. Page | 2
- 3. TEAMICIA GREENE 9887 Bon Haven Lane, Owings Mills, Maryland 21117 443.528.0218 teamiciag@hotmail.com Successfully led team to provide substantial contributions to the $9.2 million subrogation recovered in 2013. Implemented State Farm’s objectives and instituted methods of claim handling. Worked with the fire-consolidated claims that aided 1,400 agency partners handling updated claims, policy information, coverage questions, and payment reconciliation. Maintained positive working relationships with insurance policyholders. Determined settlement options for assigned claims. Provided first line contact to policyholders affected by catastrophic events. EDUCATION AND CREDENTIALS Associate of Applied Science in Business Management, In Progress Human Resources Technical Certificate of Credit, In Progress Expected Date of Completion: Fall 2016 Atlanta Technical College, Atlanta, GA Relevant Coursework: Introduction to Marketing | Business Math | Principles of Management | Business Regulations and Compliance | Visual Merchandising | Introduction to Microcomputers | Performance Management | Human Resource Management | Introduction to Business | Introduction to Computer’s | Employment Law | Retail Management | Organizational Behavior | Financial Accounting | Business Ethics | Labor Management Relations Health Services Management Certification, In Progress THE COMMUNITY COLLEGE OF BALTIMORE COUNTY, BALTIMORE, MD Relevant Coursework: Composition & Rhetoric | Introduction to Criminology | Medical Terminology | Principles of Supervision Seminar in Supervisory Problem | Introduction to Law | General Psychology | Speech Fundamentals National Technical Honors Society PROFESSIONAL TRAINING State Farm Fire Comprehensive Examination State Farm Auto Claim Processor School Fire Consolidated Claims Pictorial Learning Program of State Farm Insurance Web-Based Training, Centers for Medicare and Medicaid National Insurance Crime Training Academy Webinar Training, Institute of Risk Management Negotiation Program, Shapiro Negotiation Institute Six Sigma White Belt Certified Legal Writing, Maryland People’s Law Library Page | 3
- 4. TEAMICIA GREENE 9887 Bon Haven Lane, Owings Mills, Maryland 21117 443.528.0218 teamiciag@hotmail.com Lean Government Training CERTIFICATES OF ACHIEVEMENT Interpreting Medical Reports Medical Test and Signs Medical Management Course Series Legal Concepts and Doctrines Auto Physical Damage Basics Claims Basics Property-Casualty Principles Avoiding Medicare Fraud and Abuse Medical Necessity Diagnosis Coding Using the ICD-9-CM Uniform Billing UB-04 Skilled Nursing Facility Consolidated Billing CMS Form 1500 Intro to Insurance Fraud Investigations Training Theory & Skills for Fraud Investigators Body Shop Fraud Casualty Insurance Fraud Intro to Medical Billing Fraud Workers Compensation Fraud Protecting Your Reputation in a Crisis Effective Key Risk Indicators Project Risk Management Risk Appetite Cyber Risk Human Factor Risk Understanding and Managing Risk Culture Fundamentals of Risk Management Business Risk and Resilience Introduction to Risk Reporting Effective Decision Making Running Effective Risk Workshop Page | 4
- 5. TEAMICIA GREENE 9887 Bon Haven Lane, Owings Mills, Maryland 21117 443.528.0218 teamiciag@hotmail.com TECHNICAL SKILLS/COMPUTER PROGRAMS ISO searches Choicepoint West Law LexisNexis Webcruiser-police report database Judicial and Civil Case search Real Property Searches Reverse Look-Up Accurit Searches Employment Verification through HR personnel MVA- Tag checks National Crime Information Center (NCIC) Microsoft Office Suite Outlook PC and Mac knowledgeable PROFESSIONAL AFFILIATIONS Community Events Chair, African-American Forum Member, Policy and Procedures Committee Member, Southern Zone Focus Group Safety Liaison for Team Page | 5
- 6. TEAMICIA GREENE 9887 Bon Haven Lane, Owings Mills, Maryland 21117 443.528.0218 teamiciag@hotmail.com TECHNICAL SKILLS/COMPUTER PROGRAMS ISO searches Choicepoint West Law LexisNexis Webcruiser-police report database Judicial and Civil Case search Real Property Searches Reverse Look-Up Accurit Searches Employment Verification through HR personnel MVA- Tag checks National Crime Information Center (NCIC) Microsoft Office Suite Outlook PC and Mac knowledgeable PROFESSIONAL AFFILIATIONS Community Events Chair, African-American Forum Member, Policy and Procedures Committee Member, Southern Zone Focus Group Safety Liaison for Team Page | 5