Karrie Perry Email & Phone Number

United States

Improved systems by studying current practices and designing modifications resulted in more efficient processes for our clients to resolve injury claims. Provided functional specifications, met with clients and collaborated between operations and the MedFlow development team during systems review and recommendation process.Collaborated with the Project Manager, interfaced with business clients to ensure full understanding of proposed solutions injury evaluation system softwareCompeted quality assurance working with various systems, collected and analyzed data, communicating results to supervisors and facilitating process improvements.Evaluated and validated complex IT initiatives to verify that programs function according to user requirements and conform to standards and guidelines.Developed high-level report mockups and detailed specifications necessary to assist developers during the construction phase.AIS Medical Records Review, 12/2019 to 12/2020 Auto Injury Solutions – Chicago, ILReviewed medical records to ensure proper documentation in order to afford full Personal Injury Protection (PIP) benefits.Reviewed document for medical provider information and correct documentation for full PIP benefits. Determined results of Emergency Medical condition and either referred to medical doctor or an updated document with summary of findings.AIS Litigation Dispute Auditor, 10/2020 to 12/2020 Auto Injury Solutions – Chicago, ILAnalyzed and managed large amounts of data received as pre-suit demands from attorneys representing medical providers regards to third party billing disputes. Completed bill validation to ensure appropriate bill adjudication and provided supporting documentation.Presented a dispute package created electronically to bill validation to aid attorneys and insurance adjusters for disputed matters.Provided exemplary level of customer service to all individuals, including clients and company personnel.

United States

Auto and Medical Claims Representative, 11/2001 to 04/2017 Progressive Casualty Insurance Company – Colchester, VTProcessed large volumes of auto and medical claims in a fast-moving work environment.Managed personal and commercial auto lines, liability and auto damage worth an average of $50,000 to $100,000.Drove the investigation and resolution of complex bodily injury claims.Liaised with insured customers, claimants, agents, and attorneys to resolve issues efficiently.Compiled, investigated, and argued liability for automobile subrogation claims in inter-company arbitration.Follow up with customers on unresolved issues and help to find solutions to the issues.Investigated, negotiated, and settled liability injury and property losses.Resolved complex auto loss claims for clientsDemonstrated ability to interpret policy language to resolve coverage exposures while upholding state laws and applying case law.Maintained exceptional quality of work and achieved deadlines in an environment with an excess claim inventory.Handled meeting time-bound goals for customer contracts, and vehicle estimates Medical Payments Representative, 11/2001 to 11/2009 Progressive Casualty Insurance Company – Colchester, VTCustomer Service Professional responsible for interactions with customers as it related to claims or issues.Supported and trained new medical claims representatives on medical claims handling.Reviewed and researched Medical Claims and Bills using Mitchell Bills Systems related to auto accidents.Interpreted policy questions, medical records and responsible for knowledge of medical terminology.Verified Claims and answered questions for customers, underwriters, and attorneys, Investigated and developed action plans around coverage and fraud issues.