Murlyne Newsome Email & Phone Number

Florida, United States

Tampa

● Successfully implement core and voluntary products for new and existing customersadding products in the Specialty Market.● Provides overall satisfaction of customers and brokers with the implementation process.● Coordinate with partners of other business units (Sales, IT, Contracts, etc.) to ensure thatimplementations are delivered consistently, timely, and accurately.● Facilitate communication with customers and brokers to ensure accurate completion ofall key deliverables in the implementation process.● Obtain and meticulously review required information to complete the installation processfrom sales and service partners, brokers, and customers.● Identify implementation-related problems and help facilitate issue resolution.● Effectively load administration systems to ensure accurate plan design and efficientcustomer structure.● Efficiently transfer cases to the appropriate administration group once implementation iscomplete.

Tampa, Florida, United States

•Provide support to insurance agents by coordinating all property & casualty claims related activities to enable agents to reach a high level of production and provide exceptional customer service to clients.•Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims.• Perform efficient and timely data entry of claims information into the agency management system in accordance with Best Practices.• Report claims to the carrier within 24 hours of notification and follow-up for claim acknowledgements from carrier and provide information to insured.• Serve as a technical resource for the Commercial Lines Department by providing a review of claim information and policy response.• Collaborate with claims adjusters to prevent and resolve problematic claims through to closure.• Communicate proactively and often with the sales and service teams on client’s claims.• Initiate and effectively communicate business process improvement strategies, providing alternate solutions and guidance to clients, carriers, and adjusters.

Tampa, Florida, United States

•Efficiently, timely, and accurately processed Medicaid & Medicare bills for payment ensuring all information is supplied before eligible payments are made.•Assessed, analyzed, and solved claims issues, to produce a quick turn around that meets all service level agreement requirements. •Complied with all state and federal government guidelines, ensuring all insurance claims are processed timely and correctly. •Efficiently navigated through several claim processing database systems and Microsoft Office Suite to timely process claims. •Accomplished exceptional audit scores in an automated customer service environment.

Tampa, Florida

•Complied claims and determined benefits due pursuant to a disability plan; made timely payments within specified deadlines and adjustments for disability offsets and informed claimants of documentation required to process claims, required time frames, payment information, and claims status either by phone, written correspondence and/or claims system.•Utilized processing systems to manage claims administration, process payments and communicate with a variety of different clientele through various levels of communication; both verbally and in writing, while utilizing Microsoft Office products such as Outlook, Excel, and Microsoft Word.•Analyzed medical certification forms provided by health care providers and resolved deficiencies to ensure they met the guidelines under the Department of Labor.•Examined and investigated all leads of potential fraudulent medical certification form submissions that do not adhere to the policy and regulations and take the appropriate actions and resolutions. •Certificate of Achievement award recipient- awarded for accomplishing a perfect audit score and exceeding performance competencies.

Tampa/St. Petersburg, Florida Area

•Followed established unit procedures to determine eligibility for public assistance benefits including food assistance, Family Medicaid, and Adult Medicaid within designated time frames as required by Federal and State laws and department policy and procedures. •Trusted with confidential electronic case records and files and documented them thoroughly and accurately as required by departmental procedures. •Efficiently applied problem solving techniques, decision making skills, critical thinking skills, conducted fact finding interviews, and dealt calmly and effectively in high stress situations.•Continuously set personal goals and reached agency goals by reaching monthly performance expectations and standards, agency deadlines, and providing exceptional customer service.•Refined assigned work responsibilities by taking prompt action on all case management activities including medical expense (bill) tracking, changes, sanctions, data exchange, alerts, ad-hoc reports, and Medicaid file resolution.•Identified cases of potential fraud and/or overpayment; made appropriate referrals to fraud and overpayment departments.

Tampa/St. Petersburg, Florida Area

•Conducted audits, managed cases, and entered data in confidential reports.•Analyzed, organized, and screened financial and confidential client information.•Registered, screened, and rendered aid and resources to clients in the outreach department.•Worked closely with case managers assisting the homeless population with various forms of assistance and community outreach.•Collected information from at risk clients to determine eligibility of agency resources.•Worked on homeless housing placement, food and goods distribution, and provided clothing assistance to disadvantaged and homeless families.

Tampa/St. Petersburg, Florida Area

Screened applications, conducted orientation, trained new desk clerks on policies and procedures, and prepared and reviewed employee timesheets.Assisted staff and students by providing accurate information regarding Housing and Residence Life and by using sound judgment to make appropriate referrals Provided exceptional customer service to University Student Housing residents, guests, parents/family, and University faculty, staff, and officials.Prepared documents and completed forms; read, gathered, compiled, and prepared reports; directed and responded to fire alarms and major emergencies; distributed mail and packages; issued keys and equipment; monitored security of residence hall facilities.Worked on various administrative assignments outlined by the Hall Secretary, Residence Life Coordinator(s), and/or Graduate Hall Coordinator(s) to assist in the overall management of the residence hall.

Bachelor Of Arts (Ba), Sociology

Activities and Societies: Zeta Phi Beta Sorority Inc, and Alpha Kappa Psi Fraternity Inc.

Bachelor Of Science (Bs), Public Health

Activities and Societies: Zeta Phi Beta Sorority Inc. and Alpha Kappa Psi Fraternity Inc.