Jamela Johnson
Aurora,IL
Summary
Results-driven Claims Specialist Team Lead with over 10 years of experience in high-volume insurance environments, specializing in complex claims review, policy interpretation, and compliance. Proven ability to analyze and validate detailed claim information, resolve discrepancies, and ensure accurate and timely adjudication.
Overview
15
15
years of professional experience
Work History
Team Lead, Claims Data Entry
True Source
02.2021 - Current
- Process and review high-volume insurance claims ensuring compliance and accuracy
- Validate claim data and resolve discrepancies prior to adjudication
- Generate performance reports and analyze trends for process improvement
- Handle escalated cases and ensure HIPAA compliance
- Train and mentor team members to improve productivity and quality
Customer Service Supervisor
Dovenmuehle Mortgage Inc
07.2015 - 01.2022
- Supervised team resolving complex customer issues
- Managed escalations and ensured compliance with regulatory standards
- Trained staff on systems and procedures
- Created KPI reports and improved service performance
Technical Support Coordinator
Protocol
05.2011 - 07.2015
- Provided technical support and troubleshooting
- Trained staff on communication and resolution techniques
- Ensured timely ticket closure and documentation
- Collected feedback to improve systems
Education
High School -
East Aurora High School
Skills
- Advanced Claims Processing
- Policy Interpretation
- Compliance
- Data Accuracy
- Reporting
- CRM Systems
- Leadership
- Quality Assurance
Timeline
Team Lead, Claims Data Entry
True Source
02.2021 - Current
Customer Service Supervisor
Dovenmuehle Mortgage Inc
07.2015 - 01.2022
Technical Support Coordinator
Protocol
05.2011 - 07.2015
High School -
East Aurora High School