LaMesha Kellam
Dallas,Georgia
Summary
Professional with comprehensive experience in claims processing and evaluation. Demonstrates strong analytical skills, thorough knowledge of insurance policies, and consistent track record of identifying and resolving complex claims. Valued team player with strong focus on collaboration and results, adaptable to evolving work environments. Known for reliability, problem-solving abilities, and effective communication with stakeholders.
Overview
10
10
years of professional experience
Work History
Claims Examiner
U.S. Bank
03.2022 - 07.2025
- Approve or deny claims based on findings and policy provisions.
- Calculate benefit payments and ensure accuracy of payments issued.
- Identify potential fraud or inconsistencies and escalate for further investigation.
- Maintain detailed records of claim reviews and decisions.
- Collaborate with other departments (legal, finance, or customer service) as needed.
Medical Claims Processor
Chesapeake Bay Bridge Tunnel
05.2018 - 02.2022
- Review claim forms, medical records, and policy documents to verify claim validity.
- Determine the extent of the insurer’s liability.
- Communicate with claimants, policyholders, healthcare providers, or employers to gather necessary information.
- Reviewed complex claims cases, providing insights that informed strategic decisions on policy adjustments.
Claims Representative
Federal Express
06.2015 - 04.2018
- Receive and process new claims from policyholders or third parties.
- Investigate claims by gathering information such as police reports, photos, medical records, and witness statements.
- Explain coverage details, policy limits, and claim procedures to customers.
- Evaluate damages and determine appropriate settlements within authorized limits.
- Provide excellent customer service and support throughout the claim lifecycle.
Education
No Degree -
Norfolk State University
Norfolk, Virginia, VAHigh School Diploma -
Northampton High School
Eastville, VA06-2008
Nursing Assistant -
Eastern Shore Community College
Melfa, VA05-2008
Skills
- Claims processing
- Verbal communication
- Data verification
- Disability claims process
- Microsoft Office Suite
- Investigative skills
- Coding systems
- Computer skills
- Claims evaluation
- Customer service and support
- Critical thinking
- Claims investigation
Timeline
Claims Examiner
U.S. Bank
03.2022 - 07.2025
Medical Claims Processor
Chesapeake Bay Bridge Tunnel
05.2018 - 02.2022
Claims Representative
Federal Express
06.2015 - 04.2018
No Degree -
Norfolk State University
High School Diploma -
Northampton High School
Nursing Assistant -
Eastern Shore Community College
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