MAREDETH TEAMER
CRESTWOOD
Summary
Results driven professional with a strong background in claims management, regulatory compliance, and complex case oversight. Experienced in analyzing risk, interpreting policy language, and managing high-volume portfolios while ensuring accuracy and adherence to industry standards. Proven ability to streamline processes, strengthen internal controls, and align operational workflows with organizational and financial objectives. Recognized for a collaborative, client-centered approach, sound judgment, and a consistent commitment to delivering accurate, timely, and high-quality service.
Overview
7
7
years of professional experience
Work History
School-Based Medicaid Project Manager
Evanston/Skokie District 65 Schools & Oswego Unit School District 308
Evanston, Illinois, US
04.2022 - Current
- Oversee insurance reimbursement programs and claims processes, ensuring compliance with federal and state Medicaid regulations.
- Manage high-volume claims documentation review to ensure accuracy, completeness, and audit readiness.
- Analyze service documentation and billing data to identify discrepancies, reduce risk exposure, and maximize reimbursement recovery.
- Collaborate with district leadership, finance teams, and service providers to strengthen internal controls and improve claims submission workflows.
- Interpret complex regulatory requirements and translate them into clear procedural guidance to mitigate compliance risk.
- Lead quality assurance initiatives, incorporating stakeholder feedback to improve documentation standards and financial accountability.
- Prepare detailed financial and compliance reports for executive leadership, supporting strategic decision-making and risk management.
- Manage multiple concurrent projects in a deadline-driven environment while maintaining strict regulatory compliance.
Claims Adjuster
Progressive Insurance
Georgia, US
10.2021 - 03.2022
- Investigated and managed auto insurance claims from initial report through final resolution.
- Conducted liability determinations through policy analysis, recorded statements, evidence review, and damage assessments.
- Interpreted coverage provisions to ensure accurate application of policy terms and regulatory compliance.
- Negotiated settlements with claimants, attorneys, and third parties while protecting company financial interests.
- Maintained detailed, compliant documentation in a high-volume environment, meeting strict service and regulatory standards.
- Delivered high-level customer service during sensitive situations, balancing empathy with sound business judgment.
Foster Care Case Manager
State of Georgia - Division of Family & Children Services (DFCS)
Alpharetta, GA, US
04.2019 - 08.2021
- Managed complex caseloads requiring detailed documentation, regulatory compliance, and risk assessment.
- Developed comprehensive written reports and case plans aligned with state guidelines and legal standards.
- Communicated complex information clearly to diverse stakeholders, including families, attorneys, and court officials.
- Balanced competing priorities and strict deadlines in a fast-paced, compliance-driven environment.
- Applied structured problem-solving skills to assess risk factors and develop appropriate intervention strategies.
Education
Bachelor of Arts -
Wilberforce University
OH, USMaster of Business Administration (M.B.A.) - Development Administration Candidate
Roosevelt University
Chicago, IL, US11-2027
Skills
- Auto and liability claims investigation and resolution
- Coverage analysis and policy interpretation
- Liability determination and damage assessment
- Settlement negotiation and dispute resolution
- Documentation review and evidence evaluation
- Claims lifecycle management from intake to closure
- Regulatory compliance and audit preparedness
- Portfolio management of complex accounts
- Client relationship development and retention
- Risk exposure analysis and mitigation strategies
- Cross-functional collaboration with internal and external stakeholders
- Contract and policy documentation review
- Proactive client communication and service delivery
- Problem resolution with high attention to detail
- Medicaid billing oversight and reimbursement optimization
- Federal and state compliance (IDEA & Medicaid guidelines)
Insurance Claims & Risk Management
Commercial & Account Management Skills
School-Based Medicaid & Public Sector Reimbursement
- Service documentation review and quality control
- Audit preparation and corrective action planning
- Staff training on documentation and service logging systems
- Cross-department coordination (Special Education, Nursing, Finance)
- Financial reporting and funding maximization strategies
- Oversight of insurance-related documentation and claims processes
- Coordination between service providers and finance departments
- Monitoring district compliance with reimbursement regulations
- Process improvement to strengthen internal controls
- Data analysis to support fiscal sustainability
- Analytical decision-making
- High-level organization and time management
- Strong written and verbal communication
- Customer-focused service approach
- Ability to manage sensitive information with confidentiality
- Adaptability in high-volume, deadline-driven environments
Oswego Community Unit School District 308 – Insurance & Compliance Support
Professional Strengths
Timeline
School-Based Medicaid Project Manager
Evanston/Skokie District 65 Schools & Oswego Unit School District 308
04.2022 - Current
Claims Adjuster
Progressive Insurance
10.2021 - 03.2022
Foster Care Case Manager
State of Georgia - Division of Family & Children Services (DFCS)
04.2019 - 08.2021
Master of Business Administration (M.B.A.) - Development Administration Candidate
Roosevelt University
Bachelor of Arts -
Wilberforce University
TECHNOLOGY AND TOOLS
- Project Management Platforms
- Documentation & Content Review Systems
- Data & Reporting Tools
- AI-Assisted Writing & Analysis Tools (comfortable learning new platforms)
Associate Executive Director - Inellas Restoration Center
Support organizational mission focused on equity, empowerment, and
education-adjacent services.
Contribute to strategic planning, governance, documentation, and
collaborative decision-making.