Jasmine Coleman
Bellevue
Summary
Detail-oriented healthcare and insurance professional skilled in high-volume claims processing, insurance eligibility verification, and healthcare documentation review. Specializes in customer support within regulated environments, with strong knowledge of Medicare and Medicaid workflows and HIPAA compliance. Effectively resolves escalated concerns while managing multiple systems in fast-paced remote settings, ensuring data accuracy and meeting productivity goals.
Overview
9
9
years of professional experience
Work History
Claims Examiner I
Davies Life and Health
06.2024 - 04.2026
- Processed long-term care claims, reviewing eligibility and documentation to ensure accurate claim determinations.
- Verified coverage information and updated claim statuses, maintaining audit-ready records to support efficient operations in high-volume healthcare.
- Coordinated with providers and internal teams to resolve discrepancies, reduce delays, and improve workflow efficiency.
- Ensured compliance with HIPAA, Medicare, and Medicaid guidelines while supporting quality assurance standards.
Policyholder Representative II
Davies Life and Health
06.2021 - 06.2024
- Managed inbound and outbound policyholder interactions regarding benefits inquiries and policy updates, enhancing overall customer experience.
- Resolved escalated customer concerns through thorough account research and documentation review, facilitating effective cross-functional communication.
- Processed POA documentation, beneficiary updates, and eligibility-related requests while maintaining HIPAA compliance and data accuracy.
- Navigated multiple systems simultaneously to ensure accurate data handling and uphold high customer satisfaction.
Preschool Special Education Paraprofessional
Bellevue Public Schools
07.2017 - 05.2021
- Communicated effectively with students and staff, managing multiple tasks while maintaining accurate documentation in dynamic settings.
- Collaborated with educators, therapists, and families to implement individualized student plans, enhancing daily operations and student support.
- Supported teachers in implementing individualized education plans for diverse learners.
- Assisted students with daily living skills and academic tasks to promote independence.
- Collaborated with educational staff to adapt instructional materials for accessibility.
Education
High School Diploma -
DuVal High School
Lanham, MDSkills
- Claims management
- Eligibility verification
- Eligibility assessment
- Claims Processing
- Prior authorization
- Medical Documentation Review
- Medicare expertise
- HIPAA Compliance
- Claims systems
- Data accuracy
- Microsoft Office Suite
- Document Management
- Remote Work Environments
- Problem-solving
- Customer Support
Timeline
Claims Examiner I
Davies Life and Health
06.2024 - 04.2026
Policyholder Representative II
Davies Life and Health
06.2021 - 06.2024
Preschool Special Education Paraprofessional
Bellevue Public Schools
07.2017 - 05.2021
High School Diploma -
DuVal High School
Additional Knowledge
- Benefits Verification
- Insurance Eligibility
- Claims Systems
- Medicare & Medicaid
- HIPAA Compliance
- Customer Resolution
- Healthcare Documentation
- Remote Operations