Jamila Cullum
Lexington
Summary
Dynamic professional with extensive experience in medical claims processing and quality control. Proven ability in data analysis and customer service, ensuring compliance and accuracy in documentation. Recognized for attention to detail and problem-solving skills, contributing to efficient operations and enhanced client satisfaction.
Overview
10
10
years of professional experience
Work History
Temporary Contingency Support Specialist
Claritev
06.2025 - Current
- Resolved claims inquiries by analyzing documentation and coordinating with relevant departments.
- Assisted in processing claims to ensure timely and accurate resolution for clients.
- Utilized claims management software to track and update status of open claims efficiently.
Eligibility Insurance Specialist
Providers Resources, Inc
07.2023 - 11.2024
- Processed insurance claims accurately, ensuring compliance with company policies and regulations.
- Reviewed policy documents to verify coverage details and identify discrepancies.
- Maintained detailed records of claims and policy changes using industry-standard software systems.
Quality Control Analyst
Veteran's Evaluation Services
03.2021 - 04.2023
- Reviewed medical documents for compliance with regulatory standards and accuracy.
- Collaborated with healthcare professionals to ensure proper documentation practices.
- Analyzed discrepancies in patient records and initiated corrective actions.
Certified Pharmacy Technician
Lexington Medical Center
03.2016 - 03.2021
- Dispensed medications accurately, ensuring compliance with safety protocols and regulatory standards.
- Maintained inventory levels, coordinating with suppliers to ensure availability of essential medications.
- Compounded sterile and non-sterile medications following established protocols and safety guidelines.
Education
Post-Baccalaureate Diploma - Practical Nursing
Midlands Technical College
West Columbia08-2026
Bachelor of Science - Health Administration
Coastal Carolina University
Conway, SC12-2018
Associate of Science -
Midlands Technical College
West Columbia, SC05-2017
Skills
- Customer service
- Remote support
- Support services
- Customer relationship management
- Recordkeeping skills
- Activity planning
- Microsoft Office expertise
- Data entry
- Documentation and reporting
- Data analysis
- Problem-solving
- Attention to detail
Timeline
Temporary Contingency Support Specialist
Claritev
06.2025 - Current
Eligibility Insurance Specialist
Providers Resources, Inc
07.2023 - 11.2024
Quality Control Analyst
Veteran's Evaluation Services
03.2021 - 04.2023
Certified Pharmacy Technician
Lexington Medical Center
03.2016 - 03.2021
Post-Baccalaureate Diploma - Practical Nursing
Midlands Technical College
Bachelor of Science - Health Administration
Coastal Carolina University
Associate of Science -
Midlands Technical College
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