Jessie Merrill
Public service-oriented data and claims professional
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About
Public service-oriented data and claims professional with 10 years of experience supporting compliance, financial integrity, and data accuracy in highly regulated environments. Proven ability to analyze high-volume data, identify discrepancies, and produce clear reporting that supports equitable service delivery, operational accountability, and informed decision-making.
Experience
Claims Pricer VI - Blue Cross Blue Shield of Michigan - Detroit, Michigan
(2023-06)
- Analyze and price 1500 claims monthly, ensuring compliance with regulatory, contractual, and policy standards.
- Identify and resolve data discrepancies across systems, improving pricing accuracy by 15% and supporting financial transparency.
- Develop Excel-based tracking tools and reports to monitor trends, data quality, and operational performance.
- Collaborate with audit, operations, and technical teams to strengthen controls and reduce risk.
Claims Product Specialist - Auto Club Group - Dearborn, Michigan
(2021-07 - 2023-06)
- Reviewed and approved $50K+ annually in claim payments, ensuring responsible stewardship of funds.
- Trained and mentored 40+ staff on documentation standards and data accuracy, reducing escalations by 20%.
- Improved vendor and referral workflows using data analysis, reducing turnaround time by 30%.
Claims Customer Service Representative - Auto Club Group - Dearborn, Michigan
(2019-12 - 2021-07)
- Managed 80+ daily claims and public-facing inquiries with 98% documentation accuracy in a high-volume environment.
- Used service data and feedback to support process improvements; recognized for Top Net Promoter Score (2020–2021).
Education
Bachelor of Science - Business Administration (Finance) - Wayne State University – Mike Ilitch School of Business (2026-08)
