Open to opportunities

Lashea Johnson

@lasheajohnson

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Claims and clinical operations leader who turns complex cases into compliant, customer-focused outcomes.

United States

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What I'm looking for

I’m looking for an opportunity where I can apply my claims, compliance, and clinical operations experience to solve complex problems, deliver excellent customer support, and collaborate with teams to improve processes and outcomes.

I bring multiple years of versatile experience across claims management, clinical operations, program coordination, and leadership. I’m known as a strong problem solver who can clearly see the bigger picture and create practical action steps to reach an end goal.

In my most recent role as a Short-Term Disability Claims Manager, I determined disability eligibility for new claims by capturing and reviewing medical information, applying contractual provisions, and following legal guidelines. I also managed and extended ongoing claims for an assigned caseload while handling high call volumes and customer-facing communication with care and professionalism.

I consistently reinforced regulatory compliance by ensuring adherence to relevant laws, company policies, and shared accountability expectations. I use analytical facilitation to assess claims data, interpret medical terminology, and make informed decisions—while maintaining meticulous attention to detail and strong time management.

Earlier experience strengthened my operational and people leadership, including district management where I devised and implemented strategies for volunteer recruitment, trained teams, and oversaw office and record maintenance across hundreds of facilities. I’m flexible working independently and collaborating with teams, with a communication style that helps resolve issues through active listening, empathy, process, and escalation when needed.

Experience

Work history, roles, and key accomplishments

Short-Term Disability Claims Manager

New York Life

Feb 2023 - Nov 2025 (2 years 9 months)

Managed short-term disability claims by capturing and reviewing medical information, applying contractual provisions, and determining eligibility. Handled high-volume customer inquiries while ensuring regulatory compliance and accurate, timely processing.

Short Term Disability Claims Eligibility Medical Records Review Regulatory Compliance Customer Service Case Management Salesforce Document Processing

Clinical Operations Coordinator

OnTrak Health

Mar 2019 - Aug 2022 (3 years 5 months)

Coordinated clinical operations including mapping referrals for newly enrolled members and managing appointment workflows. Provided administrative support to the Care Coach team, maintained electronic member files, and conducted member surveys.

Referral Coordination Appointment Coordination Clinical Operations Support Administrative Support Electronic Member Records Member Survey Care Coordination Data Entry

Program Coordinator

Centene

Aug 2015 - Oct 2018 (3 years 2 months)

Coordinated member onboarding by performing intake processing for newly enrolled members and conducting welcome calls. Supported field case management, handled a member customer service phone queue, created authorizations for services and supplies, and located providers for plan members.

Program Coordination Member Onboarding Intake Process Welcome Calls Case Management Support Authorization Customer Service

Administrative & Personal Assistant

Hill of Beans Coffee Co.

Sep 2014 - Aug 2015 (11 months)

Supported sales operations and accounts by entering sales reports and invoices in QuickBooks and maintaining accurate records. Managed phone and filing duties, and assisted with cash counting and reconciliation across company locations.

Quickbooks Invoicing Sales Reporting Accounts Reconciliation Data Entry Filing Phone Support

Health Facility Evaluator

Agency for Health Care Administration

Feb 2012 - Nov 2013 (1 year 9 months)

Conducted quality indicator surveys in nursing homes and investigated complaints in long-term care facilities. Assessed compliance with federal and state laws and documented findings for adherence to regulations.

Health Facility Evaluation Complaint Investigation Regulatory Compliance Long Term Care Standards Documentation Compliance

District Manager

Department of Elder Affairs, State of Florida

Sep 2007 - Feb 2012 (4 years 5 months)

Led district operations by devising volunteer recruitment strategies, managing office and records, and overseeing administrative staff. Conducted quality assurance for case investigations and facility assessments, organized Ombudsman meetings and recruitment events, and compiled national reporting system updates.

Volunteer Management Office Management Records Management Quality Assurance Program Coordination Reporting Systems Facility Assignment Lists

Insurance Agent

Monumental Life Insurance

Apr 2006 - Dec 2006 (8 months)

Sold life insurance products and grew client relationships through new account development and customer outreach. Maintained client records and supported ongoing account retention and monthly premium collection through home service.

Life Insurance Sales Prospecting Client Acquisition Account Retention Customer Service Client Records Premium Collection Relationship Management