Summary
Overview
Work History
Education
Skills
Relocation
Timeline
Generic

Sheila Thomas

Kansas City,MO

Summary

Dedicated Customer Service Representative/ Claims Specialist motivated to maintain customer satisfaction and contribute to the organization's success. Proven ability to establish rapport with clients, reliable and driven with strong time management skills.

Overview

40
40
years of professional experience

Work History

Claims Specialist (Remote)

Social Security Administration, SSA
Kansas City, MO
02.2023 - Current
  • Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
  • After importing Medicare, Retirement and Disability claims and making sure they are ready for payment I adjudicate for processing.
  • Talk to claimant in establishing their entitlement to received their benefits for Medicare, Retirement and or Disability .
  • Provides and receives Medicare, Retirement, and Disability information related to documentary evidence, filling and processing procedures status of claimant's application case process.

Claims Examiner / Sr. Customer Support Assistant (Remote)

Science Corporati (DXC TECHNOLGY)
Plano, TX
07.1999 - 01.2023

Process Life access payments

Create and mailed claim forms out to insureds

  • Processed Life access payments
  • Created and mailed claim forms out to insureds
  • Answered customer telephone calls regarding existing accounts.
  • Quote and processed Overage 65 disability polices for renewal.
  • Processed accounting functions for duplicate policies and ordered acquisition files.
  • Applied and removed policy waivers and calculated financial transactions
  • Counsel customer on options for service and coverage
  • Reinstated disability policies that lapsed due to non payment.
  • Process work on ID3. Cyberlife and AWD systems

Advanced Claims Examiner

Blue Cross & Blue Shield
Dallas, TX
01.1984 - 06.1999
  • Processed Medicare claims for payment and/or denial
  • Interpreted contact benefits
  • Composed written correspondence and incoming telephone inquires for Medicare part A&B
  • Contributed to the team effort by accomplishing related results and participating on projects as needed.

Education

High School Diploma -

Lincoln Academy
01.1980

Skills

  • Customer Service
  • Insurance Claim Forms Review
  • New Policies Processing
  • Data Entry
  • Teamwork and Collaboration
  • 10-Key Touch
  • Microsoft Office
  • Medical Terminology
  • Outstanding Clerical Abilities
  • Claims Processing
  • Attention to Detail

Relocation

  • Kansas City, MO
  • Overland Park, KS
  • Lee Summit, MO

Timeline

Claims Specialist (Remote)

Social Security Administration, SSA
02.2023 - Current

Claims Examiner / Sr. Customer Support Assistant (Remote)

Science Corporati (DXC TECHNOLGY)
07.1999 - 01.2023

Advanced Claims Examiner

Blue Cross & Blue Shield
01.1984 - 06.1999

High School Diploma -

Lincoln Academy
Sheila Thomas