Tomie Mayhorn
Troutman,NC
Summary
Dynamic professional with a proven track record at Lincoln Financial Group, excelling in claims processing and team leadership. Skilled in medical records review and policy interpretation, I significantly enhanced processing efficiency and customer satisfaction. Expert in compliance and complex problem-solving, I led initiatives that improved operational outcomes and team performance.
Overview
16
16
years of professional experience
Work History
LONG-TERM DISABILITY CLAIMS SPECIALIST
Lincoln Financial Group
Charlotte, USA
10.2024 - Current
- Reviewed and analyzed disability claims to determine eligibility for benefits.
- Assisted in developing strategies for resolving complex cases involving multiple disabilities, long-term illnesses, or conflicting medical opinions.
- Collaborated with fellow team members to manage large volume of claims.
- Identified trends in claim activity to identify areas where process improvements could be implemented.
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
CLAIMS ASSOCIATE-LONG TERM DISABILITY
Lincoln Financial Group
Charlotte, USA
04.2024 - 10.2024
- Evaluate and process LTD claims, ensuring timely and accurate decisions
- Collaborate with medical professionals to gather necessary documentation
- Analyze claim data to identify trends and improve processing efficiency
- Communicate with claimants to provide updates and resolve inquiries
- Maintain compliance with company policies and regulatory requirements
CLAIMS EXAMINER II- LONG-TERM DISABILITY
Lincoln Financial Group
Charlotte, USA
11.2021 - 04.2024
- Analyze complex LTD claims, leveraging medical expertise to ensure accurate decisions
- Identify process inefficiencies and implement data-driven solutions
- Guide claimants through the application process, providing clear explanations of policy terms and requirements
- Address inquiries with empathy and professionalism
CLAIMS EXAMINER- STAT
Lincoln Financial Group
Charlotte, USA
06.2021 - 11.2021
- Analyze complex disability claims, interpret policy terms, and make accurate benefit determinations
- Collaborate with medical professionals to assess claimant eligibility
- Provide empathetic support to claimants, explaining policy details and guiding them through the application process
- Resolve inquiries with patience and clarity
HEAD TELLER II
First National Bank of Pennsylvania
Mooresville, USA
05.2019 - 06.2021
- Led teller team, oversaw daily operations, and implemented new cash management procedures, resulting in improved efficiency and reduced errors
- Streamlined customer service processes, reducing wait times and increasing customer satisfaction scores substantially
- Developed and executed training programs for new tellers, enhancing their skills and boosting overall team performance
- Managed complex transactions, ensured regulatory compliance, and maintained accurate financial records with utmost precision
OFFICE ASSISTANT
Randy Marion
Mooresville, USA
12.2014 - 05.2017
- Streamlined office processes, reducing paperwork by implementing digital filing system
- Managed client communications, enhancing response time and satisfaction
- Maintained accurate records and schedules, ensuring smooth daily operations
- Demonstrated strong attention to detail in all administrative tasks
LOAN PROCESSOR
Advanced Pro Cash
Loxley, USA
08.2014 - 11.2014
- Processed loan applications, ensuring accuracy and compliance with regulations, leading to timely approvals
- Reviewed and verified applicant information, reducing processing errors and improving client satisfaction
- Collaborated with underwriters and clients to resolve documentation issues, enhancing workflow efficiency
ASSISTANT MANAGER
Amity Finance
Mooresville, USA
03.2012 - 07.2014
- Analyzed financial documents to assess creditworthiness, contributing to informed lending decisions
- Meticulously managed financial records, ensuring compliance with regulations
- Conducted thorough audits, identifying areas for improvement
BANK TELLER
First Community Bank
Huntersville, USA
07.2010 - 02.2012
- Processed daily transactions efficiently, ensuring accuracy and customer satisfaction
- Balanced cash drawers and resolved discrepancies, maintaining financial integrity
- Assisted customers with account inquiries, enhancing client relationships
BANK TELLER
First Citizens Bank
Mooresville, USA
11.2008 - 07.2010
- Identified and reported suspicious activities, contributing to fraud prevention
- Cross-sold banking products, boosting sales and customer engagement
- Resolved customer inquiries and issues promptly, achieving high customer satisfaction scores
Education
BACHELOR'S - BUSINESS ADMINISTRATION FINANCE
Strayer University
03.2025
ASSOCIATE'S - BUSINESS ADMINISTRATION
Strayer University
06.2023
HIGH SCHOOL DIPLOMA -
Lake Norman High School
01.2008
Skills
- Claims processing
- Medical records review
- Policy interpretation
- 10-key data entry
- Team leadership
- Cash handling
- Employee training
- Complex problem-solving
- Compliance
- Banking laws
- Risk assessment
Personal Information
Date of Birth: 06/13/90
Additionalinformation - Honorsawards
- Won Confetti and Cheers Awards for meeting and exceeding monthly metrics for the months of March 2023 to October 2023.
- Implemented new process for Tuesday's Vocational Forum that provided successful communication from the Claims Specialist to Vocational Specialist.
- Selected by the Leadership Team and Management for Return to Work Accommodations Committee and assist with STAT Team with claims processing.
Timeline
LONG-TERM DISABILITY CLAIMS SPECIALIST
Lincoln Financial Group
10.2024 - Current
CLAIMS ASSOCIATE-LONG TERM DISABILITY
Lincoln Financial Group
04.2024 - 10.2024
CLAIMS EXAMINER II- LONG-TERM DISABILITY
Lincoln Financial Group
11.2021 - 04.2024
CLAIMS EXAMINER- STAT
Lincoln Financial Group
06.2021 - 11.2021
HEAD TELLER II
First National Bank of Pennsylvania
05.2019 - 06.2021
OFFICE ASSISTANT
Randy Marion
12.2014 - 05.2017
LOAN PROCESSOR
Advanced Pro Cash
08.2014 - 11.2014
ASSISTANT MANAGER
Amity Finance
03.2012 - 07.2014
BANK TELLER
First Community Bank
07.2010 - 02.2012
BANK TELLER
First Citizens Bank
11.2008 - 07.2010
BACHELOR'S - BUSINESS ADMINISTRATION FINANCE
Strayer University
ASSOCIATE'S - BUSINESS ADMINISTRATION
Strayer University
HIGH SCHOOL DIPLOMA -
Lake Norman High School
Similar Profiles
Darius GuilloryDarius Guillory
Analyst, Application Development (Dataiku IT Administrator) at Lincoln Financial GroupAnalyst, Application Development (Dataiku IT Administrator) at Lincoln Financial Group
Joanna MurphreyJoanna Murphrey
Disability Claims Examiner at Lincoln Financial GroupDisability Claims Examiner at Lincoln Financial Group
Jonathan JamesJonathan James
Senior Account Director at Lincoln Financial GroupSenior Account Director at Lincoln Financial Group
Joyce BlossomJoyce Blossom
Customer Service Associate, Remote Contact Center at Lincoln Financial GroupCustomer Service Associate, Remote Contact Center at Lincoln Financial Group
Joshua GuyleJoshua Guyle
Marine Machinery Mechanic (Nuclear) at Puget Sound Naval ShipyardMarine Machinery Mechanic (Nuclear) at Puget Sound Naval Shipyard