Khadejah Thomas
@khadejahthomas
Claims and fraud specialist delivering empathetic, compliant support with 10+ years’ experience.
United StatesWhat I'm looking for
I’m a customer service, claims, and fraud specialist with 10+ years of experience across healthcare, financial services, and retail environments. I manage high-volume workloads, process benefits and claims accurately, and investigate fraud while keeping support empathetic and compliant.
At Aetna / CVS Health, I handled 50+ daily member interactions and processed and reviewed 100+ claims weekly with 98% accuracy while maintaining HIPAA compliance. I explain coverage details, claim outcomes, and next steps in clear, member-friendly language, and I maintain 95%+ customer satisfaction through first-call resolution and thorough documentation.
I also strengthen customer protection and dispute outcomes by identifying suspicious activity, initiating corrective actions, and preventing financial loss. From Citibank and JPMorgan Chase to my Assistant Manager role at Family Dollar, I consistently meet quality and performance metrics through de-escalation, accurate account review, and calm, effective problem-solving.
Experience
Work history, roles, and key accomplishments
Benefits & Claims Specialist
Aetna / CVS Health
Apr 2025 - Dec 2025 (8 months)
Handled 50+ daily member interactions for benefits, eligibility, and claims inquiries. Processed and reviewed 100+ claims weekly with 98% accuracy while maintaining HIPAA compliance and achieving 95%+ customer satisfaction.
Credit Card Specialist
Wells Fargo
Aug 2024 - Jan 2025 (5 months)
Managed 60+ daily customer interactions related to credit card accounts and billing inquiries. Reviewed account activity, resolved disputes, and exceeded team sales and service targets by reaching 110%.
Customer Service & Fraud Specialist
Citibank
Aug 2023 - Jul 2024 (11 months)
Investigated 20–30 fraud and dispute cases daily to prevent financial loss. Protected customer accounts by identifying suspicious activity and initiating corrective actions while maintaining top performance in accuracy, compliance, and resolution speed.
Sapphire Consumer Agent
JPMorgan Chase
Oct 2022 - Jul 2023 (9 months)
Provided high-level support to premium account holders while meeting quality and compliance standards. Maintained 97% customer satisfaction and reduced escalations through effective problem-solving and clear communication.
Assistant Manager
Family Dollar
Nov 2018 - May 2020 (1 year 6 months)
Supervised, trained, and scheduled 10+ associates to meet daily operational goals. Managed $8,000–$10,000 in daily sales with 99% cash-handling accuracy and reduced inventory shrinkage by 12% through improved loss prevention practices.
Education
Degrees, certifications, and relevant coursework
Rust College
Coursework, Biology
Completed coursework in Biology at Rust College.
Hyde Park Career Academy
High School Diploma, High School
Earned a High School Diploma from Hyde Park Career Academy.
Availability
Location
United StatesAuthorized to work in
Job categories
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