Sheena Hamill
@sheenahamill
I process complex leave and disability claims while training teams and supporting accurate, compliant operations.
United StatesWhat I'm looking for
I'm currently processing Paid Family Medical Leave files at Mutual of Omaha, applying state paid-leave requirements while supporting team operations, new-hire training, and system troubleshooting.
At UNUM, I progressed from Customer Service Specialist to Senior Leave Specialist, Life Event Specialist, and Mentor Support Specialist. I processed integrated FMLA and Short-Term Disability claims, communicated with employees and employers, and led training and mentoring for new hires.
Earlier at Blue Cross Blue Shield of Tennessee, I processed Medicare Advantage enrollment and medical claims using FACETS. I bring hands-on experience with leave regulations, claims adjudication, customer support, Workday, and operational process support.
Experience
Work history, roles, and key accomplishments
Processes Paid Family Medical Leave (PFML) files while applying state paid-leave laws. Trains and supports new hires, provides system support, and serves as a resource for management and team members.
Trained and supported new hires in Short-Term Disability (STD) and FMLA products. Provided ongoing guidance and mentoring to help employees develop confidence and proficiency in claim-handling processes.
Processed integrated FMLA and Short-Term Disability claims. Applied knowledge of Workday and multiple operating systems to support accurate and efficient claim processing.
Processed FMLA files in accordance with federal and state medical-leave regulations. Promoted to Senior Leave Specialist in June 2021, led meetings, and provided training and mentoring to new hires.
Assisted customers by phone with questions regarding insurance policies, billing, and life insurance. Progressed through multiple promotions, ultimately reaching the CSR IV level, and mentored new hires.
Billing & Enrollment / Claims Processor
Sep 2011 - Jun 2013 (1 year 9 months)
Processed Medicare Advantage applications and contacted clients to obtain additional information. Processed medical claims using the FACETS system and adjudicated claims with knowledge of medical coding.
Education
Degrees, certifications, and relevant coursework
Valley Head High School
High School Diploma, General Studies
Grade: 3.7 GPA
Completed high school education with a 3.7 GPA.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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