Lamont Bomar
Washington,DC
Summary
Dynamic Claims Specialist with the Social Security Administration, adept at adjudicating complex claims and detecting fraud. Skilled in evidence evaluation and effective communication, I ensure regulatory compliance while enhancing customer service. Proven ability to process benefits efficiently, contributing to a streamlined operation and safeguarding program integrity.
Overview
17
17
years of professional experience
Work History
Claims Specialist
Social Security Administration, SSA
Washington, District of Columbia
09.2008 - Current
- Independently review, adjudicate, and finally authorize claims for monthly benefits and Medicare benefits.
- Complete the development and evaluation of all facts and evidence.
- Protect the identity of SSA programs through the identification, investigation, and resolution of potential program abuse and fraud.
- Conducts interviews to obtain clarity and verify information about individual applicants' initial eligibility for retirement, survivors', disability, and health insurance benefits.
- Examines evidence to evaluate its validity and acceptability in establishing entitlement to benefits.
- Processes post-entitlement workloads and answers customer inquiries via phone.
- Respond to requests for assistance from co-workers, customers, and management.
Education
Some College (No Degree) - Information Technology
Catholic University
Washington, DCSkills
- Claims adjudication
- Fraud detection
- Evidence evaluation
- Customer service
- Regulatory compliance
- Data analysis
- Case management
- Interviewing techniques
- Effective communication
- Critical thinking
- Benefit processing
- Team collaboration
- Policy interpretation
- Claims analysis
Accomplishments
- Received multiple awards for managing various workloads with the agency.
- Received leadership roles with in my work unit at the agency.
- Received many recognitions for effectively engaging in multiple task while operating in a busy customer service environment.
Timeline
Claims Specialist
Social Security Administration, SSA
09.2008 - Current
Some College (No Degree) - Information Technology
Catholic University
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