Experience

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  Social Security Administration

  • Claims Representative

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  Social Security Administration

  • United States
  • Government Administration
  • 700 & Above Employee

  • Claims Representative

    • Feb 2008 - Present

    As a Claims Representative, Generalists, I perform duties in both T2 and T16 programs. I uphold all philosophies, principles and objectives of all programs administered by SSA. I am knowledgeable of state laws involving descent, social service programs, Medicaid, Worker’s Compensation, Internal Revenue Code, Railroad Retirement Act, Veterans benefit laws and various federal laws in relation to SSA programs. I research, analyze evidence, facts and allegations to rationally conclude timely determinations while documenting and explaining all my final decisions. My skill to effectively communicate both orally and in writing with all cultures, races, nationalities, ages, genders, economic backgrounds and beliefs allows me gather information. This skill allows me to properly explain difficult eligibility requirements and assure compliance from the clients with the programs administered by SSA. Skills in multitasking allow me to accurately maintain and process workloads timely. I am skilled in being able to adapt to all changes in policies, procedures and technology. To assure a positive work environment and team player, I support all and any effort by the unit to meet agency goals and missions. I conduct all official SSA business in a professional, compassionate and courteous manner with both my clients, counterparts and management. I operate an SSA issued computer and other technology to perform all daily duties and aspects of my job such as: data entry, commercial software and web based programs.

  • Customer Service Technician

    • Sep 2007 - Feb 2008

     Provide a range of assistance to beneficiaries and inquirers by telephone and/or correspondence regarding coverage and wage provisions under Title II of the Social Security Act. Interview beneficiaries, inquirers and/or their representatives to determine the nature of their problem or interest.  Consider all non-medical eligibility requirements for SSI benefits including all possible exclusions to income and resources before denying claims.  Provides information and advice about specific retirement options and computes estimated monthly benefits payable at various ages to enable individuals to make retirement decisions that will affect them the rest of their lives. Answers questions and resolves problems concerning Medicare payments. Pursues to completion incidents of dissatisfaction with Medicare reimbursement rates or other practices. Initiates contacts with beneficiaries or others to obtain omitted reports and clarify inconsistent or incomplete reports. Identifies need for social services of people interviewed and refers them to appropriate private, nonprofit or government organizations supplying such services. Identifies situations with public affairs implications or problems and issues of such complexity or magnitude to warrant referral and refers them to superiors or other organizational components.

  • Development & Support Examiner/Claims Clerk Examiner

    • Jul 2004 - Sep 2007

     Review and analyze output from the Accounts Receivable System, REACT, and prepare necessary forms to clear exceptions and/or alerts. Receive and make telephone calls to other components in ODO, OHA, district offices, beneficiaries and Treasury Department disbursing center to resolve claim issues. Examine folders, claims related correspondence and computer output to determine type of claim and/or action required and it’s jurisdiction within the claims process. Screen incoming folders and materials for ALJ, MCS, re-files, Age 59 and misrouted folders and material and routes to proper destination. Perform a consistency check on claims authorized in the district office that are processed via PCAT.  I verify the accuracy of checks on MACADE computer generated output Category 3. Providing feedback on errors detected, refers cases not under their jurisdiction to technicians. Reviews computer output, award certificates, notices and source document for claims identified incomplete. Through the learned duties and responsibilities, I have gained knowledge of SSA programs, processes, and support activities. By effectively communicating orally and in writing, I am able to gather important data to identify significant problems and offer solutions.

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  Nine West, Inc. (Shoe Store)

  • Baltimore, Maryland Area

  • Assistant Manager

    • Aug 2002 - Aug 2004
    • Baltimore, Maryland Area

     Assisted with training and development of new associates on cash handling, the register and customer service skills. Provided exceptional retail sales of Nine West merchandise Provided excellent customer service and consistently exceeded units per transaction goals by 2% Assisted with facilitation of monthly staff meetings to help employees to become more aware about goals and objectives. Assisted in overseeing the daily operations, including successfully opening/closing of the store, processing accurate transactions, maintaining stock and coordinating promotional events

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  PUBLIC DEFENDERS OFFICE

  • Baltimore, Maryland Area

  • Intake Administrator (Internship)

    • May 2003 - Aug 2003
    • Baltimore, Maryland Area

     Intake information from prospective clients to help them receive a Public Defender. Enhanced typing skills, filing, professionally answering phones, reviewed and processed forms. Attend court hearings for the C.I.N.A. Division of the Public Defender’s Office. To provide statewide representation for indigent custodial parents and legal guardians in cases where allegations of child abuse and neglect have been made in Juvenile Court.