Experience

Student and Exchange Visitor Program
• United States
• Government Administration
• 1 - 100 Employee
• Adjudicator

  • Apr 2019 - Present


Social Security Administration

• Government Administration
• 700 & Above Employee

• Benefit Authorizer

  • Jun 2016 - Apr 2019

  •Perform complex legal research, analyzing relevant laws and making appropriate recommendations among claims acquisitions and procedures•Review claims and other complex entitlement determinations for benefits under Title II and Title XVIII of the Social Security Act•Make final conclusive determinations concerning the claimants' right to reconsideration and/or appeal•Recognize Title XVI and ascertains the effect on Title II and Title XVIII HIB/SMIB processing•Independently reviews and finally authorized claims for monthly benefits, entitlement to Health Insurance and/or Supplemental Medical Insurance Benefits•Review and adjudicate the non-medical factors of entitlement on claims for disability benefits Adjudicates complex claims where field offices are unable to make determinations Responsible for complete development and evaluation of all facts and evidence; determines issues in any claim or referred post-adjudicative action, prepares formal or informal determinations relating the facts, evidence and issues to the requirements of the Social Security Act and policies including appropriate precedent cases•Provide legal analytical support work including resolving subsequent post-adjudicative issues; I.e., earnings discrepancies, month of retirement, self-employment earnings, etc Show less

• Treasury and Medicare Specialist

  • May 2015 - May 2016

  •Provide Assistance and correspondence to the Center for Medicare and Medicaid Services (CMS), Railroad Retirement Board (RRB) •Determine Medicare eligibility and billing, taking corrective actions necessary to resolve Hospital Insurance/Supplemental Medical Insurance (HI/SMI) entitlement, premium collection and other benefits entitlement and payment status problems, and take appropriate action•Comprehensive knowledge of the Social Security Act, laws and regulations and other federal agencies regulations/policies to determine a claimant’s eligibility for benefits for Title II, Title XVI and Title XVIII of the Act. Comply with laws and regulations concerning disclosure of information•Respond to inquiries from financial organizations regarding a variety of problem situations involving EFT payments. Takes appropriate action to resolve the problems. Request check or payment information from the Department of the Treasury when necessary •Examine computer generated alerts, notices and exceptions which affect benefit payment and the accompanying source documents to verify the output or object program action is correct, and takes corrective coding, or direct input action when necessary•Screen and codes forms for direct input using Financial Automated systems, access database systems and computer mainframe systems to process adjustments in Medicare eligible recipient •Reconcile non-receipt, stop payments or photocopy exceptions from SSA’s systems or the Department of the Treasury and notifies the field office or the beneficiary or make payments where appropriate based on the assessment of the exceptions •Provide information regarding eligibility rights and benefits for RSDI, HI, SSI, Black Lung and other types of government and public services, utilizing SSA’s various procedural references and computer queries, such as CHIP, PHUS, MBR and DBS Show less