ANDREA SCOTT
Tolleson,AZ
Summary
Ambitious self-motivated individual with experience in medical and financial eligibility. Demonstrates excellent skills in verbal and written communications, timely case management, quality of work, and teamwork. Has the ability to transcend cultural and economic differences in a nonjudgmental, objective manner. Accustomed to handling sensitive, confidential records, applying rules, regulations, federal and state laws.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Veteran Service Representative
Phoenix VA Regional Office
Phoenix, AZ
10.2023 - Current
- Adjudicates claims and inputs necessary data to generate the award and notification letter to the Veteran, describing the decision and the reason.
- Serves as the primary contact for the Veteran and their representative about VA compensation claims.
Disability Specialist
Division of Disability Determination
Phoenix, Arizona
09.2006 - 10.2023
- Company Overview: Social Security Administration
- In this position of Disability Adjudication, I research, review, analyze, and apply medical, vocational, legal and statutory laws for Social Security case adjudication.
- I complete disability adjudication at all case levels initial, appeal, continuing disability review, disabled child, dead widow benefits, and death waiting period.
- I complete determinations while making sure all federal disability rules, laws and eligibility requirements are implemented according to the Social Security Act (SSA).
- I write and prepare personal decision notices of denial or approval claims to the claimant.
- I speak and work closely with medical consultants to review for approval or disapproval Social Security claims.
- I carry a caseload of 130 claims ranging from appeal, initial and continuing disability with the caseload, I must stay very organized and use my strong skills in written and verbal communications.
- I handle a high volume of calls from medical offices, claimants, legal representatives and medical consultants; I must know the nature of, claimant’s impairments, degree of severity and functional limitations imposed.
- I am responsible for timeliness, accuracy, and quality of the work products.
- I attend multiple trainings to strengthen computer skills, medical knowledge and so stay abreast of new medical listings or laws.
- When needed I assist unit supervisor on, closing or working on absent co-workers cases.
- In this position, I am using strong interpersonal skills as I deal with suicidal, irate, homeless, terminal ill and mentally incapacitated claimants.
- I must prepare and provide a vocational rationale and analysis on denied, researching their age, education, past work experience and what vocational profile they meet if any.
- I must research the claimants onset date last worked, if the claimant is working within their alleged onset date.
- I research if the claimant is eligible for title II benefits or if they are disabled before the date last insured or prescribed period end date.
Human Service Specialist II/Case Manager
Department of Economic Security
Phoenix, Arizona
10.2005 - 09.2006
- Company Overview: Division of Developmental Disabilities
- In this position, I maintained a diverse caseload of adult and Developmental Disabilities.
- I facilitate staffing with team members, working cohesively with all members.
- I was responsible for the development and implantation of Individual Service Plans.
- I participated in the development of Person Centered Plans Identify needs and ensure the delivery of services was assessed.
- I operated in conjunction with ALTCS/Title XIX and AHCCCS requirements.
- I would write prepare extensive detailed case plans and coordinated services with Vocational Rehabilitation, Value Options and Adult Protective Services.
- In this position, I am always using strong interpersonal skills, as I am required to establish and preserve relationship with providers, consumers, families and co-workers.
- I handled a high volume of calls from medical consultants, consumers, and legal representatives.
- I am responsible for timelines, accuracy and quality of work.
- I attend multiple trainings to strengthen individual skills, interviewing techniques, interpersonal skills and workshops to stay abreast of the constant evolution of policy.
- When needed I assist unit supervisor on absent co-workers case.
Public Assistance Eligibility Interviewer I, II and III
Department of Economic Security
Phoenix, Arizona
01.1998 - 06.2005
- Company Overview: Family Assistance Administration
- In this position, I interviewed applicants to elicit information necessary to base a determination of initial or continued eligibility for public assistance programs and benefits, i.e.; Food Stamps, Cash Grants, and Medical Assistance.
- I used policies mandated by State and Federal government Agencies.
- I maintained thorough knowledge of the
- DES AZTECS system, and inter-agency information screens as they contribute to the ability to make an accurate and quality eligibility determination.
- I examine and reviewed applications, case records, and associated materials relating to eligibility entitlement decisions.
- I record, all actions relevant to the interview and subsequent determination Input data into the AZTECS database, maintain and update case files.
- Enlighten the applicant to potential agency, and community and programs and resources.
- I take action necessary to recoup over-payments, and refer questions issues to investigators; I update case files with data that may affect an accurate and timely decision of entitlement.
- I used system alert menus to communicate corrective actions and changes that may affect eligibility.
- I would utilize inter-agency menus to evaluate client participation in other benefit programs.
- I would prioritize daily tasks to respond timely to operational directives, eligibility determination and referrals.
- I attended periodic workshops and training sessions to strengthen individual skills, interviewing techniques, and stay abreast on of the constant evolution of policy.
- In this job, I possessed strong interpersonal skills providing support to clients, with emphasis on public relations requiring tact and diplomacy; as some clients may be irate, hostile, or severely incapacitated.
Education
General Education Diploma -
Agua Fria
Avondale, AZGeneral studies -
Estrella Mountain Community College
Litchfield, AZCase Management Services -
Rio Salado Community College
Skills
- Defusing Hostile People
- Medical Terminology
- Social Security Disability adjudication
- Microsoft programs
- Social Security Intranet
- EDCS
- PCOM
- Social Security E-CAT SYSTEM
- LAND
- Federal laws
- Regulations
- Provisions
- Basic human anatomy
- Physiology
- Psychological terminology
- Disease impairments
- Medical ethics
- Confidentiality
- Raw medical data
Certification
- P.A.C.T Level I-VI Eligibility training
- Investigative Interviewing Training
- Defusing Hostile People
- General Assistance Training
- T.P.E.P Training
- Human Services Certificate
- Social Security Disability adjudication training
- Division of Development Disabilities Core training
Timeline
Veteran Service Representative
Phoenix VA Regional Office
10.2023 - Current
Disability Specialist
Division of Disability Determination
09.2006 - 10.2023
Human Service Specialist II/Case Manager
Department of Economic Security
10.2005 - 09.2006
Public Assistance Eligibility Interviewer I, II and III
Department of Economic Security
01.1998 - 06.2005
General Education Diploma -
Agua Fria
General studies -
Estrella Mountain Community College
Case Management Services -
Rio Salado Community College