ANGELA DRAIN
Atlanta,GA
Summary
To secure a career opportunity to fully utilize training and skills, while making a significant contribution to the success of an organization.
Overview
20
20
years of professional experience
Work History
HOME ADMINISTRATOR
01.2011 - 01.2023
- Formulated and balanced budget while paying bills and ensuring identification of cost effective opportunities for household
- Completed household management tasks to maintain order and organization
- Assisted with instructing students during homeschooling to make sure assignments were completed in timely manner
- Helped students build learning and study skills that will aide them in future life-long educational goals
- Consulted with instructors periodically to allow for clear communication of expectations of work assigned
- Managed schedules including doctors appointments and extracurricular activities while also providing transportation
- Negotiated repairs, maintenance, and replacement of equipment and property.
- Handled sensitive information discreetly, maintaining strict confidentiality at all times as required by company policy or legal regulations.
ADJUDICATOR
Georgia Department Of Labor
01.2009 - 01.2011
- Worked in collaboration with healthcare professionals on claim adjudication while exceeding production goals and a 99% compliance rate of quality annually
- Provided details on claims including impairments, treatments, and medications for behavioral & physical disorders
- Researched, developed, and adjusted claims relative to Social Security Disability Insurance & Supplemental Security Income
- Rendered form decisions on disability based on evidentiary requirements of Federal Social Security Law, Rules & Regulations.
- Ensured accurate determinations with meticulous research and thorough investigation of disputes.
- Continuously updated personal knowledge on relevant laws, regulations, and policies affecting the adjudication process within the jurisdiction served.
- Improved claim processing times by implementing efficient workflows and prioritizing urgent cases.
- Evaluated claims by analyzing case files, conducting interviews, and reviewing relevant documentation.
- Leveraged strong negotiation skills to mediate disputes between parties and facilitate mutually agreeable settlements where possible.
- Reduced case backlogs by effectively managing workload and meeting strict deadlines for resolution.
- Collaborated with attorneys, law enforcement, and other professionals to gather evidence for fair adjudication.
- Streamlined case management processes to expedite resolution times while maintaining accuracy in decision making.
- Prepared comprehensive reports detailing findings, conclusions, and recommendations for further action or appeal as necessary.
- Utilized advanced problem-solving skills to navigate complex issues and reach fair, well-reasoned decisions that withstood scrutiny during appeals or further reviews.
- Developed expertise in various areas of law, enabling comprehensive analysis of complex claims across multiple sectors.
- Promoted fairness in adjudications through impartial assessment of facts and unbiased application of legal principles.
- Mentored junior adjudicators on best practices, contributing to enhanced team performance overall.
- Enhanced interdepartmental communication by providing clear explanations of decisions to involved parties.
- Safeguarded stakeholder interests by consistently striving for the most equitable outcomes in all cases handled.
MEDICAL DISABILITY PROGRAM SPECIALIST
FLORIDA DEPARTMENT OF HEALTH
01.2003 - 01.2009
- Analyzed the mental and physical impairments affecting areas of the body by utilizing knowledge of multiple body systems
- Consulted on the physical & mental impairments, vocational factors and provisions regarding Social Security Title II & Title XVI Law
- Researched and documented data regarding medical, psychological, and social factors contributing to clients' personal conditions
- Utilized various communication techniques on clients with moderate to severe
- Received incoming phone calls and contact form submissions and provided timely responses to inquiries.
- Built strong relationships with external partners to secure resources and support necessary for program success.
- Developed and deepened productive community relationships to assist with defining requirements, executing plans and strengthening leadership.
- Established goals and created action plans to achieve goals.
- Maintained regular communication between departments via email and phone calls to coordinate program logistics.
Education
Bachelor of Science - Biology
VALDOSTA STATE UNIVERSITY
Valdosta, GA05.2000
Skills
- AS400 - Tech System Case Management Claims Processing Data Entry & Collaboration Service Oriented Administrative Monitoring & Reporting Administrative Law & Governance Administrative Counseling Strong Analytical, Communication & Organization Skills
References
REFERENCES AVAILABLE UPON REQUEST
Timeline
HOME ADMINISTRATOR
01.2011 - 01.2023
ADJUDICATOR
Georgia Department Of Labor
01.2009 - 01.2011
MEDICAL DISABILITY PROGRAM SPECIALIST
FLORIDA DEPARTMENT OF HEALTH
01.2003 - 01.2009
Bachelor of Science - Biology
VALDOSTA STATE UNIVERSITY