Angela Elaine Wellborn
Jacksonville
Overview
33
33
years of professional experience
Work History
Supervisory Worker's Compensation Claims Examiner
US Department of Labor
08.2006 - Current
- I am currently employed as a Supervisory Worker's Compensation Claims Examiner
- In my position I supervise unit claims examiners
- I am responsible for performance and Operational plan goal results of the personnel assigned to the unit
- I also develop unit or office procedures and design workflow for the District Office unit and coordination among units
- I develop practical methods for the District Office personnel to accomplish program goals by analyzing unit or office staffing requirements, identifying training needs, computer resources and working procedures
- I am responsible to provide policy guidance and direction to subordinate claims examiners for resolving novel or precedent setting issues by considering the level of difficulty of the assignments by applying knowledge of procedural steps, documentation requirements, time requirements and various types of cases to maintain records and check for accuracy and completeness of documents
- I also ensure integrity of claims related data in the automated system, develop, and enforce necessary procedures to ensure data is current and accurate
- I perform special assignments as directed and assigned
- I assist and advise the District Director with achieving the mission of the Program and operational goals, planning, policy matters, overall administration and provide guidance on problem cases as well as on major projects and problems that may arise
- I also identify training needs and develop training plans for unit staff
- I recommend personnel actions of subordinate staff and uphold the highest ethical standards
- I assure equal employment opportunity goals and policies are met within the unit and work to resolve any issues that arise at the lowest possible level to avoid escalation and prohibit discriminatory practices of any kind
- I develop and enforce necessary procedures to ensure the data is current and accurate
- I also ensure that medical bills and benefits are paid to the claimants who we serve including home health care as well as reimbursement for durable goods and medical services and travel reimbursements
- I am also responsible for timekeeping for the unit
- I also perform special assignments as necessary including but not limited to drafting performance standards, interviewing applicants and making recommendations for selection
- Contact Supervisor: Yes
- Supervisor's Name: Julie Draper, Supervisor's Phone: 904-366-0505
SENIOR WORKER'S COMPENSATION CLAIMS EXAMINER
Department of Labor
03.2004 - Current
- As a senior claims examiner, I independently adjudicated highly complex occupational illness and survivor claims
- I was responsible to examine illness and survivor cases for factual and medical sufficiency for three claims examiners
- I also conducted appropriate research and investigation to ensure that decisions were consistent with law, regulations and Worker's compensation procedure manuals
- I assumed responsibility for cases under investigation for potential fraud
- I also determined the need for, scheduled, and conducted conferences either in person or by telephone to resolve controversial and contested claims by negotiating with claimants, employers, attorneys, representatives, physicians, contractors and congressional offices to achieve amicable resolutions
- I also resolved differences concerning interpretations of law, regulations and procedures among GS 11 and lower graded claims examiners
- I exercised certification authority on all payments
- I also exercised signature authority on all recommended decisions
- I also applied probability of causation algorithms on claims involving radiogenic cancers as promulgated in regulation by the Department of Health and Human Services
- I was also responsible to take timely action on claims remanded by the Final Adjudication Branch
- I also was responsible for training and mentoring of GS 07, 09 and 11 Claims Examiners concerning interpretation of regulations as well as policy and procedures
- I ensured that development actions, NIOSH referrals and recommended decisions are in accordance with existing procedures, policy and related legal documentation
- I kept up with new changes in office policy and procedures and ensured that it was shared with the Unit
- I encouraged new employees to develop a system of organization for workload and identified areas where additional training may be needed
- I remained accessible for questions and case review and advised claims examiners on resources available for resolution of quasi-legal and medical questions
- Contact Supervisor: Yes, Supervisor's Name: Julie Draper, Assistant District Director, Supervisor's Phone: 904-366-0505
Worker's Compensation Claims Examiner
U. S. Department of Labor
12.2001 - 03.2004
- Duties included processing claims for the Energy Employees Occupational Illness Compensation Program Act (EEOICPA) for employees and survivors of employees who worked in the Nuclear Industry
- This involved developing claims through the review of medical and factual material to the point where a recommended decision could be issued to the Final Adjudication Branch for a final decision
- Development included research, gathering of evidence and information in order to evaluate the validity of the claim in order to arrive at a well-supported decision
- Evaluated medical reports, information and other types of evidence submitted in support of the claims for benefits
- I secured and provided technical information of both medical and quasi-legal character to claimants, attorneys, employers, insurance companies, physicians, and labor union officials, State and Federal agencies, members of Congress and other interested parties
- I prepared recommended decisions that included findings of fact and conclusions of law to the Final Adjudication Branch for their review and issuance of final decisions on all claims submitted by employees and their survivors
- I resolved conflicts between all interested parties by providing accurate and concise information regarding the program, including laws, regulations and procedures in a clear and concise manner
- I prepared responses to all congressional inquiries
- I provided quality customer service using correspondence and telephone calls, which required both verbal and written communication skills
- I also maintained accurate data in the ECMS data base system
- I prepared claims for dose reconstruction at the National Institute for Occupational Safety and Health by preparing summary documents
- I reviewed and interpreted the data provided by NIOSH on dose reconstructions in order to reach a concise and accurate conclusion and issued recommended decisions to the Final Adjudication Branch based on the information provided
- I also processed compensation payments and ensured that claimants received the correct payment amount for medical benefits, lump sum payments and travel reimbursement
- Also reviewed and signed off on all travel reimbursement and medical benefit requests
- Contact Supervisor: yes
- Supervisor: Julie Draper, Assistant District Director; Supervisor’s Phone: (904) 366-0505
Customer Service Representative
CSX Transportation
10.1997 - 11.2001
- I managed an account for a top 100 customer, Stone Container Corporation as well as forty-two smaller based customers of the railroad
- My responsibilities included billing and collection of revenue owed to the railroad
- I worked in conjunction with the marketing Department to ensure that the correct prices were entered into the system and applied
- I assisted way-billing clerks in the processing of waybills to ensure the proper and timely movement of trains
- I applied divisions to daily prompts using tariffs and contracts
- Worked in over charge claims department and assisted in resolution of railroad errors by working with foreign railroads
- Accomplishments include bringing my largest account from a three-year delinquency to a current status and to collect over one million dollars of revenue for the railroad
- Contact Supervisor: Yes, Supervisor's Name: Fred Samuels, Supervisor's Phone: (904) 279-5430
Records Technician
U. S. Department of Justice, Immigration and Naturalization
10.1996 - 10.1997
- I maintained a database to track alien records
- I also scheduled applicants for examination interviews and responded to mail in inquiries from applicants
- I assisted in the development of Standard Operating Procedures for file maintenance and conducted Naturalization Quality Assurance training for twenty employees
- I also assisted the clerk in charge of issuing citizenship certificates in her duties to reduce the number of backlog cases from three years behind to one year behind
- Prepared lists for naturalization ceremonies ensuring that all eligible applicant certificates of naturalization were issued correctly and listed correctly
- I also accompanied immigration inspectors on routine inspections aboard foreign vessels entering the port of Jacksonville, FL
- I applied and was accepted for training as an Immigration inspector by turned down the position due to family obligations
- Contact Supervisor: Yes, Supervisor's Name: Thomas Ward, Supervisor's Phone: Unknown-retired
Office Automation Clerk
Department of the NAVY
03.1995 - 10.1996
- My duties included providing secretarial support for the E-6 Engineering Group
- I was responsible for typing all correspondence including messages to the Naval Command as well as making travel arrangements for 12 engineers
- I also worked as the PDM librarian and maintained the technical drawings and publications
- Accomplishments included the creation and maintenance of an automated database to track the technical drawings
- Contact Supervisor: Yes
- Supervisor's Name: William Glover, Supervisor's Phone: (904)317-1510
Administrative Assistant
Department of the NAVY
03.1992 - 03.1994
- Responsibilities included all personnel issues related to 65 civilian employees
- I acted as the liaison between the commanding officer and the Human Resources Office
- I was responsible for all personnel actions generated by SF-52 including hiring, retirement, reprimand and terminations
- Also was responsible for maintenance of civilian personnel records, ensuring that all personnel actions were recorded with an SF-50
- I assisted supervisors with problem resolutions, employee position descriptions
- Utilized the computer program PD-Writer to assist supervisors in writing position descriptions ensuring that the correct classification standards were applied
- I was also responsible for Leave administration, contract renewals for the Foreign National employees and all civilian travel orders
- I was training coordinator for the command
- I was responsible for all documentation of on the job injuries including filing of proper paperwork with Human Resource Office to document incidents of injury
- I generated and prepared all correspondence for Commanding Officer's signature relating to civilian personnel
- I became familiar with all Federal Civilian Employee publications
- I was responsible for assisting the supply officer with management to payroll by maintaining manpower levels as prescribed by CINCLANTFLT
- I was also responsible for generating report on leave, work force and baselines on monthly and annual basis
- I also served as an EEO Counselor for the Naval Air Station for two years
- My job was to interview all parties involved in cases of discrimination and to provide an objective report of my findings to the EEOC in Washington DC
- I worked on three claims during my tenure, one of which went to the highest level and the claimant was awarded damages for ten thousand dollars with a finding of discrimination
- Contact Supervisor: Yes, Supervisor's Name: Ensign Howes, Supervisor's Phone: 011-53-99-4120
Skills
Type 80 words per minute
Problem solving
Timeline
Supervisory Worker's Compensation Claims Examiner
US Department of Labor
08.2006 - Current
SENIOR WORKER'S COMPENSATION CLAIMS EXAMINER
Department of Labor
03.2004 - Current
Worker's Compensation Claims Examiner
U. S. Department of Labor
12.2001 - 03.2004
Customer Service Representative
CSX Transportation
10.1997 - 11.2001
Records Technician
U. S. Department of Justice, Immigration and Naturalization
10.1996 - 10.1997
Office Automation Clerk
Department of the NAVY
03.1995 - 10.1996
Administrative Assistant
Department of the NAVY
03.1992 - 03.1994
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