Experienced Claims Examiner professionally handles minor to complex claims for customers. Adept at working directly with customers and providing guidance throughout the claims process. Committed to successfully managing a complex and diverse caseload and ensuring each party is satisfied with the outcome.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Veteran Claims Examiner
Department of Veterans Affairs
Muskogee
05.2016 - Current
Assessed eligibility and processed diverse educational benefit claims.
Examined documents of various types to determine the validity of evidence.
Developed facts and evidence to support claims. In accordance with applicable laws, regulations, policies, and procedures.
Conduct interviews via phone or through electronic communication sources with claimants, representatives, or other parties involved.
Explain the full range of benefits and related programs that are applicable to claimants.
Refer claimants to various programs that they may qualify for within the VA, or outside resources.
Follow protocols for the control of claims and workload, holding responsibility for timeliness and control of claims.
Draft letters, decisions, notices, and other documents to effect actions required.
Social Service Specialist
Oklahoma Department of Human Services
Muskogee
05.2014 - 04.2016
Facilitated access to SNAP benefits, childcare solutions, and medical assistance for clients.
Supported application process for individuals seeking program assistance.
Coordinated and facilitated both in-person and telephonic interviews.
Data entry in various systems to document interviews and store documentation discovered during the interview.
Analyzed data to determine eligibility for benefits and services based on laws, policies, and regulations.
Maintained a client load ranging from 450 to 500 per month.
Advanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans HealthcareAdvanced Medical Support Assistant at Department of Veterans Affairs, Central TX Veterans Healthcare
VETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits AdminVETERAN CLAIMS EXAMINER INSURANCE at Department Of Veterans Affairs, Veterans Benefits Admin
Director, Planning and Operations at U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC)Director, Planning and Operations at U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC)
Health System Specialist at Department of Veterans Affairs/ Veterans Health AdministrationHealth System Specialist at Department of Veterans Affairs/ Veterans Health Administration