Ashley Bowers
Heartland,TX
Summary
Social Insurance Specialist with 10+ years of experience in federal government policy, interviewing and claim adjudication. Successful at managing multiple workloads while maintaining strong organizational skills. Seeking to obtain a position utilizing my experience and skills to help maintain and achieve business goals.
Overview
13
13
years of professional experience
Work History
Claims Technical Expert Detailee
Social Security Administration, SSA
07.2023 - Current
- Initiates and adjudicates complex and non-routine cases associated with high profile or sensitive Supplemental Security Income (SSI) workloads.
- Prepares written narratives on findings discovered during SSI post-entitlement interviews to determine continuation or termination of benefits.
- Conducts peer reviews for my counterparts' caseloads to ensure that policy is followed and the necessary evidence have been obtained as well as provides feedback for improvement as appropriate.
- Provides mentorship and training to new hires to ensure that they obtain job knowledge and reach proficiency.
- Utilizes new and existing software systems to process specific complex workloads.
- Responds to congressional inquiries as assigned by management.
Social Insurance Specialist (Claims Specialist)
Social Security Administration, SSA
08.2021 - 07.2023
- Screens applicants to determine eligibility for Supplemental Security Income (SSI).
- Processes redeterminations to determine claimants' continued eligibility for monthly benefits.
- Researches benefit records for SSI recipients to address any concerns or resolve any discrepancies.
- Identifies potential misuse and fraud by conducting research and utilizing interviewing skills.
- Processes Social Security Card Applications for foreign born applicants by insuring they provide authentic and proper documents that verify their immigration status.
Social Insurance Specialist (Claims Specialist)
Social Security Administration, SSA
08.2018 - 08.2021
- Provided services to general public to determine eligibility for disability and retirement benefits.
- Initiated and adjudicated disability claims, appeals, redeterminations and claim allowances.
- Researched agency's policy to effectively clear all cases to completion in timely manner.
- Worked to reconcile any discrepancies between claimants' allegations and evidence received on cases to determine eligibility.
- Resolved problems on complex cases relating to policies and procedures that involve benefit entitlement in thorough and timely manner.
- Interacted with diverse general public which includes claimants, beneficiaries, attorneys, local organizations and other government agencies while utilizing my written and oral communication skills.
Social Insurance Specialist (Claims Specialist)
Social Security Administration, SSA
05.2014 - 08.2018
- Investigated allegations of misused benefits reported to the agency by individuals and organizations.
- Processed redeterminations to determine claimants' continued eligibility to monthly benefits.
- Initiated and adjudicated disability claims, appeals, redeterminations and claim allowances.
- Processed overpayment workloads to determine if funds paid to beneficiaries were to be paid back to the agency.
- Developed ideas to help raise awareness to the general public for Social Security Administration's online services.
- Processed Social Security Card applications for U.S. and foreign born applicants.
Social Insurance Specialist (Claims Specialist)
Social Security Administration, Virtual Detail
08.2017 - 11.2017
- Served as an Adjudication Team Leader
- Adjudicated and assigned Claim Allowances to fellow Claims Specialist who were also participants in the Virtual Unit Experience Detail.
- Organized Claims Allowances on an excel spreadsheet to keep track of completed and pending cases to ensure that my team was meeting our weekly goals
- Delivered weekly reports to the virtual unit staff on my team's progress and goals
- Assisted in initiating leads for disability claims, internet claim submissions and claim allowances for the victims of Hurricane Harvey when field offices in the affected areas had to temporarily close
- Lead staff meetings that gave other team members the opportunity to report their team's specific workload progress and goals.
Customer Service Representative
Social Security Administration, SSA
10.2010 - 05.2014
- Provided assistance to general public by answering wide range of questions utilizing interviewing skills to investigate and resolve problems.
- Processed Social Security Card Applications for U.S and foreign born applicants.
- Reconciled discrepancies causing interruption in beneficiaries' monthly payments and/or Medicare benefits.
- Screened applicants requesting to serve as representative payee for benefit recipients by assessing capability and reassessing continued suitability.
- Provided information regarding retirement options and computed estimated monthly benefits.
- Updated account information to maintain beneficiaries records.
- Answered constant flow of customer calls with minimal wait times.
Education
Bachelor of Science - Journalism, Sociology
Arkansas State University
Jonesboro, AR05.2010
High school diploma -
Lee Senior High School
Marianna, AR2005
Skills
- Excellent Written and Oral Communication Skills
- Analytical Skills
- Well-Versed in Government Policy
- Time Management
- Problem Solving
- Works Independently and Collaboratively in Team Environment
- Interpersonal Skills
- Organization
- Leadership
Affiliations
Alpha Kappa Alpha Sorority, Incorporated - General Member
Timeline
Claims Technical Expert Detailee
Social Security Administration, SSA
07.2023 - Current
Social Insurance Specialist (Claims Specialist)
Social Security Administration, SSA
08.2021 - 07.2023
Social Insurance Specialist (Claims Specialist)
Social Security Administration, SSA
08.2018 - 08.2021
Social Insurance Specialist (Claims Specialist)
Social Security Administration, Virtual Detail
08.2017 - 11.2017
Social Insurance Specialist (Claims Specialist)
Social Security Administration, SSA
05.2014 - 08.2018
Customer Service Representative
Social Security Administration, SSA
10.2010 - 05.2014
Bachelor of Science - Journalism, Sociology
Arkansas State University
High school diploma -
Lee Senior High School