Beverly Garduno
Montrose,CO
Summary
I was a T2 and T16 claims specialist, processed retirement, Medicare, SSI aged, child, and DI, and concurrent disability claims.
I handled all PE issues for SSI alpha E thru M.
Maintained knowledge for handling all T2 PE issues and inputs.
Overview
19
19
years of professional experience
Work History
Claims Specialist
Social Security Administration, SSA
10.2004 - 12.2023
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Education
High School Diploma -
Montrose High School
Montrose, CO05.1973
Skills
- Claims
- Claims Processing
- Verbal Communication
- Policy Interpretation
- Teamwork and Collaboration
- Customer Service
- Client Interviews
- Eligibility Determination
- Data Entry
- Document Control
- Policy Review
- Problem-Solving
- Composing Business Correspondence
- Effective Communication
- Professional Demeanor
- Documentation skills
- Excellent Communication
- Data Integrity
- Organizing and Prioritizing Work
- Adaptability and Flexibility
- Interpersonal Communication
- Analytical Skills
- Problem-solving aptitude
- Multitasking
- Critical Thinking
- Problem-solving abilities
- Attention to Detail
Timeline
Claims Specialist
Social Security Administration, SSA
10.2004 - 12.2023
High School Diploma -
Montrose High School
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