Dynamic Medicare Benefit Specialist with a proven track record at NACOG and SSA, excelling in customer service and problem-solving. Expert in healthcare benefits and benefits administration, with strong communication and leadership skills. Demonstrated ability to independently manage projects and deadlines, ensuring client satisfaction and program integrity. Proficient in Microsoft Office suite.
Worked with Medicare beneficiaries to evaluate and select the right plans to meet their needs and fit their preferences. Helped clients figure out what benefits they are entitled to and what they need to do to receive them. Benefit Specialists administer and oversee all plans and programs that are offered through the Federal Medicare Program as well s Medicare Advantage Plans and Supplemental plans. Ensuring clients are signed up during Federal enrollment periods.
Conducted interviews to obtain, clarify, and verify information about individual applicants initial and continuing eligibility for retirement, survivors, disability, health insurance benefits and eligibility for Supplemental Security income payments. Examines evidence to evaluate its validity and acceptability in establishing entitlement to benefits and when necessary, take the required developmental action to ensure that all available evidence has been obtained. Adjudicates and authorizes for payment, without subsequent review, claims for benefits and eligibility to all programs administered by SSA. Disallowed a full range of disability, retirement, survivors that were lacking in insured status. Protected the integrity of SSA programs through investigation, resolution of potential program abuse.
Fiduciary Certification Program
5 month Claims Specialist Class for SSA