Bryan Bradley
Lake Hiawatha,NJ
Summary
Detail-oriented Claims Examiner with over twelve years of professional experience. Skilled in reviewing records and summarizing critical findings. Uses technical writing to communicate problem-solving solutions. Thorough understanding of the claims process and disability insurance agency.
Overview
16
16
years of professional experience
Work History
Senior Claims Adjudicator
New Jersey Department of Labor
04.2023 - Current
- Company Overview: Disability Determination Services
- Adjudicates initial, reconsideration, and continuing disability review claims
- Refers claims to medical consults for review of evidence pertaining to claimant’s medically determinable impairments
- Reviews, develops, and evaluates medical, non-medical and lay evidence, within the legal framework, to make determinations of reconsideration for initials claims resulting in unfavorable or adversely favorable outcomes
- Informs all inquiring parties of case status
- Conducts continuing disability reviews for beneficiaries to determine whether or not medical improvement can be established resulting in continuance or cessation of benefits
- Disability Determination Services
Disability Claims Adjudicator
New Jersey Department of Labor
02.2010 - 04.2023
- Company Overview: Disability Determination Services
- Reviews initial long-term disability applications for Social Security Administration
- Writes to claimants as well as claimant’s medical sources, legal sources, and third-party contacts to obtain any and all medical, non-medical, and lay evidence
- Consults with physicians and clinical psychologists to discuss and determine ratings of severity for claimant’s medical impairments
- Occasionally proposed residual functional capacity ratings of severity for claimants for the medical staff to consider signing
- Telephones medical sources, claimants, attorney and non-attorney representatives to follow up on outstanding evidence and documentation necessary on the part of claimants for claim determinations
- Disability Determination Services
Compliance Reviewer
Barmensen Labs LLC
04.2009 - 08.2009
- Listened to audio recordings of inbound and outbound calls of sales and customer service transactions
- Assessed all transactions to assure compliance with the guidelines of Federal Trade Commission and Better Business Bureau
- Organized and established daily sales approval summaries of agents whose transactions were either compliant or insubordinate
Education
Bachelor of Science -
Stockton University
Galloway, NJ12.2005
Associate of Arts -
County College of Morris
Randolph, NJ05.2002
Skills
- Technical Writing
- Data entry
- Preparation of weekly reports
- Written communication skills
- Oral communication skills
- Ability to multitask
- Microsoft Word
- Microsoft Excel
- Microsoft PowerPoint
- Microsoft Outlook
- Microsoft Teams
- AS400
- DCPS
- Occubrowse
Accomplishments
Received recognition from Federal Quality Assurance division for exceptional customer service and additional efforts made on a claim.
Hobbies and Interests
- Weightlifting
- Running
- Walking
- Photography
- Hiking
- Boxing
- Writing
References
References are available upon request.
Timeline
Senior Claims Adjudicator
New Jersey Department of Labor
04.2023 - Current
Disability Claims Adjudicator
New Jersey Department of Labor
02.2010 - 04.2023
Compliance Reviewer
Barmensen Labs LLC
04.2009 - 08.2009
Bachelor of Science -
Stockton University
Associate of Arts -
County College of Morris
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