CANDACE WALKER
Albany,OR
Summary
I am a resourceful remote worker, known for maintaining high productivity levels, and efficiently completing tasks. I have a vast skill set, and I possess specialized skills in customer service, time management, and technical troubleshooting. I excel in communication, adaptability, and self-motivation, ensuring seamless operations and client satisfaction in remote work environments.
I can effectively collaborate with government agencies, private companies, healthcare providers, and the most vulnerable populations, with ease.
I am a demonstrative eligibility specialist, proudly offering several years of experience assisting others with enrollment and program services. I am a polished professional known for interactions that are empathetic, timely, and informative.
I am adept at working effectively, unsupervised, and quickly mastering new skills; I take pride in this.
I love being the best for myself and my company, but most of all, I take the utmost pride and joy in being able to help people.
At my core, I want every human to succeed in this life, and I want to be a light to guide them in doing so.
Overview
13
13
years of professional experience
3
3
Certifications
Work History
Eligibility Specialist/Complex Long Term Care
Northwest Senior And Disability Services
Salem, Oregon
11.2024 - Current
- Interviewed, reviewed, and processed applications for eligibility with Medicaid, Medicare, and other government programs, including Complex Long-Term Care.
- Analyzed financial information provided by applicants to verify income levels.
- Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
- Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
- Utilized customer relationship management software to track client interactions.
- Choice counseling and enrollment processing working with State and Local Health Care Providers
Auto Claims Professional
CSAA INSURANCE COMPANY
02.2024 - 05.2024
- Proficient in assessing damages and determining liability while providing exceptional customer service during the claims process.
- Strong analytical skills to evaluate claim details and documentation for compliance with company policies and industry regulations.
- Dedicated auto claims professional with extensive experience in First Notice of Loss (FNOL) processes to ensure prompt and accurate reporting.
Claims Adjuster
GEICO, GOVERNMENT EMPLOYEES INSURANCE
04.2022 - 09.2022
- Strong analytical skills with a proven track record of evaluating damages and providing comprehensive reports to ensure fair settlements.
- Skilled in communicating effectively with clients, repair shops, and insurance representatives to resolve claims efficiently.
- Committed to upholding company standards and compliance regulations while delivering exceptional customer service.
- Proficient in utilizing cutting-edge claims management software to streamline the claims process and enhance accuracy.
Claims Adjuster
PROGRESSIVE
08.2018 - 11.2021
- Skilled in negotiating with medical providers and attorneys to resolve claims effectively and expediently.
- Proven ability to investigate claims thoroughly and assess damages in relation to injury, to ensure fair settlements for all parties involved.
- Strong communication skills, facilitating clear explanations of coverage and claims processes to policyholders.
- Demonstrated ability to handle high-volume claims while maintaining accuracy and quality of service.
Eligibility Specialist
IDAHO DEPARTMENT OF HEALTH AND WELFARE
, USA
06.2014 - 08.2018
- Proficient in analyzing and interpreting complex regulations to ensure compliance, and effective service delivery.
- Skilled in developing and implementing policies related to child support enforcement and assistance programs.
- Demonstrated ability to communicate effectively with clients to assess needs, and provide appropriate resources.
- Experienced professional with a strong background in benefits and eligibility determination for government programs.
- Data analytics and testing processor for the implementation of the migration of state systems.
- Open Enrollment for ACA processor and benefits
Benefits Eligibility Specialist
MAXIMUS FEDERAL SERVICES
06.2013 - 06.2014
- Proficient in processing and verifying applications for ACA eligibility to ensure compliance with federal and state regulations.
- Proven track record of maintaining accurate records and documentation to support eligibility determinations.
- Strong analytical abilities to assess complex eligibility criteria and determine appropriate benefits for applicants.
- Skilled in providing exceptional customer service by assisting clients with inquiries related to their benefits and eligibility.
- Dedicated ACA Benefits Eligibility Specialist with extensive experience in managing benefits programs within the government sector.
Education
ASSOCIATE OF APPLIED SCIENCE - BUSINESS MANAGEMENT
ALBANY, ORSkills
- SharePoint
- CCC ONE
- Mitchells Guidewire
- Workday
- Open Scape/Powerplay
- AVAYA
- NEXI
- CITRIX
- Oregon Access
- Frances
- OVERS
- IdaLink
- MMIS
- DHR
- Microsoft Office
- Outlook
- One notebook
- AVS
- TEAMS
- CRM software
- Google G Suite
- Data analysis
- Analytical thinking
- Cultural competency
- Developmental disabilities awareness
- Trauma-informed care
- Mandatory reporting
- Case management
- Time management
- HIPPA
- Empathy
- SOLQI/BDX/SDX SSA platforms
- Sales
Certification
Google G Suite
Work Preference
Work Type
Full TimeLocation Preference
RemoteSalary Range
$55000/yr - $200000/yrTimeline
Eligibility Specialist/Complex Long Term Care
Northwest Senior And Disability Services
11.2024 - Current
Auto Claims Professional
CSAA INSURANCE COMPANY
02.2024 - 05.2024
Claims Adjuster
GEICO, GOVERNMENT EMPLOYEES INSURANCE
04.2022 - 09.2022
Claims Adjuster
PROGRESSIVE
08.2018 - 11.2021
Eligibility Specialist
IDAHO DEPARTMENT OF HEALTH AND WELFARE
06.2014 - 08.2018
Benefits Eligibility Specialist
MAXIMUS FEDERAL SERVICES
06.2013 - 06.2014