DeAnne Moore
Eatonville,WA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Collaborative Benefits Specialist with expertise in providing exemplary service regarding customer support.
Overview
16
16
years of professional experience
Work History
ESBS 2 - OP Waiver Project
Employment Security Department
08.2023 - Current
- Processes and adjudicates Overpayment Waiver requests for Pandemic era claims
- Obtains and reviews necessary data
- Makes judgement and determinations using applicable state and federal laws, regulations and policies.
ESBS 1 - Intake Agent
Employment Security Department
11.2022 - 08.2023
- Assist claimants in filing insurance benefits claims
- Explains appeal rights and applicable laws and policies
- Interviews claimants/analyzes information, and determines eligibility for benefits
- Explains program requirements and services available
- Resolves routine claimant problems by identifying issues, determining procedural steps necessary to bring resolution, working with program staff to implement resolution, and communicating results to claimant
UICS 4 - Adjudicator
Employment Security Department
12.2020 - 02.2022
- Answers complex questions from employers, claimants and others.
- Researches, gathers and analyzes required information to make accurate decision
- Interviews claimants, employers and third parties to obtain facts related to complex UI eligibility issues
- Determines rebuttal requirements and need for additional facts
- Produces clear, logical determinations for non-monetary decisions
- Issues determinations to allow or deny UI benefits
- Advises claimants of rights and responsibilities
UICS 2 - Intake Agent
Employment Security Department
06.2020 - 12.2020
- This role is now knowns as ES Benefits Specialist 1 and is comprised of those duties.
Office Manager/Administrative Assistant
Carr Knowledge Inc.
09.2007 - 06.2020
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns
- Implemented new software tools for streamlined project management
- Supported department heads in accomplishing their goals through diligent administrative assistance
- Recruited, interviewed and hired employees
Coached new hires on company processes while managing employees to achieve maximum production - Coordinated special projects and managed schedules
- Reported to senior management on organizational performance and progress toward goals
- Assisted in organizing and overseeing assignments to drive operational excellence
Education
Certificate - Fact Finding in Adjudication
NASWA
District Of Columbia08.2023
Certificate - Business Office Automation
Business Career Training Institute
Tacoma, WA06.1993
Certificate - Medical Claims Processing
Business Career Training Institute
Tacoma, WA06.1993
Certificate - Medical Terminology
Business Career Training Institute
Tacoma, WA06.1993
Skills
- Claims Evaluation
- Attention to Detail
- MS Office Software Proficiency
- Team Building
- Critical Thinking
- Cultural Sensitivity
- Processes and procedures
- Database and Client Management Systems
Timeline
ESBS 2 - OP Waiver Project
Employment Security Department
08.2023 - Current
ESBS 1 - Intake Agent
Employment Security Department
11.2022 - 08.2023
UICS 4 - Adjudicator
Employment Security Department
12.2020 - 02.2022
UICS 2 - Intake Agent
Employment Security Department
06.2020 - 12.2020
Office Manager/Administrative Assistant
Carr Knowledge Inc.
09.2007 - 06.2020
Certificate - Fact Finding in Adjudication
NASWA
Certificate - Business Office Automation
Business Career Training Institute
Certificate - Medical Claims Processing
Business Career Training Institute
Certificate - Medical Terminology
Business Career Training Institute
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