Devondra Simmons

The Quality Assurance Analyst is responsible for detecting and correcting errors or problems and to promote quality in all aspects of Division of Disability Determinations (DDD) claims processing.

Duties:

-Review a random sample of cases to detect and correct errors in DDD claims processing.

-Detect and correct errors in DDS claims processing.

-Identify problem areas.

-Develop recommendations for initiating corrective actions.

-Target training needs to improve performance.

-Records, analyzes, and reports data.

This work involved reviewing and analyzing claims for Social Security disability benefits for determination of eligibility for benefits.

Duties:

-Assesses eligibility for Social Security disability benefits by reviewing case records.

-Utilizes appropriate letters and forms to compile medical and vocational evidence through correspondence.

-Maintained comprehensive electronic records of all actions.

-Counsels and conducts personal interviews with claimants, their personal representatives, attorneys, physicians and other agencies on a variety of disability matters.

-Analyzes related source material to resolve technical challenges in claims processing.

-Approves the eligibility of claimants for disability benefits.

-Analyzes medical and vocational composites and prepares decisional documents stating basis for decision determination.

-Collaborated with medical and vocational consultants to address technical challenges.

Analyzed data from information systems to support risk evaluations of alleged victims.

-Assign cases to appropriate Department of Children and Families county units or law enforcement agencies for investigation.

-Handled and directed complaints against vendors, licensed facilities, and department employees.

-Enter reports in the appropriate information system.

-Enter screened out calls in the appropriate database.

-Gather information and consult with supervisory staff regarding child and adult death reports.

-Facilitated access to assistance and referral services for individuals seeking help.

-Cultivated professional respect with field investigative staff, supervisors, and protective service professionals across sectors.

-Executed additional tasks as needed.