Eryn Ortiz
Columbus,OH
Overview
7
7
years of professional experience
Work History
Client Advocate Liaison
Brown & Brown Absence Services Group
Columbus (remote), OH
03.2023 - 07.2023
- Served as a liaison between clients and internal claims handlers in the process of advocating for client eligibility for benefits
- Reviewed medical records, school transcripts, and questionnaires for completeness and accuracy before presenting evidence to SSA
- Verified client information and ensured accuracy in records
- Assisted clients with navigating federal policies, procedures, and processes
- Maintained client confidence by responding promptly to inquiries, providing status updates, and current actions ensuring the progress toward mutual goals
- Identified potential issues with client accounts and escalated them accordingly.
- Utilized electronic database to document communications
- Maintained effective communications to follow up on needed action/information, ensuring privacy and security of protected information
Disability Claims Adjudicator
State of Ohio Division of Disability Determination
Columbus, Ohio
08.2017 - 10.2022
- Adjudicated an independent caseload of claims to determine medical eligibility for disability income benefits
- Made professional judgments on impairment severity, developing detailed written rationale regarding claimant’s medical condition(s), including disability onset date
- Examined claims following sequential evaluation processes as legislated by SSA in concurrence with Ohio-specific regulations and major court rulings
- Applied understanding of pathophysiology, treatment needs, resulting functional deficits, or projected health outcomes to determine an individual's functional capacity
- Obtained medical evidence from health professionals and representatives in accordance with agency procedures and procedures
- Summarized medical records and drafted preliminary determination of a claimant's functional capacity
- Created detailed reports documenting all aspects of each case including findings, decisions, and recommendations
- Collaborated with expert medical and vocational professionals for decision review
- Collected data and substantiated conclusions by investigating complex variables, supporting evidence and communications
- Proactively identified inconsistencies, insufficient information to expedite case processing
- Purchased consultative examinations including psychological and physical evaluations/testing
- Performed vocational evaluation
- Interviewed relevant sources to ascertain claimant's level of ability to independently meet instrumental daily needs
- Worked remotely, maintained a work area conducive to protecting information and following agency procedures
- Multitasked with frequent diversions into multiple cases due to inbound calls and customer service needs
- Maintained both strong composure when resolving disputes involving stressful and time-sensitive inquiries
- Ensured prompt responses to inquiries about claim status, treatment updates, eligibility requirements, and claim processing
- Accurately maintained claim related files via multiple agency-specific software programs, highly protected databases with attention to HIPAA and federal laws
- Adjudicated appeals by examining reconsideration claims, synthesizing new evidence, material changes, inaccurate reasoning of initial level adjudication
Food Science and Production Consultation
Judee's Gluten Free
Columbus, Ohio
08.2016 - 07.2017
- Assessed current operations within bakery and repackaging goods to ensure compliance with industry standards
- Created HACCP plan specific to deficiencies identified in handling and packaging
- Provided recommendations driven with process improvement with respect to batch timeliness, incoming order needs
- Developed manual for standard operating procedures establishing routine needs for each process and product
- Created and oversaw practices for product intake and output of wholesale and retail goods
- Investigated potential issues arising from non-compliance with safety regulations pertaining to handling of food items prior to distribution and direct consumption
- Conducted research into current trends in the gluten-free industry
- Completed application for Certified Gluten Free verification for every product sold on Amazon, to retailers, and local restaurants.
Education
Bachelor of Science - Dietetics, Food & Nutrition Science
Ohio University
Athens, OH08.2016
Skills
- Complex Problem Solving
- Critical Thinking in Decision Making
- Regulatory Compliance
- Relationship Building with clients and colleagues
- Collaborating with Interdisciplinary Medical and Administrative Professionals
- Identifying Discrepancies, Investigating Issues Using Appropriate Methods and Referrals to Appropriate Colleagues
- Information Confidentiality
- Verbal and Written Communication
- Case Presentation
- Claims Evaluation
- Legal Documentation and Reporting
- Interviewing and Educating others
- Patient Relationship Management
- Sourcing and Compiling Information
- Active Listening
- File and Record Management
- Calm Under Pressure with Sensitive inquiries and Urgent Customer Needs
- Counseling and Mentoring
- Client Needs Assessments
Professional Summary
Food & medical nutrition oriented professional with one year of food safety and product development consultation and process improvement. Connects a strong academic background with technical knowledge in order to draw timely, accurate conclusions. Skillful with consideration of legislative regulations and organizational policy. Works in an proactive, punctual fashion, and also contributes to teamwork driven outcomes. Five years experience in medical disability claims in Social Security advocacy. Adept in interpreting and applying laws, regulations, and technical material specific to industry needs. History of research and development of food products in a laboratory setting with medical nutrition driven focus. Adaptable and learning-oriented to meet and improve organizational needs. Proficient in application of regulatory and policy compliance importance. Knowledgeable in industry of food science, product analysis, pathophysiology, and resulting nutritional needs. Detail focused in gathering and synthesizing data to come to accurate conclusions. Successful multitasker who employs excellent verbal and written communication to team, customers, regulatory bodies, and legal representatives.
Timeline
Client Advocate Liaison
Brown & Brown Absence Services Group
03.2023 - 07.2023
Disability Claims Adjudicator
State of Ohio Division of Disability Determination
08.2017 - 10.2022
Food Science and Production Consultation
Judee's Gluten Free
08.2016 - 07.2017
Bachelor of Science - Dietetics, Food & Nutrition Science
Ohio University
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