Professional Summary
Overview
Work History
Education
Skills
Languages
Timeline
Claim Specialist

Esmeralda Sanchez

Social Security Adminstration
Modesto,CA
23
years of professional experience

Bilingual Claim Specialist with 23 years of experience in eligibility determination and claims processing. Equipped with problem-solving abilities, willingness to learn, and excellent communication skills. Eager to secure entry level job and contribute to team success.

Work History

Bilingual Claims Specialist

11 Years 4 Months
Social Security Adminstration | 04.2015 - Current
  • Determined eligibility for Social Security benefits. Including retirement, disability, medicare and survivors insurance.
  • Reviewed and Analyzed case records to identify potential fraud and abuse.
  • Interpreted complex legal and regulatory requirements related to Social Security programs.
  • Trained new staff on procedures and best practices for claims management.
  • Developed and implemented training programs for new claims specialists, boosting team efficiency and knowledge.
  • Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
  • Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
  • Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.

Bilingual Service Representative

11 Years 10 Months
Social Security Adminstration | 06.2003 - 04.2015
  • Educated clients on services available, enhancing understanding of Social Security programs.
  • Mentored new staff on operational protocols and customer service standards.
  • Resolved client issues through effective communication and problem-solving techniques.
  • Scheduled appointment to resolve more complex issues.
  • Met customer call guidelines for service levels, handle time and productivity.
  • Maintained productivity and quality standards at all times.

Education

Certificate of Technical Studies - Administrative Assistant

Computer Tutor | Modesto, CA

Obtained Administrative Assistant Certificate after completing nine month requirement.

Skills

Eligibility Determination
Claims Processing
Disability Evaluation
Retirement Analysis
Medicare Eligibility
Appeals Preparation
Telephone Operator
Appointment scheduling
10-key touch
Data Entry
Multitasking

Languages

Spanish
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Bilingual Claims Specialist

Social Security Adminstration
04.2015 - CurrentRead More

Bilingual Service Representative

Social Security Adminstration
06.2003 - 04.2015Read More

Computer Tutor

Certificate of Technical Studies from Administrative Assistant
Read More
Esmeralda SanchezClaim Specialist