Ivy D. Moore
Charlotte,NC
Summary
A results-oriented, seasoned Social Insurance Specialist with 35 years of experience. Experienced in establishing and maintaining disability records and ensuring beneficiary eligibility. Proven track record in policy analysis, stakeholder communication and development and evaluation of operating program policies and procedures.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Social Insurance Specialist/Disability Program Expert/Program Leader
Social Security Administration
04.2023 - Current
- Provide guidance, support, and assistance to a team of quality reviewers on Social Security disability cases selected for federal review
- Direct quality reviewers on complex cases, ensuring thorough and accurate
- Review cases cleared by quality reviewers for accuracy, completeness, and adherence to policy
- Facilitate training sessions for new quality reviewers and new adjudicators
- Ensure quality reviewers’ complete cases in a timely fashion to meet operational deadlines
- Provide feedback to the Branch Chief and Director regarding the needs of the team, including identifying trends in the workflow and suggesting improvements
- Act as a liaison between quality reviewers and management to ensure effective communication and resolution of issues
Social Insurance Specialist/Quality Reviewer/Adjudicator
Social Security Administration
10.2021 - 04.2023
- Followed adverse initial determinations by the Disability Determination Services (DDS)
- Identified cases with errors or inconsistent application of Social Security disability policy and procedure, ensuring adherence to established guidelines
- Expertly utilized reference materials, including the Program Operational Manual System (POMS), the Code of Federal Regulations (CFR), medical-vocational rules, and sections of the Listing of Impairments
- Reviewed medical consultant decisions for consistency with medical evidence on record, providing recommendations for corrective actions when necessary
- Recommended corrective actions ensuring the integrity of the disability process
- Drafted proficient, concise, and clear correspondence to medical consultants and DDS, using the appropriate forms and documentation
- Assisted in various training cadres, providing expertise, and developing training materials to enhance the performance of quality reviewers
- Monitored the work of quality reviewers, developing effective and productive approaches to improve review outcomes
- Served on the DDS Cadre for Disability Adjudicators for the State of Florida, adjudicating claims and making medical and vocational determinations
- Exhibited strong analytical skills for identifying errors and inconsistencies in disability cases
Paralegal Analyst/Specialist
Social Security Administration
10.2000 - 10.2021
- Formulated legally defensible decisions for the Administrative Law Judges (ALJ) of the Social Security Administration on disability and non-disability cases under the Social Security and Medicare acts
- Used my comprehensive knowledge of the Social Security and Medicare programs and apply my knowledge when drafting decisions
- Analyzed, researched, and developed cases that have gone through the initial and reconsideration levels of the appeals process and are on request for a hearing
- Provided assistance and analysis to the ALJ’s including reviewing and interpreted their instructions
- Reviewed all hearing testimony and summarized any evidence received during and after the hearing
- Drafted a legally defensible decision consistent with the Social Security Act and with the Commissioner’s adjudication policies
- Drafted grammatically and technically correct decisions and appropriate for the intended audience and developed a rationale for the ALJ’s findings on important issues and on the final decision in the case
- Cited appropriate statutes, regulations, and Social Security Rulings
- Thoroughly examined a variety of medical and legal documentation
- Assisted, mentored, and trained other Paralegals and served as a resource person
Program Specialist
Social Security Administration
01.1999 - 10.2000
Contact Service Representative/Lead Technical Expert
Social Security Administration
07.1989 - 01.1999
Education
Bachelor of Science - Management Science
Coppin State University
Baltimore, MD05-1994
Skills
- Benefits administration expertise
- Claims processing
- Strong analytical skills
- Policy interpretation
- Strong leadership and team management skills
- Excellent training and mentoring capabilities
- Effective communication and liaison skills
Accomplishments
2024-Direct Hiring Authority Panel-Served as a member of management hiring team, charged with reviewing, scoring, rating, and interviewing prospective applicants.
2024-Served on the Office of Analytics and Oversight (OAO) Executive Director Office Honor Award Coordination Team. As a team member, I assisted with recognizing persons or groups who contributed to OAO providing outstanding public service.
2024-Coppin State Alumni Scholarship Committee-Served as a member to review scholarship applications for the 2024-2025 academic year, developed criteria for scholarship, and identified which students would receive the scholarship.
2024-Coppin State University Alumni President/North Carolina-South Carolina Chapter. Will preside at all meetings of the Alumni Chapter and Executive Board, represent the Alumni Chapter at all formal meetings, events, and activities, and appoint all persons for committees not otherwise provided for in the Constitution and Bylaws.
Certification
Completed Emerging Developers Program-Harbor Bank
Basic Studio Certification-Access 21
Podcasting Studio Certification-Access 21
Scriptwriting Certification-Access 21
Affiliations
- Social Security Administrations' National Women's Advisory Committee
Timeline
Social Insurance Specialist/Disability Program Expert/Program Leader
Social Security Administration
04.2023 - Current
Social Insurance Specialist/Quality Reviewer/Adjudicator
Social Security Administration
10.2021 - 04.2023
Paralegal Analyst/Specialist
Social Security Administration
10.2000 - 10.2021
Program Specialist
Social Security Administration
01.1999 - 10.2000
Contact Service Representative/Lead Technical Expert
Social Security Administration
07.1989 - 01.1999
Bachelor of Science - Management Science
Coppin State University
Similar Profiles
LOIC N NICOUELOIC N NICOUE
Help Desk Technician at Social Security AdministrationHelp Desk Technician at Social Security Administration
Edward ParkerEdward Parker
Module Manager at Social Security Administration HeadquartersModule Manager at Social Security Administration Headquarters
Tonya WareTonya Ware
Benefit Authorizer at Social Security Administration, SSABenefit Authorizer at Social Security Administration, SSA
Melissa PringleMelissa Pringle
Director Division One at Social Security Administration, SSADirector Division One at Social Security Administration, SSA
ASHLEY ABNERASHLEY ABNER
Medical Assistant at Cahaba Pain and Spine CareMedical Assistant at Cahaba Pain and Spine Care