Skilled in critical thinking and maintaining a positive attitude, I excelled at the Social Security Administration, enhancing policy adherence and efficiency in disability determinations. My expertise in recordkeeping and ability to communicate complex policies effectively led to significant improvements in training and quality review processes.
Overview
20
20
years of professional experience
Work History
Disability Program Expert
Social Security Administration
06.2023 - Current
Review and
SSA disability determinations for quality, completeness, accuracy, and adherence to policy
Assist quality reviewers to research policy and request corrective actions with applicable policy citation
Evaluate medical evidence and succinctly communicate with medical staff for necessary clarifications
Develop and administer training on complex policy topics including medical evaluation, disability onset, and work regulations
Participate in multiple additional projects including nationwide Office of Quality Review quarterly training, audits, efficiency recommendations, and reporting findings
Quality Reviewer
Social Security Administration
10.2021 - 06.2023
Reviewed disability determinations for policy adherence, corrected determinations and appropriate notices, and prepared requests for corrective action with technical guidance and references to policy
Evaluated all aspects of disability adjudication including work activity evaluation, characterization of physical and mental medical impairments, medical listing criteria, residual functional abilities related to work functions, past relevant work, and evaluation of transferable skills and vocational determinations
Referred necessary clarifying questions to medical contractors with succinct identification of issues and recommended actions
Paralegal Specialist
Social Security Administration Office of Hearings and Appeals
09.2015 - 06.2023
Drafted quality, legally sufficient disability and non-disability hearing decisional drafts on behalf of Administrative Law Judges (ALJs)
Utilized specialized programs to process and draft decisions
Evaluated medical and non-medical evidence and followed SSA sequential evaluation process
Analyzed complex issues regarding work activity and history
Prepared and presented training on relevant topics
Completed a detail as an analyst in the Office of Appellate Operations, recommending adjudicative resolutions to Administrative Appeals Judges
Mentored new attorney and paralegal decision writers to proficiency
Claims Specialist
Social Security Administration
02.2005 - 09.2015
Assisted Members of the public to secure applications for Retirement, Survivors, and Disability Insurance, Medicare entitlement, auxiliary benefits, and Supplemental Security Income
Explained requirements, obtained and evaluated necessary evidentiary documentation and adjudicated to completion
Obtained and processed requests for reconsiderations and appeals, conducted ongoing post-entitlement reviews, and ensured ongoing accurate and timely benefit payments
Examined earnings records and made necessary corrections, explained overpayments and rights, and trained new employees
Presented pre-retirement informational presentations outside of the organization
Developed and referred suspected fraud as applicable
Education
Bachelor of Science - Agronomy
Truman State University
01.2004
Skills
Critical thinking
Friendly, positive attitude
Decision-making
Calm under pressure
Multitasking Abilities
Written communication
Analytical thinking
Time management
Cultural awareness
Timeline
Disability Program Expert
Social Security Administration
06.2023 - Current
Quality Reviewer
Social Security Administration
10.2021 - 06.2023
Paralegal Specialist
Social Security Administration Office of Hearings and Appeals
09.2015 - 06.2023
Claims Specialist
Social Security Administration
02.2005 - 09.2015
Bachelor of Science - Agronomy
Truman State University
Similar Profiles
Mariah McBrideMariah McBride
Social Insurance Specialist (Claims Specialist) at Social Security AdministrationSocial Insurance Specialist (Claims Specialist) at Social Security Administration