Janie Medford
Port Saint Lucie,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Proficient in the Spanish language.
Overview
18
18
years of professional experience
Work History
Claims Representative GS 11-6
Social Security Adminstration
Port Saint Lucie, FL
10.2015 - Current
- Processed, developed and adjudicated high volume of disability claims, while working in fast-paced environment.
- Utilize appropriate Agency programs, technologies and policies to complete vast duties as a claims representative.
- Established good relationships with other Federal Agencies, attorneys, hospitals, among others to better assist with the process of a disability claim and provide good customer service.
- Maintained good working knowledge by researching, training and following policies to complete all workloads in a timely and accurate manner.
- As a fluent bilingual Claims representative, I am able to assist the Hispanic population in the same manner. I also serve as an interpreter for the office.
- I have been the lead on handling appeals at any level, whether its a reconsideration, hearing, appeals counsel review or Federal Court Case.
- Processed one third of all internet claims and attorney workloads while in the internet unit.
- Development of monthly payments and back pay due to the claimant, as well as any attorney fee's due.
- Served as Mentor for newly hired Claims Representative, provided one on one training and reviewed and approved their workloads.
- As a Claims representative I developed a vast variety of knowledge of all programs to better serve the public, including but not limited to Social Security retirement and disability programs, Social Security Insurance and Medicare.
Service Representative
Social Security Administration, SSA
Morristown , TN
03.2009 - 10.2015
- My duties and responsibilities as a SR consisted of numerous facets. Customer services was a top priority, as I focus on this daily. I would get to interview claimants identifying their needs and assist in resolving their problems. I also follow up and monitor any complex issues that may arise from this. Furthermore I investigated the issues and recommended solutions by being knowledgeable on the agencies technologies, automation programs, systems rules, policies and regulations. Independent research is done on a daily basis, as well as being able to evaluate documents to make determinations, all in the effort to process inputs correctly to ensure accurate results. I was able to explain techinical provisions of post entitlements issues, reconcile discrepancies and resolve problems regarding the interruption of payments. When written request for information was received, all response were in either written or verbal through phone contact.
- There were many workloads to to keep up with, over 20 plus workloads to manage on a daily basis. Many of them resulting in having to investigate and research information to process correctly. My ability to manage my own workloads were recognized. All workloads were managed and worked in a timely manner, prioritizing was a necessity. I was also trusted with coworker's workloads, if they were out on vacation or time frame was approaching to expected time of completion. I was also the lead person in a numerous workloads. I would take the initiate to help my coworkers if they were falling behind with their listings to ensure timely processing.
- Overpayments were a growing workload, request for waivers were often received. As a representative, I would have to investigate and research the cause of the overpayment to clearly explain it to the claimant and make the determination of whether it could be waived or if a payment arrangement was needed. I was able to work on a few complicated cases that were referred to OIG due to possible fraud.
- This office was a high volume walk in/phone traffic office and I had been recognized on numerous occasions my ability to continually interview a large number of customers resulting in lower wait time and excellent customer service. I routinely served 33% or more of the walk in traffic on a daily basis.
- As a fluent bilingual Service Rep, I was able to assist the Hispanic population in the same manner. I served as an interpreter for the Social Security unit as well as for the Social Security Insurance unit. I also did translations of documents. I served as the bilingual contact for the office and attended such events as Health Fairs and Festivals to promote our services. I have assist the different units to educate our claimants in the importance of reviews, timely reporting of changes and made recommendations on how to make them in a timely manner.
- During this time I acquired numerous listings, increasing my normal workload. All workloads were executed and completed in a timely manner. I eagerly volunteered for diverse assignments in order to expand my overall knowledge of the agencies workloads. I became the go to person for fraudulent cases in this office due to auto enrollment and online services. I took the initiative to ensure my coworkers understood how to manage and handle these cases if they encountered one to ensure proper completion and correct payments. I also controlled the representative payee accounting workload, were I would send letters, contact payee's by phone to ensure completion of accountings. With this workload, like many others I would have to make decisions regarding the capability of beneficiaries, suitability of payee's and selection of proper individual's or agencies to act as representative payee.
Medical Assistant
Rural Medical Services
Newport, TN
01.2006 - 02.2009
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Measured vital signs and took medical histories to prepare patients for examination.
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Organized charts, documents and supplies to maintain team productivity.
- Cleaned and maintained medical equipment following procedures and standards.
- Documented notes during patient visits.
- Responded to patient callbacks and phone-in prescription refill requests.
- Educated patients about medications, procedures and physician's instructions.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
- Conducted insurance verification and pre-certification and pre-authorization functions.
- Incorporated outside records into charts and EHR.
- Performed preliminary physical tests to accurately record results in patient history summary.
- Created and assisted the Hispanic community with Lamaze and Breast Feeding classes, helped them to apply for Medicaid insurance and educated them with community programs.
Education
Some College (No Degree) - Spanish Language And Literature
Walter State Community College
Morristown, TNSkills
- Data Analysis
- Interpersonal Communication
- Policy Knowledge
- Time Management
- Decision Making
- Customer Service
- Verbal and Written Communication
- Critical Thinking
- Attention to Detail
- Organizing and Prioritizing Work
Languages
Spanish
Native/ Bilingual
Citizenship
- US Citizen
Timeline
Claims Representative GS 11-6
Social Security Adminstration
10.2015 - Current
Service Representative
Social Security Administration, SSA
03.2009 - 10.2015
Medical Assistant
Rural Medical Services
01.2006 - 02.2009
Some College (No Degree) - Spanish Language And Literature
Walter State Community College