Jennifer Pouliot
Northfield Center,OH
Summary
Detail-oriented and highly experienced Federal Workers' Compensation professional with expertise in adjudication, policy development, quality assurance, and claims management under the Federal Employees' Compensation Act (FECA) and Energy Employees Occupational Illness Compensation Program (DEEOIC). Skilled in process improvement, training development, compliance audits, and interagency communication. Recognized for exceptional analytical, regulatory, and leadership skills.
Overview
30
30
years of professional experience
Work History
Quality Assurance Analyst
US Department of Labor, Division of Energy Employees Occupational Illness Compensation (DEEOIC)
02.2020 - 04.2025
- Served as nationwide technical expert for claims adjudication, identifying inconsistencies and recommending improvements.
- Interpreted new and revised policies to ensure consistent implementation across adjudication staff.
- Conducted in-depth audits and quality reviews of claims and decisions to support regulatory compliance.
- Performed trend analysis to identify, isolate, and evaluate performance issues and process deficiencies
- Delivered training and mentorship to staff based on review findings to improve claim accuracy and performance.
Special Examiner
US Department of Labor, Division of Federal Employees Compensation (DFEC)
07.2009 - 02.2020
- Developed and revised national policies, regulations, and procedures for the administration of FECA.
- Led updates of multiple DFEC procedure manual chapters, ensuring regulatory alignment.
- Coordinated and led a nationwide network of claims professionals to share best practices and resolve policy concerns.
- Served as a contract lead for medical second opinion services, liaising with procurement and legal teams.
- Led training development, including eLearning modules and case studies for claims staff across the U.S.
- Conducted national accountability reviews and presented findings to leadership with recommendations.
- Represented DFEC in multi-agency policy harmonization initiatives.
Supervisory Claims Examiner
US Department of Labor, DFEC Cleveland District Office
01.2004 - 07.2009
- Directed claims processing and disability management for high-volume caseloads.
- Developed workflows and internal processes to streamline operations and improve quality.
- Supported billing and medical authorization processes, including ICD coding and payment certification.
- Provided technical leadership and conflict resolution across claims units.
- Conducted training and performance evaluations to support examiner development.
- Partnered with stakeholders to address disputes and ensure legal compliance.
Senior Claims Examiner
US Department of Labor, DFEC Cleveland District Office
07.1999 - 01.2004
- Managed complex, sensitive, and controversial claims requiring in-depth policy knowledge.
- Issued final decisions in appeal and reconsideration cases.
- Assisted with training and mentoring of claims examiners.
- Served on quality assurance teams and periodic roll entitlement reviews.
- Provided program education to federal agencies and external stakeholders.
Claims Examiner
US Department of Labor, DFEC Cleveland District Office
11.1994 - 07.1999
- Reviewed and adjudicated disability and death claims in compliance with federal regulations.
- Coordinated return-to-work efforts with medical and vocational rehabilitation staff.
- Identified processing issues through special projects and implemented corrective actions.
- Advised claimants, employers, and attorneys on FECA provisions.
- Collaborated across units to support process improvements and knowledge sharing.
Education
Bachelor of Arts - Education, Magna Cum Laude
Ursuline College
Skills
- Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Teams)
- OWCP/DFEC Claims Systems
- Claims and Policy Analysis Tools
- E-learning & Training Software (WebEx, LMS)
- ICD & CPT Coding (working knowledge)
Awards
- Secretary of Labor's Exceptional Achievement Award, Navy Yard Claim Group
- Director's Award, DEEOIC, PMB Quality Assurance Team
- Secretary of Labor’s Exceptional Achievement Award, Periodic Roll Management Project
Timeline
Quality Assurance Analyst
US Department of Labor, Division of Energy Employees Occupational Illness Compensation (DEEOIC)
02.2020 - 04.2025
Special Examiner
US Department of Labor, Division of Federal Employees Compensation (DFEC)
07.2009 - 02.2020
Supervisory Claims Examiner
US Department of Labor, DFEC Cleveland District Office
01.2004 - 07.2009
Senior Claims Examiner
US Department of Labor, DFEC Cleveland District Office
07.1999 - 01.2004
Claims Examiner
US Department of Labor, DFEC Cleveland District Office
11.1994 - 07.1999
Bachelor of Arts - Education, Magna Cum Laude
Ursuline College
Similar Profiles
Charity TemboCharity Tembo
Intern at Ministry of Labor, Worker’s Compensation DepartmentIntern at Ministry of Labor, Worker’s Compensation Department
Edwin E. FloresEdwin E. Flores
Claims Examiner (GS-12) at Department Of Labor - Office Workers CompensationClaims Examiner (GS-12) at Department Of Labor - Office Workers Compensation
Willard MosesWillard Moses
SEAM Supervisor/Chief of Operations at US Dept of Labor/ OWCP/DEEOICSEAM Supervisor/Chief of Operations at US Dept of Labor/ OWCP/DEEOIC
Marien BurgessMarien Burgess
Office Manager at Progressive Machine Die IncOffice Manager at Progressive Machine Die Inc
Hailey BeckHailey Beck
Medical Assistant at Akon Childrens HospitalMedical Assistant at Akon Childrens Hospital