Jesus Gonzalez
New Orleans,Louisiana
Summary
Dynamic Claims Representative with extensive experience at the Social Security Administration, adept at analyzing complex claims and ensuring compliance with federal regulations. Proven ability in claims investigation and time management, consistently achieving performance goals while maintaining high-quality standards. Proficient in Microsoft Office and skilled in providing exceptional service to diverse clients.
Overview
22
22
years of professional experience
Work History
Claims Representative
Social Security Adminstration
New Orleans, LA
06.2003 - Current
- Conduct in-depth interviews with applicants to obtain, clarify, and verify information for retirement, disability, Medicare, and Supplemental Security Income (SSI) claims.
- Analyze complex legal and medical documentation to determine eligibility and adjudicate claims in accordance with federal laws, regulations, and SSA policies.
- Provide accurate and timely information to the public regarding SSA programs, rights, and responsibilities through various communication channels including face-to-face, phone, and written correspondence.
- Maintain detailed and accurate case records, ensuring compliance with quality assurance standards and timely processing guidelines.
- Collaborate with legal, medical, and vocational professionals to resolve discrepancies and support complex determinations.
- Manage a high volume caseload while consistently meeting performance and production goals.
- Utilize SSA software systems to input, update, and retrieve claim data and generate required documentation.
Education
Bachelor - Finance
University of New Orleans
New Orleans, LASkills
- Microsoft office
- Insurance claims review
- Claims investigation
- Time management
Languages
Spanish
Native or Bilingual
Timeline
Claims Representative
Social Security Adminstration
06.2003 - Current
Bachelor - Finance
University of New Orleans