Jo Eleshin
Egg Harbor Township,NJ
Summary
Dynamic Claims Specialist with a proven track record at the Social Security Administration, excelling in claims processing and policy interpretation. Leveraged critical thinking and negotiation techniques to enhance customer satisfaction and reduce processing errors. Developed strong partnerships with external stakeholders, ensuring efficient claim resolutions and achieving positive outcomes for clients.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Claims Specialist
Social Security Adminstration
04.2015 - Current
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Followed up with customers on unresolved issues.
- As a Claims Specialist established entitlements to benefits under Social Security Programs
- Personal contact with the public to obtain, clarify and verify information and it's use to analyze claims to make decisions regarding entitlements to benefits.
- Responsible for reading and analyzing complex policy guidelines and implementing such guidelines for benefit entitlement applicability.
- Responsible for the timely completion of a range of roughly 10 to 12 cases per day.
- An employee serving in the service hub that serves over 500 clients per day.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
Assistant Command Career Counselor
United States Navy
01.2012 - 02.2015
- Organized workshops focused on resume writing and interviewing skills that prepared transitioning service members for civilian employment opportunities.
- Implemented innovative approaches to streamline administrative processes associated with personnel actions such as transfers or reassignments.
- Conducted thorough evaluations of professional records to identify discrepancies and recommend corrective actions for improved accuracy.
- Coordinated with detailers to secure favorable assignments for sailors based on their personal goals and command requirements.
- Promoted a positive command climate by addressing concerns related to career progression, assignment preferences, and evaluation processes.
- Facilitated successful reenlistments by offering accurate information on incentives, bonuses, and special-duty assignments.
- Maintained accurate documentation on all career-related matters within the command, ensuring compliance with applicable regulations and policies.
- As a designated Command Career Counselor directly managed career related functions to include conducting career case management for over 3,000 personnel to include active duty members, selected reservist, civilians and dependents. Directly supporting, counseling and mentoring 44 Reserve Units to include 30 assigned Unit Command Career Counselors.
- Led and managed 10 Reserve Unit Counselors in Career Counselor program implementation and compliance.
- Served as a technical expert on a variety of educational programs for over $2,750 military members and civilians. Provided in depth counseling for benefits earned during military service such as Montgomery G.I. Bill and post 9-11 educational benefit.
- Served as administrative support for screening and processing members contracts for Montgomery G.I. Bill (Chapter 30), Post 9-11 Bill (Chapter 33) and Selected Reserve G.I. Bill (Chapter 1060).
- As a customer service specialist performed a variety of outreach and customer service duties to include screening of supported member's service records for benefit eligibility based on years of service as an active duty member of the Armed Forces.
- Trained over 300 personnel as part of the Reserve Accession Success Workshop for newly reported service members of my organization. Training included topics pertaining to reenlistment in the military, educational benefits, retirements, insurance elections directly related to eligibility and reserve obligations to maintain eligibility to continue to serve honorably in the military.
- Facilitated over 120 hours of hands on training to 40 Unit Career Counselors monthly. In addition to facilitating and conducting an annual two day intensive training course entitled Career Development Team Training. A training designed to provide mentorship and program guidance for all counselors supporting up to 44 respective units.
- Performed ASVAB and AFCT test scheduling, coordination and facilitation of test administration for supported selective reservist desiring to retest for better career opportunities.
Aviation Administration Logs and Records Clerk
VR-64 NAS Willow Grove, PA
03.2010 - 01.2012
- Managed four personnel in performance of logistics records upkeep for 20 aircraft logbooks, daily aviation readiness reports for four C-130T aircraft and day to day administrative requirements such as the Monthly Maintenance report a monthly requirement due as well as Logs and Record reports indicating the flight status and capabilities of VR-64's aircraft and assets.
- Maintained accuracy of records by verifying accuracy of data in records.
- Trained two Maintenance Administrative Clerks in their preparation for CENTCOM AOR deployments.
- Audited over 18 logbooks, identifying and correcting numerous discrepancies and prior to CFLSW inspection, ultimately resulting in zero discrepancies and enhancing squadron readiness.
- Operated and extracted flight hours data in Sierra Hotel Aviation Readiness Program (SHARP) the system is designed to track aviation training from the initial courseware and classroom work through all trainer, simulator and flight to track aviation train events. This effort is also designed to capture and display detailed individual and unit readiness data from combatant and support commands to assess Navy current and projected warfare mission capabilities. Tracked over 12,000 flight hours for accurate calculation and monthly tracking for timely maintenance inspection compliance.
Advanced Skills Management (ASM) Program Manager
VR-64 NAS Willow Grove PA
09.2009 - 03.2010
- Managed and supervised administrative and daily program operations, complying with policies and regulations.
- Hand-picked as Program Manager for ASM a Web-based system that improves the quality and efficiency of training in the military by providing the capability to identify individual maintenance task requirements. perform real time assessments, identify training deficiencies and access training tools for 198 personnel.
- Personally oversaw the flawless management of 10 maintenance work centers.
- Single point of access for database security ensuring that the appropriate access was granted to personal based on qualifications and skills granted by the Commanding Officer and Maintenance Department heads for approval of training qualification completion and administration of additional personnel qualification documents.
- Tracked qualification requirements and administratively managed all digital training jackets for over 198 personnel.
- Developed strategic plans, setting clear objectives and achievable milestones for the team.
- Managed cross-functional teams for successful project completion within deadlines and budgets.
Aviation Administration System Analyst
FRC East NAS Willow Grove PA
03.2008 - 08.2009
- Collaborated with cross-functional teams to develop system solutions tailored to business needs.
- Provided technical support for end-users, resolving issues promptly and effectively.
- Enhanced user experience through the implementation of interface updates and usability improvements.
Aviation Administration Logs and Records Clerk
FRC East NAS Willow Grove PA
07.2006 - 03.2008
- Assisted with typing, data entry, and answering incoming calls as required.
- Maintained accuracy of records by verifying accuracy of data in records.
- Generated reports from database systems to track records.
Central Technical Publication Librarian
HCS-5 North Island CA
12.2005 - 07.2006
- Assisted in cost reduction efforts by identifying opportunities for consolidation or elimination of redundant materials within the library collection.
- Organized regular training sessions and workshops on relevant topics, promoting continuous professional development for staff members.
- Improved end-user satisfaction by providing prompt assistance with locating hard-to-find reference materials or answering research-related inquiries.
Education
Associate of Arts - Human Services
Southwestern College
Chula Vista, CA08-2008
Skills
- Claims processing
- Policy interpretation
- Negotiation techniques
- Critical thinking
- Operation of basic equipment
Certification
Department of Labor Computer Peripheal-Equipment Operator Certificate
Good Conduct Award (2003, 2006, 2009, 2014)
Award given intermittently for behavior, performance and service in keeping with the highest traditions os the US Navy.
Timeline
Claims Specialist
Social Security Adminstration
04.2015 - Current
Assistant Command Career Counselor
United States Navy
01.2012 - 02.2015
Aviation Administration Logs and Records Clerk
VR-64 NAS Willow Grove, PA
03.2010 - 01.2012
Advanced Skills Management (ASM) Program Manager
VR-64 NAS Willow Grove PA
09.2009 - 03.2010
Aviation Administration System Analyst
FRC East NAS Willow Grove PA
03.2008 - 08.2009
Aviation Administration Logs and Records Clerk
FRC East NAS Willow Grove PA
07.2006 - 03.2008
Central Technical Publication Librarian
HCS-5 North Island CA
12.2005 - 07.2006
Associate of Arts - Human Services
Southwestern College
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