JULIE MORRIS PEKTOR
Branchburg,USA
Summary
I am a self-motivated and dependable individual seeking a challenging new position in which to learn, grow, and develop my time management, organization, and collaboration skills. I thrive in fast-paced, process-driven environments and have a demonstrated track record for working independently to effectively manage high-volume workload, with exceptional quality and on-time results.
Overview
30
30
years of professional experience
Work History
Claims Adjudicator
State of New Jersey Department of Labor
01.2021 - Current
- Obtained and reviewed complex medical records to summarize findings for claims evaluation.
- Reviewed and evaluated claims for accuracy and compliance with regulations.
- Identify discrepancies in claim information and request additional details from claimants to ensure accuracy.
- Facilitate timely claim decisions and notification of all parties per state policy.
- Interpret reports and compile required medical documentation for review and approval by in-house medical staff.
- Provide Residual Functional Capacity evaluations on claims for review by medical staff and for DEDA closures.
- Maintain respectful and professional relationships with claimants, third parties, appointed representatives, case workers, social workers, and field office employees.
- Collaborated with team members to enhance claims processing procedures for improved efficiency.
- Work collaboratively with medical personnel, vocational specialists, scheduling unit and Quality Assurance to ensure effective business communication.
- Continuously update claim activity within statewide computer system to ensure claim status is up to date for review and oversight.
- Effectively utilize complex state processing systems.
- Monitored changes in laws affecting claim eligibility and processed updates accordingly.
- Handle highly confidential information with professionalism, discretion, and full respect for privacy requirements.
- Maintain an organized calendar to guarantee regular follow ups to meet and exceed organizational deadlines.
- Maintained detailed documentation in accordance with company policies and procedures.
- Managed workflow by prioritizing tasks according to urgency.
- Monitored caseloads to ensure timely resolution of claims.
- Selected for South Carolina out of state unit to adjudicate claims and provide support.
- Full time employment; Monday thru Friday 7:30am to 3:00pm.
Substitute Teacher
Wilson Area School District
01.2018 - 01.2021
- Handle all aspects of teaching, grading and parent communication for kindergarten through 12th grade (on-line and in-person instruction).
- Assist teachers with clerical duties and lesson planning for multiple grades.
- Technology experience included conducting classes via Zoom meetings, slideshow presentations, and online assessments.
Probation Officer
State of New Jersey
01.2004 - 01.2005
- Supervised child support enforcement cases.
- Communication of court orders.
- Scheduling and daily monitoring of cases.
- Managed noncompliance issues, including issuing bench warrants for failure to comply and collaboration with judges to determine conditions of release.
- High volume of interaction and collaboration with multiple state agencies.
- (Department of the Judiciary)
Claims Examiner
State of New Jersey
01.1996 - 01.2004
- Conducted interviews to determine eligibility for unemployment benefits and settlement of disputes.
- Analyzed findings to determine factors limiting potential eligibility and payment modifications.
- Regular monitoring of cases to ensure continued eligibility and potential for benefit reinstatement.
- Case management and compliance with established deadlines and requirements.
- Compliant with all state procedures and policies.
- (Department of Labor)
Education
BA - Criminal Justice and Psychology
Moravian College
Bethlehem, PASkills
- Case management systems
- Microsoft Office proficiency
- Virtual platforms
- TIME MANAGEMENT
- ORGANIZATION
- DETAIL-ORIENTED
- MULTI-TASKING
- ADAPTIVE LEARNING
- COLLABORATION & TEAMWORK
- COMMUNICATION
- DEPENDABLE TEAM PLAYER
- Trustworthy
- Data confidentiality
References
Available upon request.
Leadership Experience
- Vice-President, Two Rivers Aquatics Swim Team, Easton, PA, 01/01/15, 12/31/20, Established recreational swim team for local youth ages 5-18., Advanced team to year-round swim club under USA Swimming., Hired and supervised coaches, including salary determination., Scheduled practice times and coordinated coaching schedules., Planned meet and travel schedules., Coordinated fundraising efforts., Liaison between board, coaches, parents, and swimmers.
- Vice-President, Parent Teacher Association Williams Township Elementary School, Easton, PA, 01/01/13, 12/31/14, Oversight of committee heads and planning activities, fundraisers and after school functions., Implemented after-school enrichment programs., Planned, organized, and ran a Tricky Tray fundraiser raising over $14,000 for the PTA and elementary school.
Timeline
Claims Adjudicator
State of New Jersey Department of Labor
01.2021 - Current
Substitute Teacher
Wilson Area School District
01.2018 - 01.2021
Probation Officer
State of New Jersey
01.2004 - 01.2005
Claims Examiner
State of New Jersey
01.1996 - 01.2004
BA - Criminal Justice and Psychology
Moravian College