Summary
Overview
Work History
Education
Skills
Certification
Activities
Timeline
Generic

Latasha O. Roberts

Atlanta,Georgia

Summary

Dynamic Human Services Professional with extensive experience at Esther Home Care Services, specializing in health insurance claims processing and regulatory compliance—efficient professional in government program administration, known for high productivity and ability to complete tasks swiftly. Specialize in eligibility determination, case management, and regulatory compliance. Excel in communication, problem-solving, and adaptability, ensuring smooth operations and client satisfaction.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Eligibility Specialist

Esther Home Care Services
Kennesaw, Georgia
11.2022 - Current
  • Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions.
  • Efficient and accurate claims processing with minimal errors and delays.
  • Processes applications and reviews according to established criteria, policies, and procedures.
  • Conduct investigations when necessary, including speaking with clients and families and collaborating with field experts.
  • Interacts with officials involved in sensitive client relations and sends information to the appropriate department personnel.
  • Communicate with clients, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates.
  • Addresses questions and complaints, researches issues and initiates problem resolution.
  • Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information.

Administrative Hearing Officer I

Georgia Department of Labor
Atlanta, Georgia
09.2021 - 11.2022
  • Independently conducted adjudicatory and administrative hearings.
  • Proven ability to accurately apply procedures for calculating overpayments in Unemployment Insurance.
  • Ensured all hearings were conducted fairly while safeguarding the legal rights of all parties.
  • Managed high-volume caseloads, which required critical thinking skills and detailed work.
  • Gathered testimonies and rules on exceptions, motions, objections, credibility of witnesses, and admissibility of evidence.
  • Reviewed and processed inquiries from the Wage Reporting Information System.
  • Developed a hearing record and rendered a written decision to all parties based on the competent evidence presented in the hearing.
  • Exceeded weekly production goals of preparing and releasing decisions.

Disability Adjudicator

Disability Adjudication Services
Stone Mountain, Georgia
07.2014 - 09.2021
  • Exceeded weekly production goals.
  • Exceptionally maintained a caseload below the agency’s average.
  • Evaluated Initial, Disabled Child, Reconsiderations, and Disability Continuation Reviews applications for Disability supplements.
  • Interviewed claimants, analyzed employment potential, and evaluated medical and vocational.
  • Ensured all investigations were conducted by and in compliance with state and federal laws and regulations established by the Social Security Administration policies and procedures.
  • Experienced with managing high-volume caseloads, which requires critical thinking skills and detailed work.
  • Interpreted case reports and testimonies in administrative hearings and used the information for further adjudication.
  • Developed a medical evidence record, vocational analysis, and a written decision for all parties based on the evidence presented in the case.
  • Conducted investigations of suspected program violations to the Social Security Administration fraud unit by obtaining evidence of alleged violations and misconduct.

Family Support Coordinator

Augusta Head Start
Augusta, Georgia
02.2011 - 06.2014
  • Worked closely with school data clerks to ensure student files meet state compliance guidelines.
  • Participated in the selection of Head Start transition instructional materials, supplies, and equipment.
  • Coordinated and planned workshops and other in-service programs for the school and parents.
  • Worked with teachers to provide opportunities for Head Start to kindergarten transition.
  • Provided support for students in need of additional academic and socio-economic help.
  • Conferenced with parents about community services or student behavior/academic concerns when requested.
  • Participated in appropriate in-service programs as recommended by the Georgia Head Start program.
  • Exceeded requirements outlined in the Head Start Performance Standards.
  • Conducted home visits.

Vocational Specialist Supervisor

Glenwood Inc.
Birmingham, Alabama
01.2009 - 02.2011
  • Supervised instructors, assistants, and job coaches in administering community work programs to disabled individuals working toward permanent job placement.
  • Built relationships with employers in the community to expand program capabilities for disabled individuals.
  • Maintained records, schedules, and files, and provided reliable information related to work activity and rate of pay for disabled individuals.
  • Oversee everyone’s person-centered goals and objectives for the job placement portion of their Individualized Plan of Care.
  • Facilitated educational job training programs to prepare disabled individuals for work readiness.

School Administrative Clerk (Registrar’s Office)

Benjamin E. Mays High School
Atlanta, Georgia
08.2007 - 12.2009
  • Provided excellent support and a high level of confidentiality of student and school personnel information.
  • Executed automated data entry assignments.
  • Checked and reviewed data for accuracy, completeness, and conformance to established standards and procedures.
  • Enrolled and processed student withdrawals.
  • Requested records from prior schools and distributed school records to the appointed personnel.
  • Efficiently processed mail and dispersed it to the appropriate recipients.
  • Maintained departmental records and prepared reports.
  • Operated office equipment, including fax, copier, printer, and binding machines.
  • Provided information to callers, requiring detailed knowledge of school policies, practices, and operations.

Education

Master’s - Human Services, Counseling Studies

Capella University
Minneapolis, Minnesota

Certification - Human Services, Marriage and Family Services

Capella University
Minneapolis, Minnesota

Bachelor of Arts - Sociology

Albany State University
Albany, Georgia

Skills

  • Exceptional organizational skills
  • Excellent rapport with clients
  • Health insurance claims processing experience
  • Investigation Experience
  • Performs multiple tasks simultaneously
  • Strong ability to work independently
  • Policy interpretation
  • Claims processing
  • Regulatory compliance
  • Case management
  • Collaborative teamwork
  • Time management abilities

Certification

  • Medication Administration Certified
  • First Aid
  • CPR
  • Defensive Driving
  • Manage Crisis Safety Certified
  • Homeland Security Presidential Directive Clearance
  • Certified Georgia Notary

Activities

Volunteer for churches and outreach centers such as Trinity Outreach Center, St. James Outreach Center, Sociology Club, Families First, Hosea Feed the Hungry, and Special Olympics.

Timeline

Eligibility Specialist

Esther Home Care Services
11.2022 - Current

Administrative Hearing Officer I

Georgia Department of Labor
09.2021 - 11.2022

Disability Adjudicator

Disability Adjudication Services
07.2014 - 09.2021

Family Support Coordinator

Augusta Head Start
02.2011 - 06.2014

Vocational Specialist Supervisor

Glenwood Inc.
01.2009 - 02.2011

School Administrative Clerk (Registrar’s Office)

Benjamin E. Mays High School
08.2007 - 12.2009

Master’s - Human Services, Counseling Studies

Capella University

Certification - Human Services, Marriage and Family Services

Capella University

Bachelor of Arts - Sociology

Albany State University

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Latasha O. Roberts