
Experienced professional skilled in analyzing and processing diverse benefit claims with precision and efficiency. Utilizes strong investigative skills and meticulous attention to detail to secure fair settlements, ensuring client satisfaction and regulatory compliance. Demonstrates ability to uphold agency standards while providing exceptional customer service in high-pressure environments. Dedicated to continuous improvement and excellence in claims management.
*Managed an entire Spanish speaking caseload (approximately 600 clients) including semi-annual reporting, annual benefit reviews and all intermittent updates.
* Conducted bilingual client interviews to determine eligibility for varying areas of public assistance, following state regulations and policies.
* Obtained necessary verifications required for public assistance applications and authorize requests for approval or denial before their respective deadlines.
* Reported suspicions of client welfare fraud to the Office of Inspector General for investigation and followed up with the investigative findings.
* Maintained communication with management regarding efforts to improve processes and provided suggestions regarding policy changes.