Mandy Houck
Cabot,AR
Summary
Dedicated Disability Claims Specialist with extensive experience in adjudication and regulatory compliance. Proven ability to manage high-volume caseloads while ensuring accuracy and confidentiality.
Overview
23
23
years of professional experience
Work History
Disability Claims Specialist
Social Security Administration
Searcy, Arkansas
03.2008 - Current
- Conduct interviews to obtain, clarify, and verify eligibility for retirement, survivors, disability, and health insurance benefits.Adjudicate initial and continuing claims for multiple SSA programs, ensuring compliance with federal regulations.Determine substantial gainful activity (SGA) for disability applicants and recipients.Approved representative payees in complex or contested cases, safeguarding the interests of vulnerable clients.Evaluate income types (wages vs. selfemployment) and determine coverage under governing provisions. Maintain strict confidentiality and accuracy while managing high-volume caseloads.
- Analyzed disability claims to determine eligibility based on defined criteria.
- Reviewed medical documentation to ensure compliance with federal regulations.
- Collaborated with healthcare providers for additional information on claims.
Medicare Operations Supervisor
Pinnacle Business Solutions, Inc
North Little Rock, AR
01.2004 - 03.2008
- Managed daily operations by scheduling personnel, assigning tasks, and monitoring progress to ensure workflow continuity.
- Supervised daily operations, ensuring smooth workflows and high efficiency.
- Coordinated staff schedules, optimizing labor resources and supporting team productivity.
- Implemented process improvements that enhanced operational effectiveness and reduced waste.
- Assisted in developing standard operating procedures, enhancing consistency and efficiency across tasks.
- Trained new employees on company policies and operational procedures.
- Resolved employee conflicts and facilitated team communications within the department.
Education
Bachelor of Arts - Business Administration And Management
University of Arkansas At Little Rock
Little Rock, ARSkills
- Adjudication processes
- Eligibility determination
- Claims processing proficiency
- Claims analysis
- Disability assessment
- Disability legislation knowledge
- Regulatory compliance
- Privacy regulations
- Case management
- Workflow efficiency
- Team leadership
- Staff onboarding
- Effective communication
- Proactive problem solving
- Attention to detail
- Medical terminology expertise
- Client advocacy
Accomplishments
- Regional Awards for fraud cases successfully leading to prosecution
- Exemplary Customer Service Award 16 of my 18 years with SSA
- Recognition of Contribution Awards
Timeline
Disability Claims Specialist
Social Security Administration
03.2008 - Current
Medicare Operations Supervisor
Pinnacle Business Solutions, Inc
01.2004 - 03.2008
Bachelor of Arts - Business Administration And Management
University of Arkansas At Little Rock