Mariah McBride
Odenton,MD
Summary
Proven Social Insurance Specialist with a track record of enhancing claims processing efficiency and reducing backlog by diligently reviewing and resolving pending claims at the Social Security Administration. Demonstrates strong analytical skills and decision-making capabilities. Excelled in benefits administration, maintaining confidentiality, and consistently met strict deadlines. Recognized for exceptional customer service and policy interpretation, contributing to significant operational improvements.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Social Insurance Specialist (Claims Specialist)
Social Security Administration
05.2020 - Current
- Reviewing and making determinations on claims for Title 2 disability benefits
- Developing for evidence required for claims processing within the agency's evidence repositories and through contact with members of the agency and those outside of the agency via various communication methods such as telephone, notices, and email
- Thoroughly examining cases and researching the applicable policies to ensure proper claims processing and ultimately reducing repeat processing of claims due to errors
- Analyzing program operations and procedures to improve efficiency and assess program integrity
- Interpreting program policy and procedures for case processing
- Creating and updating pre-existing training materials and providing training to staff with pre-approval from the module's claims specialist technical expert and occasionally management
- Utilizing knowledge of the laws, regulations, and principles governing national social insurance and need-based programs to issue various kinds of determinations including eligibility for Title 2 disability payments, reconsideration determinations of initial determinations, entitlement for auxiliary benefits, etc
- Organize datasets onto spreadsheets for benefit computation
- Assisting other claims specialists and benefit authorizers, with technical assistance, from the module and other modules, with claims processing
- Identifying areas of opportunity in workflow processes and providing feedback to management in order to improve case processing accuracy and efficiency
- Consistently completing the assigned workload ahead of schedule and taking the initiative to communicate with management the need for more cases to process
- Managed caseloads effectively using time management skills while meeting strict deadlines under pressure.
- Reduced case backlog significantly through diligent review and timely resolution of pending claims.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Collaborated with cross-functional teams to address complex cases, ensuring accurate benefit determinations.
- Expedited claims processing times by maintaining up-to-date knowledge of policy changes and program requirements.
- Maintain, safeguard, and properly dispose records containing personally identifiable information
- Regularly attend trainings on protecting client's sensitive/confidential data
- Maintained meticulous records documenting client interactions, assessments, decisions made regarding eligibility determination.
- Identified opportunities for process improvement within the department, contributing to ongoing operational enhancements across the organization.
- Served as a subject matter expert during audits, providing detailed documentation and evidence supporting compliance with regulatory requirements.
- Participated in ongoing professional development opportunities, staying informed on industry trends and changes in social insurance regulations.
- Conducted regular reviews of existing policies and procedures, identifying areas for improvement and contributing to the development of updated guidelines.
- Provided exceptional customer service by addressing concerns promptly, efficiently resolving issues related to claims processing or benefit payments.
- Worked effectively in fast-paced environments.
- Managed time efficiently in order to complete all tasks within deadlines.
- Used critical thinking to break down problems, evaluate solutions and make decisions independently
- Learned and adapted quickly to new technology and software applications.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Management Trainee
Enterprise Holdings
07.2019 - 03.2020
- Developed problem-solving abilities through hands-on experience with real-life business scenarios.
- Assisted supervisors in setting clear goals, establishing priorities, and monitoring progress to ensure successful completion of tasks.
- Described product to customers and accurately explained details and care of merchandise.
- Used company reports to analyze sales, gross profit and inventory activities.
- Gained knowledge of company policies, protocols and processes.
- Leveraged data and analytics to make informed decisions and drive business improvements.
- Recognized as a top 10% performer leading in sales, branch growth, and customer service metrics within the region Q3 in 2019
- Mitigated risk of loss of vehicles by ensuring to follow policy and procedures surrounding renter verification
Retail Sales Associate
AT&T
02.2019 - 07.2019
- Assisted in reduction of lost revenue by 15% through introduction of scheduled staff rounding
- Consistently met personal sales goals through proactive engagement with customers and upselling techniques when appropriate.
- Assisted in managing inventory levels, accurately processing shipments, and restocking merchandise as needed.
- Prioritized helping customers over completing other routine tasks in store.
- Recommended complementary purchases to customers, increasing revenue.
Education
Bachelor of Arts - Political Science
Hampton University
Hampton, VA05-2018
Skills
- Decision-making capabilities
- Benefits Administration Expertise
- Claims Processing
- Confidentiality Practices
- Strong analytical skills
- Research abilities
- Policy Interpretation
- Risk Assessment
Certification
- Basic Analyst Training Workshop, 09/18/23-09/21/23, OPM Training Course-(OPM)
- Planning and Analysis, 07/2024
Awards
- Seeker Award, 02/2023, Recognition of outstanding dedication and commitment to serve the public.
- Exemplary Contribution of Service Award, 11/02/2020, In recognition of my ability to provide technical support to the SDO M2M and additional high priority workloads.
- Time Off Award, 08/2024, In recognition of sharing innovative ways to improve WC processing for PC 7.
Timeline
Social Insurance Specialist (Claims Specialist)
Social Security Administration
05.2020 - Current
Management Trainee
Enterprise Holdings
07.2019 - 03.2020
Retail Sales Associate
AT&T
02.2019 - 07.2019
Bachelor of Arts - Political Science
Hampton University