Marie Rascon
Santa Fe,NM
Summary
Knowledgeable Insurance Adjuster with strong background in program analysis, consistently delivering valuable insights and recommendations. Proven track record in optimizing processes and enhancing program efficiency. Demonstrated expertise in data analysis and project management.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Program Analyst/QC File Reviewer
Department of Homeland Security/FEMA
04.2024 - Current
- Provide excellent customer service to the claimants requesting disaster relief
- Conduct interviews with claimants to gather information needed to process claim
- Ensure accurate processing of information needed to affirm claim
- Process property claims, residential and commercial
- Upload all documents provided by claimants to claim
- Collect and update demographic information as needed
- Address eligibility issues and provide solutions
- Process new claims for disaster relief
- Conduct site visits as needed
- Participate in community events to make the public aware of assistance offered
- Review overpayment issues
- Issue proper notifications when issues arise on individual records
- Keep in constant contact with the claimant throughout the claim process
- Verify information provided with county, city and state entities
- Provide management with daily reports
- Data entry daily
- Train new staff as needed
Independent Desk Adjuster
Independent Adjuster
04.2024 - Current
- Experience conducting thorough investigations, as outlined in the claim handling guidelines and best practices
- Deny, settle, or authorizes payments to property claims based on coverage, field reports, and verifiable damage
- Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witnesses, public adjusters, attorneys, etc
- To gather important information to support the claims, including proofs of loss
- Experienced in setting proper reserves
- Takes recorded statements as needed
- Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame
- Interpret policy language and evaluate coverage issues of multiple different policies and endorsements
- Addresses diaries, emails and voicemails
- Experience preparing technical claim documents and correspondence
- Experience preparing report of findings of an investigation
- Contributes to department efforts with an emphasis on team collaboration
- Other Duties as assigned
Claims Specialist
Social Security Administration
01.2023 - 10.2023
- Provide excellent customer service to the public
- Conduct retirement, Medicare, disability and death claims Interviews/applications
- Ensure accurate processing of monthly benefits during application process
- Assist spouses and children receive benefits as entitled under certain programs
- Update demographic and direct deposit as needed
- Address entitlement issues
- Process new applications for social security numbers
- Update immigration status for individuals
- Process applications for replacement social security cards
- Address Medicare billing and card replacement issues
- Review overpayment issues
- Issue proper notifications when issues arise on individual records
- Enter work earnings as required/needed
- Process representative payee applications
- Start/stop benefits when required
- Data entry as needed
- Scanning and processing of documents into system
Tax Examiner
State of New Mexico Taxation & Revenue Dept
08.2022 - 01.2023
- Technical phone and email support to taxpayers to resolve inquiries and concerns
- Identifying, testing and implementing changes to the system of record or business rule
- Also, conducts tax collection, assessments, abatements, refunds, adjustments, and other tax-related activities to include specialized tax program accounting
- Working with internal and external customers to achieve desired work results and maintains positive relationships while achieving consistency, thoroughness and accuracy on assigned work and projects
- Analyzing complex returns and taxpayer documentation, refund adjustments, special projects and participate in form feedback and meetings, analyzes and researches complex documents to ensure NM statutes, regulations and policy requirements are satisfied
- Ensuring and involving more technical knowledge, analysis and understanding in the accuracy of computations, tax collections, assessments, abatements, refunds, adjustments and other tax related activities
- Providing highly proficient in customer service in communicating verbally and/or in written form to resolve complex issues and communicate findings
- Evaluating various tax returns by reviewing the returns by line item
- Examining tax returns to ensure all required schedules, documents, and certificates are attached to support deductions and/or exemptions
- Routinely prepare and issue standard notices to taxpayers or letters of additional information required or of adjustments made to returns
- Responding to taxpayer phone calls, e-mails and correspondence with clarity and efficiency
- Assisting with statistical data and reports, employee training, and assist and advise lower level employees
PSE Mail Processing Clerk
United States Postal Service
11.2020 - 10.2021
- Make one or more sortation’s of outgoing and/or outgoing mail using the appropriate sort program or manual distribution scheme
- On a rotation basis, perform all of the following duties: load mail onto automated equipment, culling out non-processable items; enters sort plan and starts equipment; monitors flow of mail to ensure continuous feed; sweeps separated mail from the bins, stackers; and stops equipment when distribution run or operation is complete
- Runs machine reports, clear jams and contacts maintenance for assistance when required
- Prepares work area ensuring all necessary support equipment and materials including, labels, trays, and other containers are in place
- Sort packages for mail carriers
- Sort mail and flats for mail carriers
- Box mail in post office boxes for customers
- Provide excellent customer service to customers while working the lobby
- Perform basic cashier functions while assisting customers
- Balance cash drawer at the end of shift
- Balance all credit card, debit card, check and other transactions at the end of shift
- Provide the best shipping options to meet customers needs
- Track packages per customer request
IBML Business Operations Specialist Supervisor
State of New Mexico Taxation & Revenue Dept.
09.2019 - 11.2020
- Provide leadership that supports a team environment that fosters morale, passion, quality, and respect the Imaging Unit
- Serve as a critical part of the Returns Processing pipeline
- Responsible for Imaging Machines LLC (IBML) paper document scanning into GenKFI and GenTax
- Serve as the divisions liaison with the Information Technology Group to ensure all interactive systems are functioning correctly
- Responsible for managing daily scanning operations
- Monitoring structured query language database
- Creating and emailing daily scanned batch image report and other specialized reports as required
- Maintaining the divisions imaging programs through design, development, reporting and testing of jobs to ensure accurate processing of returns
- Collaborating with information technology developers to accomplish testing and solutions to issues that may arise
- Manage staff and monitoring workload
- Ensure images scanned and captured meet standards of the department
- Release batch information to the database and image servers
- Perform daily maintenance and cleaning of equipment
- Timekeeping of all employees within assigned unit
- Complete employee evaluations as needed
- Assist with hiring of new staff for department
- Analyze data and make adjustments to meet facility, budget, and compliance goals
- Execute, maintain, and monitor quality control systems and budgets
- Collaborate with department, facility, and company leadership to achieve goals
- Drive compliance with health, safety, and industry regulatory agencies
Property Manager
Monarch Properties Inc.
02.2019 - 09.2019
- Fair housing certified
- Resident monitoring and other duties associated with the HUD
- Screen and review residents and applicants to determine eligibility for section 8 housing voucher in accordance to HUD guidelines
- Perform rent calculations, tenant eligibility determinations and dwelling inspections for new rental agreements
- Experienced with EIV, a web-based computer system used by HUD rental assistance programs
- Ensure that all lease agreements are compliant per HUD or Tax Credit compliance standards
- Complete all re-certifications in a timely manner
- Develop, write, and implement a sales and marketing plan which effectively maximizes rental income and results in high occupancy and competitive pricing through the leasing staff and personal efforts
- Willingness to understand, analyze, and evaluate financial statements and write reports in a clear, concise form
- Oversee, approve and prepare all lease related paperwork in an accurate and timely manner
- Maintain thorough product knowledge of property and that of major competition through site tours/visits and telephone surveys
- Prepare marketing reports as required
- Clearly and effectively communicate with residents, other employees, vendors, and supervisors in written and verbal form
- Achieve the highest possible net operating income through the implementation of effective cost control, revenue maximization and delinquency management program
- Take reasonable efforts to see that property complies with all state, federal, and local laws, rules, and regulations applicable to the business
- Maintain a high customer service standards
- Analyze data and make adjustments to meet facility, budget, and compliance goals
- Execute, maintain, and monitor quality control systems and budgets
- Collaborate with department, facility, and company leadership to achieve goals
- Drive compliance with health, safety, and industry regulatory agencies
Compliance Assistant Manager
Santa Fe County Adult Detention Facility
04.2018 - 11.2018
- Maintain ACA files for the entire facility
- Conduct internal audits in accordance with each standard and guidelines
- Assist with inspections and reviews of all documentation of the facility in accordance with policy and procedure
- Review all agreements and contracts for compliance
- Put in place a filing system for the disciplinary and grievance department
- Prepared written audit report findings
- Assist staff in development and implementation of auditing tools
- Answer and direct incoming calls to the proper person/department
- Take meeting minutes
- Assist staff with maintaining files
- Assist staff with knowledge of each standard and how to implement it while on duty at the facility
- Ensure that staff is using proper documentation for their departments
- Compose, type and print correspondence, reports, forms and other material as needed
- Review individual department files for compliance
- Daily data entry
- Maintain the department calendar
- Track and document staff projects in accordance with the compliance standards of the facility
- Analyze data and make adjustments to meet facility, budget, and compliance goals
- Execute, maintain, and monitor quality control systems and budgets
- Collaborate with department, facility, and company leadership to achieve goals
- Drive compliance with health, safety, and industry regulatory agencies
Judicial Specialist II
Santa Fe Magistrate Court
06.2017 - 09.2017
- Process, maintain, and distribute documents, files, and case materials
- Accurately disburse bond payments
- Prepare and maintain bond reports
- Use electronic filing to review incoming filings for format, signatures, event code, and filing fees
- Prepare, proofread, edit and mail out documents such as notices and final orders
- Execute on case hearings, which may include: orders to show cause, bench warrants, recusals, excusals and pleadings
- Provide public case information to parties, attorneys, law enforcement agencies, and other outside agencies
- Order, review, sort, and organize jury summons
- Organize case files for microfilming, archiving and destruction
- Data entry of all court findings into the Court Computer System
- Ensure judicial calendars and schedules are maintained
- Serve as court monitor
Activity Director
El Castillo Life Care Community
02.2016 - 09.2016
- Plans, schedules and directs development of activities program to meet the social, and psycho-social needs of Nursing Home residents
- Performs administrative and personnel functions pertaining to the operations of the Activities Department
- Evaluates the effectiveness of the Department's operating procedures and modifies procedures accordingly
- Is able to carry out any and all duties described in Activity Assistant and Assistant Activity Coordinator job descriptions as necessary
- Completes all MDS's, RAPS & IDT planning
- Attends all IDT meetings
- Attends Care Plan Meetings and prepares 50% of Activity Care Plans
- Assesses new residents
- Charts quarterly progress notes
- Is responsible for writing and posting of monthly Resident Council minutes and writing and distributing of the Residents Monthly Newsletter
- Responsible for the planning and implementing of activities to meet resident’s specific needs, to include large group, small group, and individual participation
- Performs other duties as assigned Helps in developing, coordinating and implementing restorative programs that enhance the residents’ lives and allows them to reach their highest practical level of physical and psycho-social well-being
- Responsible for input on the Minimum Data Set, and participation in plan of care, and other assessments and updates
- Coordinated recruitment, retention, and involvement of volunteers with residents
- Coordinated community involvement in the facility
PSE Mail Processing Clerk
United States Postal Service
10.2014 - 12.2015
- Make one or more sortation’s of outgoing and/or outgoing mail using the appropriate sort program or manual distribution scheme
- On a rotation basis, perform all of the following duties: load mail onto automated equipment, culling out non-processable items; enters sort plan and starts equipment; monitors flow of mail to ensure continuous feed; sweeps separated mail from the bins, stackers; and stops equipment when distribution run or operation is complete
- Runs machine reports, clear jams and contacts maintenance for assistance when required
- Prepares work area ensuring all necessary support equipment and materials including, labels, trays, and other containers are in place
- Sort packages for mail carriers
- Sort mail and flats for mail carriers
- Box mail in post office boxes for customers
- Provide excellent customer service to customers while working the lobby
- Perform basic cashier functions while assisting customers
- Balance cash drawer at the end of shift
- Balance all credit card, debit card, check and other transactions at the end of shift
- Provide the best shipping options to meet customers needs
- Track packages per customer request
Food Service Director
Santa Fe County Adult Detention Center/Trinity Services
07.2012 - 04.2014
- Plan, direct and coordinate the activities associated with running a single kitchen in a facility with 500-1000 beds
- Supervise, train, and instruct team members in general food service practices
- Coordinate the work flow and assign work to team members who in turn instruct and train inmate trustees on work techniques and procedures in safe, sanitary, and efficient operations of food preparation and service
- Direct team members to ensure job-related rules, policies, procedures, and security guidelines are enforced
- Maintain product service quality standards by conducting ongoing evaluations and investigating complaints
- Monitor kitchen for cleanliness, sanitation, safety and order
- Maintain contract compliance and cost control
- Conduct weekly inventory of supplies needed to run an efficient kitchen
- Daily data entry of invoices and daily meal count numbers
Legal Secretary
State of New Mexico CSED
04.2011 - 07.2012
- Performs a full range of duties in determining and authorizing child support services
- Independently manage a caseload
- Interact with clients to facilitate their transition to self-sufficiency
- Interview clients and assess income potential based on language and vocational skills, education level, training needs and employment history
- Identifies and responds to client needs, and provides timely and appropriate customer service
- Interview clients to determine eligibility for services in accordance with federal and state law
- Authorizes distribution of program benefits and coordinates referrals to appropriate medical, social, educational, and vocational resources
- Perform periodic reviews of benefits authorization and recertification’s in accordance with federal and state regulations
- Provide guidance to clients of available job training programs
Unit Secretary
Christus St. Vincent Hospital
12.2007 - 07.2011
- Transcription of all physician orders
- Entering all patient information into the hospital computer system
- Ordering of lab, radiology, or any other tests as ordered by physicians
- Faxing all orders to the pharmacy for medications ordered for patients
- Filing of all documents into the patient hard file
- Entering charges to patient accounts as necessary
- Answering and directing phone calls to the proper person or department as necessary
- Keeping all charts stuffed with the documents used by the physicians to order treatments and tests on the patients
- Transferring patient information to the proper persons or department as necessary
- Keeping all patient information private per HIPPA regulations
- Ordering supplies for the unit as needed
- Making copies of forms used on the floor as needed
- Providing friendly and caring customer service to patients and their families
- Stocking of all supplies used by the nurses and nurse aides
- Schedule follow-up appointments for patients upon discharge
- Arrange transportation for patients being transferred to other facilities
- Contact other physicians as requested for patient consults
Education
BBA - Business Administration And Management
University of New Mexico
Albuquerque, NM05-2025
Skills
- Guidewire Proficiency
- Skilled in Assessing Loss Risks
- Xactimate and XACT Analysis Skills
- Skilled in Supplement Reconciliation
- Experienced in Negotiating Agreements
- Proficient Written Communication
- Proficient in Decision Processes
- Independent Work Skills
- Proficient in Task Prioritization
- Proficient Claim Evaluation
- Effective Claim Management
- Proficient in Customer Relations
- Strong Written Communication Skills
- Strong Technical Skills
- Advanced Typing Proficiency
- Skilled in Document and Data Management with MS Office
- Advanced Spanish Proficiency
- Insurance Claims Processing
- Organizational Strategy
- Policy Coverage Assessment
Certification
- State Farm Estimatics Certification, 08/02/24
- State Farm Policy Certification, 08/01/24
- State Farm Auto Certification, 08/08/24
- TWIA/TFPA Claims Examiner Certification, 08/10/24
- TWIA/TFPA Field Examiner Certification, 08/17/24
- Allstate Virtual Assistant Certification, 08/31/24
- LCPIC Certification, 09/10/24
- TWIA/TFPA Commercial Field Certification, 10/20/24
- Adjuster License, New Mexico, 21248069
- Adjuster License, New York, 1877239
- Adjuster All Lines License, Texas, 3202116
- Adjuster All Lines License, Florida, G145841
- Adjuster License, Oklahoma, 3003234739
- Adjuster License, North Carolina, 21248069
- Adjuster License, South Carolina, 21248069
- Adjuster License, Louisiana, 1183681
- Adjuster License, Washington, 1273938
- Adjuster License, Mississippi, 11066033
- Adjuster License, Georgia, 3747323
- Adjuster License, Indiana, 4052495
- Adjuster License, Arizona, 21248069
- Adjuster License, Alabama, 3003316907
- Adjuster License, Michigan, 1322056
- Adjuster License, West Virginia, 21248069
- Adjuster License, Maine, ADN497534
- Adjuster License, Alaska, 3003350954
Languages
Spanish
Full Professional
Timeline
Program Analyst/QC File Reviewer
Department of Homeland Security/FEMA
04.2024 - Current
Independent Desk Adjuster
Independent Adjuster
04.2024 - Current
Claims Specialist
Social Security Administration
01.2023 - 10.2023
Tax Examiner
State of New Mexico Taxation & Revenue Dept
08.2022 - 01.2023
PSE Mail Processing Clerk
United States Postal Service
11.2020 - 10.2021
IBML Business Operations Specialist Supervisor
State of New Mexico Taxation & Revenue Dept.
09.2019 - 11.2020
Property Manager
Monarch Properties Inc.
02.2019 - 09.2019
Compliance Assistant Manager
Santa Fe County Adult Detention Facility
04.2018 - 11.2018
Judicial Specialist II
Santa Fe Magistrate Court
06.2017 - 09.2017
Activity Director
El Castillo Life Care Community
02.2016 - 09.2016
PSE Mail Processing Clerk
United States Postal Service
10.2014 - 12.2015
Food Service Director
Santa Fe County Adult Detention Center/Trinity Services
07.2012 - 04.2014
Legal Secretary
State of New Mexico CSED
04.2011 - 07.2012
Unit Secretary
Christus St. Vincent Hospital
12.2007 - 07.2011
BBA - Business Administration And Management
University of New Mexico
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