Accomplished and exceeded the expectations for the Adjudication and non-permanent Investigator 3 positions which include consistency in work, quantity, quality, timelines and adaptability to technology and policies changes.
Ensured accurate determinations with meticulous research and thorough investigation of disputes.
Continuously updated personal knowledge on relevant laws, regulations, and policies affecting the adjudication process within the jurisdiction served.
Improved claim processing times by implementing efficient workflows and prioritizing urgent cases.
Conducted interviews and rebuttals to gather information, between employer, employees and third parties when applicable.
Evaluated claims by analyzing, interviews, documents, evidence and witnesses' statement to determine eligibility for benefits.
Streamlined case management processes to expedite resolution times while maintaining accuracy in decisionmaking.
Utilized advanced problem-solving skills to navigate complex issues and reach fair, well-reasoned decisions that withstood scrutiny during appeals or further reviews.
Prepared comprehensive reports detailing findings, conclusions, and recommendations for further action or appeal as necessary.
Built a reputation for professionalism and integrity through consistent adherence to ethical standards during the adjudication process.
Mentored junior adjudicators on best practices, contributing to enhanced team performance overall.
Maintained compliance with unemployment policies through diligent record-keeping and adherence to procedural guidelines.
Presented conclusions in clear and concise language that was easily understood by all parties involved in the adjudication process.
During this year assisting the Office of Special Investigations for Employment Security Department, I was able to exercise my investigative adjudication skills and provided to OSI a numerous of timely decisions exceeding the expectations for my position as a new investigator.
Conducted investigations for Identity Theft by utilizing different programs and cross matching information with external institutions.
Evaluated customer data to identify and prevent fraudulent activities.
Produced detailed reports of fraud investigations and presented findings to senior management.
Performed risk assessments to determine level of fraud risk and prioritize investigations.
Analyzed large amounts of data to find patterns of fraud involving several individuals attempting to scheme the system.
Collected evidence; transactions and receipts to identify any suspicious activity.