Detail-oriented Claims Specialist with proven skills in claims processing, compliance review, and effective communication. Committed to delivering accurate benefit determinations and resolving complex claims issues.
Overview
12
12
years of professional experience
Work History
Claims Specialist
Social Security Adminstration
San Antonio, TX
09.2017 - Current
Reviewed claims for accuracy and compliance with federal regulations.
Processed benefit applications and communicated decisions to claimants, ensuring clarity and support throughout the process.
Analyzed documentation to determine eligibility for Social Security benefits.
Collaborated with internal teams to promptly resolve complex claims issues, enhancing overall claims accuracy.
Provided guidance to claimants on appeals and additional documentation requirements.
Utilized case management software to track and manage claims efficiently.
Conducted training sessions for new staff on claims processing protocols.
Resolved claims by approving or denying documentation and calculating benefits, ensuring timely compensation settlements.
Evaluated financial information provided by claimants in order to process payments quickly and accurately.
Maintenance Custodian
United States Post Office
San Antonio, TX
09.2014 - 09.2017
Maintained cleanliness and sanitation of postal facilities and surrounding areas.
Serviced and operated cleaning equipment, ensuring optimal performance for daily operations.
Conducted routine inspections, identifying maintenance needs and safety hazards to maintain facility standards.
Collaborated with team members to optimize daily cleaning schedules.
Responded promptly to emergency cleanup requests from staff or customers.
Implemented safety protocols while using cleaning chemicals and tools.
Repaired furniture, fixtures and other equipment in the facility as required.
Performed minor plumbing repairs such as unclogging toilets and sinks.
Operated power equipment such as floor scrubbers, buffers and carpet extractors.
Completed general cleaning tasks such as washing floors, baseboards, in accordance with established schedules.
Managed janitorial supplies inventory by monitoring stock levels, anticipating needs, and coordinating timely orders.
Replaced light bulbs, ballasts and filters on a regular basis.
Followed established safety rules and regulations related to the use of chemicals, tools, ladders or other equipment used in performing job duties.
Secured facilities at the end of shift by locking doors and windows.
Checked fire extinguishers monthly for proper working condition.
Followed established health and safety regulations when handling hazardous materials.