Patrice Jackson
US Census Bureau
Laurel,MD
6
years of professional experience
Motivated Claims Examiner with experience successfully managing and monitoring eligibility information for members and groups. Highly skilled at facilitating program approval or denial through qualifications assessment, fact checking and record keeping. Confident and committed to promoting positive customer outcomes through dynamic communication and exemplary engagement skills.
Work History
Field Representative
9 Months- Conducted in-depth community outreach to educate residents on census participation.
- Managed data collection efforts, ensuring accuracy and completeness of information gathered.
- Implemented strategies to enhance participant engagement and response rates within assigned areas.
- Analyzed demographic data trends to inform outreach tactics and improve service delivery.
- Streamlined data processing workflows, enhancing efficiency in reporting and analysis tasks.
- Completed paperwork in full, on time, and with high accuracy.
- Enhanced customer satisfaction by promptly addressing concerns and providing effective solutions.
- Optimized route planning to minimize travel time while maximizing client visits, resulting in greater efficiency and cost savings.
- Maintained detailed records of client interactions, ensuring accurate data collection for future reference and reporting purposes.
Claims Examiner
2 Years 7 Months- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Document all communication with applicants and input information into system using Salesforce and Webs.
- Interviewed applicants and explained scope of different available benefits.
- Communicated with people from various cultures and backgrounds on application process.
- Used DOCS and SIDI to maintain several candidate claims to verify eligibility.
- Backdating claims, Adding weeks, Posting/Removal of wages, Withdrawal of claims.
- Adjudicating and Resolving Issues on claims preventing payment, resulting in approval or denial.
- Writing determination letters
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Analyzed information gathered by investigation and report findings and recommendations.
- Reviewed and analyzed suspicious and potentially fraudulent unemployment insurance claims.
- Managed high-volume workloads, prioritizing tasks to ensure timely completion and quality results.
- Maintained high customer satisfaction standards to meet or exceed targets.
- Followed instructions from supervisor regarding daily job tasks and duties.
Claims Adjudicator
1 Year 10 Months- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Documented all communication with applicants and inputted information into system using Salesforce and Webs.
- Interviewed applicants and explained scope of different available benefits.
- Communicated with people from various cultures and backgrounds on application process.
- Used DOCS and SIDI to maintain several candidate claims to verify eligibility.
Customer Service Representative
1 Year- Provided primary customer support to internal and external customers.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Provided information regarding charge accounts and loyalty programs.
- Answered constant flow of customer calls with minimal wait times.
- Responded to customer requests for products, services and company information.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
- Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
Education
High School Diploma
Skills
Data verification
Research and investigation
Policy regulations knowledge
Insurance claim requirements
Claims processing paperwork
Microsoft Word
Microsoft Excel
Knowledge of DOCS
Knowledge of SIDI
Knowledge of WEBS
Expert experience managing case load
Knowledge of Salesforce
Benefits review
Complex Problem-Solving
Claims Adjustments Review
Spreadsheet Tracking
Claims Investigations
Escalation management
Timeline
Field Representative
US Census Bureau
09.2025 - 06.2026Read More
Claims Examiner
Department Of Employment Services
01.2023 - 08.2025Read More
Claims Adjudicator
TDB Communications
02.2021 - 12.2022Read More
Customer Service Representative
Continuum Global Solutions
02.2020 - 02.2021Read More
Chesapeake College
High School Diploma
Read More