Reginald E Cornish Jr.
Social Security Administration Headquarters
Baltimore,MD
29
years of professional experience
Accomplished Claims Specialist with over 20 years of experience in claims management and benefit authorization. Noted for strong attention to detail and multitasking abilities, driving improvements in claims processing and client satisfaction through effective teamwork and mentorship.
Work History
Claims Specialist
20 Years 4 Months- Analyzed claims to ensure compliance with federal regulations and agency policies.
- Reviewed documentation for accuracy, identifying discrepancies and recommending corrective actions.
- Facilitated effective communication between claimants and internal departments to resolve inquiries.
- Mentored junior staff on claims processing procedures and best practices for efficiency.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Streamlined documentation workflow, enabling quicker claim resolution and enhancing customer satisfaction.
- Provided expert guidance on benefits and entitlements to clients and representatives.
- Analyzed case files to determine appropriate services, enhancing customer satisfaction.
Benefit Authorizer
8 Years 11 Months- Reviewed and processed benefit applications for accuracy and compliance with federal regulations.
- Evaluated claimant eligibility based on established guidelines and documentation requirements.
- Coordinated with internal departments to resolve discrepancies in benefit claims efficiently.
- Trained new staff on benefit authorization procedures and system navigation protocols.
- Used analytical skills to detect potential fraud within claims submitted for benefits authorization, safeguarding program resources against misuse or abuse effectively.
- Maintained accurate records of all communications with clients and other parties involved in each case, ensuring a clear audit trail if needed for future reference or dispute resolution purposes.
- Completed insurance verification and benefit authorization with appropriate documentation in billing system.
- Achieved timely resolution of disputes with effective communication and negotiation skills, ensuring client satisfaction.
- Contributed to process improvement initiatives by providing feedback on current procedures and suggesting areas for enhancement.
- Managed caseload effectively, prioritizing tasks based on deadlines and complexity to meet required timelines consistently.
Education
Associate of Arts - General Studies
Skills
Claims management
Claims handling
Claims analysis
Fraud detection
Policy interpretation
Detail orientation
Work organization
Multitasking
Team collaboration
Verbal communication
Affiliations
Member of the Maryland Board of Football Officials since 2005 servicing Baltimore County Public Schools, Baltimore City Public Schools and the Maryland Interscholastic Athletic Association. Positions held while a member include Executive Board Member for 2022 through 2025 and Vice President for 2025.
Timeline
Claims Specialist
Social Security Administration Headquarters
05.2006 - CurrentRead More
Benefit Authorizer
Social Security Administration Headquarters
06.1997 - 05.2006Read More
The Community College of Baltimore County
Associate of Arts from General Studies
Read More