Summary
Overview
Work History
Education
Skills
Timeline
Generic

Richard Grayden Zuver

Rochester,IL

Summary

Detail-oriented Examiner with 13.5 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of the Social Security Disability claims process.

Overview

24
24
years of professional experience

Work History

Disability Claims Adjudicator II

Department Of Human Services, BDDS
02.2018 - Current

Under general supervision, performs responsible, complex administrative, medical and legal work pursuant to the adjudication of claims for disability benefits under Title II & Title XVI of the Social Security Act; reviews initial claim applications, reviews reconsideration claim applications, performs continuing disability reviews, initiates requests for necessary medical and non-medical evidence through contact by letter and telephone. Authorizes payment for medical evidence, prepares and authenticates decision of allowance or denial of period of disability for Illinois residents who have disabling impairments that preclude SGA.

Disability Claims Adjudicator I

Department Of Human Services, BDDS
03.2011 - 02.2018

Under general supervision, performs responsible, complex administrative, medical and legal work pursuant to the adjudication of claims for disability benefits under Title II & Title XVI of the Social Security Act; reviews initial claim applications, initiates requests for necessary medical and non-medical evidence through contact by letter and telephone. Authorizes payment for medical evidence, prepares and authenticates decision of allowance or denial of period of disability for Illinois residents who have disabling impairments that preclude SGA.

Disability Claims Adjudicator Trainee

Department Of Human Services, BDDS
09.2009 - 03.2011

Under general supervision, performs responsible, complex administrative, medical and legal work pursuant to the adjudication of claims for disability benefits under Title II & Title XVI of the Social Security Act; reviews initial claim applications, initiates requests for necessary medical and non-medical evidence through contact by letter and telephone. Authorizes payment for medical evidence, prepares and authenticates decision of allowance or denial of period of disability for Illinois residents who have disabling impairments that preclude SGA.

Building Trades Apprentice

UA Local 501
06.2003 - 05.2008

Plumbing and pipefitting, both residential and commercial.

Warehouse Manager

Winebid.com
09.2002 - 05.2003
  • Cleaned and maintained warehouse in compliance with OSHA safety standards.
  • Oversaw upkeep of equipment and physical condition of warehouse, identifying and ordering needed repairs, renovations, and replacements.
  • Kept documentation and records accurate and up-to-date with latest data to prevent errors in processing or delivery.
  • Redesigned warehouse layout to accommodate new equipment, maximize space utilization, and optimize processes.
  • Managed shipping and receiving for Midwestern warehouse of internet wine auction company.
  • Handled shipping for over 40 states.
  • Evaluated incoming shipments for quality issues and processed unacceptable materials for return.

Development Services Engineer

CCC Network Systems
02.2001 - 10.2001
  • Analyzed, troubleshot and diagnosed problems and provided prompt repair and solutions.
  • Installed, configured and tested equipment on specialized platforms.
  • Worked cross-functionally within organization and external partners, integrators and vendors.
  • Analyzed and evaluated performance and optimized efficiency.
  • Oversaw design, implementation, population, and introduction of new defect tracking database.
  • Trained entire staff on proper use of defect-tracking database.
    Administered and maintained company-wide defect tracking database.
  • Introduced proper version control to the development and quality assurance process.
  • Testing of computer software and hardware.

Software Test Engineer/QA Lead

3dfx Interactive
03.1999 - 02.2001
  • Designed testing scenarios for usability testing.
  • Identified and tracked software defects and supported developers in resolving problems by completing additional tests.
  • Participated in available trainings to improve software knowledge.
  • Wrote and optimized test cases to maximize success of manual software testing with consistent, thorough approaches.
  • Managed software testing operation for all legacy products(all products on the market for three months or longer) for the entire company.
  • Administered bug database for entire company(with 5 others).
  • Recruited staff to create a department capable of handling the testing requirements of company.
  • Purchased computer equipment to fulfill needs of the facility.
  • Responsible for responding to customer feedback and pursuing remedies to issues raised.

Education

Master of Arts - Irish Studies

Queen's University of Belfast
Belfast, United Kingdom
12.1997

Bachelor of Arts - Politics/Modern History

Queen's University of Belfast
Belfast, United Kingdom
07.1996

Skills

  • Medical Documentation
  • Negotiation and Mediation Skills
  • Policy Requirements and Eligibility
  • Account Management Software
  • Customer Relations
  • Evidence Analysis
  • Eligibility Determinations
  • Personal Data Evaluation
  • Medical Records Management
  • Report and Records Review
  • Fraudulent Claims Investigation

Timeline

Disability Claims Adjudicator II

Department Of Human Services, BDDS
02.2018 - Current

Disability Claims Adjudicator I

Department Of Human Services, BDDS
03.2011 - 02.2018

Disability Claims Adjudicator Trainee

Department Of Human Services, BDDS
09.2009 - 03.2011

Building Trades Apprentice

UA Local 501
06.2003 - 05.2008

Warehouse Manager

Winebid.com
09.2002 - 05.2003

Development Services Engineer

CCC Network Systems
02.2001 - 10.2001

Software Test Engineer/QA Lead

3dfx Interactive
03.1999 - 02.2001

Master of Arts - Irish Studies

Queen's University of Belfast

Bachelor of Arts - Politics/Modern History

Queen's University of Belfast
Richard Grayden Zuver