Roberto Beltran
Winchester,USA
Summary
Claims specialist with a strong track record in processing claims and ensuring regulatory compliance. Skilled in advising claimants and implementing staff training programs that boost operational efficiency and enhance understanding among claimants.
Overview
1
1
Language
7
7
years of professional experience
Work History
Claim Specialist
Social Security Administration, SSA
Oceanside, CA
10.2019 - Current
- Handled initial claims processing for third-party apps and online appeals effectively.
- Approved or denied documentation to resolve claims, calculating due benefits accurately.
- Analyzed insurance claims for validity, completeness, accuracy, and payment eligibility.
- Enhanced efficiency of claims processing through team collaboration.
- Performed quality assurance checks to meet agency compliance standards.
- Processed SSI age claims within 14-day timeframe to adhere to regulations.
- Evaluated claim eligibility following agency guidelines and policies.
- Provided training for new staff on assessment protocols and software tools.
Technical Expert Temp Detail
Social Security Administration, SSA
Oceanside, California
06.2025 - 10.2025
- Provided expert guidance on social security policies and procedures to ensure compliance.
- Analyzed complex cases, adhering to regulations and program operations manual systems.
- Reviewed cases for accuracy, ensuring alignment with program operations manual standards.
- Facilitated staff training sessions on new system updates, improving operational flexibility.
- Conducted individualized training for staff needing additional support on challenging claims, improving their case handling skills.
- Collaborated with cross-functional teams to enhance service delivery and streamline processes.
- Communicated progress and challenges through regular updates via email and meetings.
- Participated in unit and management meetings, contributing suggestions for training needs.
Education
Bachelor of Science - Business Administration
University of Phoenix
Tempe, AZ04-2022
Skills
- Claims processing
- Claims management
- Benefits advisory
- Policy interpretation skills
- Social security policies
- Regulatory compliance
- Compliance auditing
- Data analysis techniques
Languages
Spanish
Native/ Bilingual
Timeline
Technical Expert Temp Detail
Social Security Administration, SSA
06.2025 - 10.2025
Claim Specialist
Social Security Administration, SSA
10.2019 - Current
Bachelor of Science - Business Administration
University of Phoenix