JENNIFER WILSON
Easton,PA
Summary
Accomplished Claims Technical Expert with over 20 years of experience resolving complex cases within Social Security Administration programs. Specializes in interpreting policies, driving process improvements, and ensuring regulatory compliance while maintaining data confidentiality. Delivers technical guidance and mentorship to colleagues, fostering a collaborative work environment.
Overview
22
22
years of professional experience
Work History
Claims Technical Expert
Social Security Administration (SSA)
09.2004 - Current
- Case Development and Adjudication: Develop, adjudicate, and authorize complex and non-routine cases involving multiple SSA programs. Address unusual and precedent-setting cases with careful analysis and decision-making.
- Led technical training efforts, including classroom and one-on-one sessions, coaching, and mentoring employees to enhance staff skills based on identified training needs.
- Technical Expertise: Provide expert technical advice in interpreting legislation, regulations, and policies, ensuring decisions align with SSA guidelines. Offer guidance to other employees during complex case processing and post-entitlement actions.
- Quality Assurance and Process Improvement: Conduct case reviews for quality control and performance management. Offer recommendations for process improvements and implement systems initiatives to address emerging challenges.
- Systems and Software Expertise: Guide the effective use of SSA's software and systems for case processing. Assist in troubleshooting and resolving technical issues across various SSA components (e.g., Disability Determination Services, Program Service Centers).
- Training and Development: Conduct training for staff on the most effective use of systems and new software. Foster the use of development tools and assist in resolving complex program/technical issues.
- Developed fraud cases for SSA's Office of Inspector General (OIG) by conducting investigations and implementing sanctions decisions to maintain program integrity.
- Claims Processing and Case Management: Perform a full range of claims specialist duties, including in Title 2, Title 16, and Title 18 programs, and assume new responsibilities mandated by legislative or policy changes.
- Program Knowledge: Leverage extensive knowledge of all SSA programs and related federal laws to deliver timely and accurate decisions on complex cases. Offer expert guidance in diagnosing fraud and recommending quality improvements.
- Led cross-functional teams to implement technical solutions enhancing operational efficiency.
- Developed comprehensive training programs, improving team performance and knowledge retention.
- Contributed significantly to overall company growth by consistently exceeding performance targets in key metrics such as response times, issue resolution rates, and customer satisfaction scores.
- Participated in testing new software and hardware.
Education
J.D. - Juris Doctor
Trinity Law School
Santa Ana05.2030
Bachelor - Legal Studies
William Woods University
Fulton, MI05.2025
Associate of Arts -
Eastern Gateway Community College
Steubenville, OH01.2022
Skills
- Case adjudication
- Fraud investigation
- SSA program expertise
- Legislative analysis
- Data security management
- Systems analysis and troubleshooting
- Process improvement
- Technical mentoring and leadership
- Staff training and development
- Staff development
- Stakeholder collaboration
- Oral and written communication
- Customer support
Timeline
Claims Technical Expert
Social Security Administration (SSA)
09.2004 - Current
J.D. - Juris Doctor
Trinity Law School
Bachelor - Legal Studies
William Woods University
Associate of Arts -
Eastern Gateway Community College