Tamela Iles
Harrah,OK
Summary
Detail-oriented Examiner with 9 years of experience. Strong knowledge of social security disability listings and procedures combined with excellent reporting and research skills. Thorough understanding of claims process and disability determination.
Overview
16
16
years of professional experience
Work History
Disability Examiner
State Of Oklahoma Department Of Rehabilitation
07.2014 - 06.2023
- complete and oversee a variety of professional assignments to ensure that all medical and personal information meet program evidentiary standards for the evaluation and determination of eligibility for Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), Disability Retirement, State Disability Assistance (SDA), and/or related work exemption or deferral programs based on medically determinable impairment. The work entails extensive gathering of medical and personal histories and the application of laws, rules, regulations, and policy directives in the determination process
- Reviews and analyzes disability claims for social security and supplemental security income benefits,state and federal medical assistance programs,exemption/deferrals from employment programs in cooperation with a review physician,and determines eligibility. Gathers medical/work history and social data is needed, and, if necessary, makes arrangements for special examination by medical specialists. Determines if additional medical data is needed, and, if necessary, makes arrangements for special examinations by medical specialists. Advises and trains agency staff on better ways to prepare and maintain social case histories, case summaries, case records, and correspondence. Prepare written determination summarizing findings and providing rationale for eligibility decisions. Recruits and trains contract physicians to assist disability determination. Contacts physicians, hospitals work establishments, claimants, or other sources by telephone to collect necessary data as needed. Develops and maintains working relationships with community agencies and professional and medical personnel to ensure availability and provision of supportive services for clients. Prepares written reports of all contacts to ensure legality of documentation. Provides expert testimony and/or representation in hearings and appeals. Conducts field visits to gather supplemental information, if necessary. Grants provisional disability awards for applicants in financial need if appropriate. Assesses applicants’ rehabilitation potential and makes appropriate referrals for services. Reviews progress of claimants receiving benefits and/or medical assistance based on disability to determine if benefits should be terminated or continued. Assist in the evaluation, preparation, and presentation of appeals for supplemental security insurance benefits. Assesses vocational issues to determine if other jobs can be done by claimant. Assesses impact of disability laws, regulations, and/or procedural changes and provides training to affected staff/community providers. Maintains records and prepares reports and correspondence related to the work. Performs related work as assigned
Program Coordinator
McCall's Chapel
05.2010 - 07.2014
- Developed and maintained relationships with external partners to facilitate program operations.
- Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
- Collaborated with other program coordinators to achieve consistency in program objectives and services.
- Created and delivered program training and education to keep participants knowledgeable about program and provide necessary skills to participate productively.
- Oversee service delivery to individuals with developmental or intellectual disabilities.
- Make referrals and set appointments with providers to ensure they administer necessary services such as medical, habilitation, social, and educational support to the client.
- Performed client intake, ordering assessments to confirm service eligibility, identifying any habilitative training needs, and monitoring the effectiveness of the provided services.
- Coordinate an individual or family support plan, as well as monitor and follow up with providers and the individual to ensure they implement the programs effectively and satisfactorily.
- Ensured the client’s budgets align with these services and that medical, legal, and financial needs are met.
- Visit the individual or family on site as needed.
Accounts Payable Clerk
McCalls Chapel
02.2007 - 05.2010
- Updated accounting ledgers and journals to balance statements and maintain consistent records.
- Received and recorded the receipt of invoices
- Processed invoices to make sure payments were correct and on time
- Requested receipt of statements from invoicing contractors or businesses when they are not provided
- Processed payment runs
- Matched and filed invoices and receipts
- Reconciled business accounts to make sure amounts paid reflect goods and services received
- Distributed invoice copies to finance staff and other relevant departments
Education
Master of Arts - Vocational Rehabilitation Counseling
East Central University
Ada, OK05.2014
Bachelor of Arts - Human Services
East Central University
Ada, OK05.2010
High School Diploma -
Ada High School
Ada, OK05.1987
Skills
- Claim Form Analysis
- Claims Processing
- Critical Thinking
- Team Collaboration
- Relationship Building
- Policy Investigations
- Computer Skills
- Coaching and Mentoring
- File and Record Management
- Decision-Making
Timeline
Disability Examiner
State Of Oklahoma Department Of Rehabilitation
07.2014 - 06.2023
Program Coordinator
McCall's Chapel
05.2010 - 07.2014
Accounts Payable Clerk
McCalls Chapel
02.2007 - 05.2010
Master of Arts - Vocational Rehabilitation Counseling
East Central University
Bachelor of Arts - Human Services
East Central University
High School Diploma -
Ada High School
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