Yadira Alvarado

• Conduct interviews and determined non-medical eligibility for Social Security Disability applications for the following programs; Supplemental Security Income, Disability Insurance, End Stage Renal Disability, Disabled Widows Benefits, Disabled Adult Child Benefits
• Conduct interviews and determine eligibility for Spousal, Child and Widow Benefits
• Conduct interviews to determine eligibility for insured and uninsured Medicare Claims
• Conduct interviews in Spanish and English with the public in regards to Social Security Inquiries
• Provide monthly benefit estimate using appropriate systems
• Process complex claims when multiple auxiliaries are filing
• Timely transfer Disability Claims to Disability Determination Service (DDS)
• Load concurrent medical appeals though Banana and Electronic Disability Collect System (EDCS)
• Timely adjudicate claims to meet SDO cutoff dates
• Load SSA-1696 and Fee Agreements into the Registration, Appointment and Services for Representatives (RASR) and EView
• Pull in internet claims including; first and third party application
• Contact first and third parties to schedule appointments to submit required evidence needed to timely adjudicate claims
• Establish government pension offset, state and workers compensation offset
• Adjudicate complex claims through manual calculations and documentation
• Conduct interviews with the public to obtain, clarify and verify information about initial and continuing eligibility for Retirement, Survivors, Health Insurance (RSHI) and Supplemental Security Income (SSI)
• Initiate Work Continuing Disability Reviews to determine the claimants eligibility to Disability Benefits
• Obtain all pertinent documentation required to make an initial waiver determination
• Conduct Personal Conferences, Folder Reviews and make the final waiver determination
• Provide assistance in person and over the phone, on the National and General Inquiry line, in reference to Social Security inquiries
• Assisting with RSHI and SSI post entitlement issues; living arrangement, non- receipts, direct deposit,
• Process Medicare Income Related Monthly Adjusted Amount- Life Changing Event timely to reduce follow ups
• Process Post Entitlement applications for Medicare
• Evaluate medical, legal and lay evidence to appropriately select a representative payee
• Provide the office with guidance for complex enumeration processing
• Assist the general public with processing new and replacement Social Security cards due to legal name change, update lawful status or correction of record
• Promote and assist the public with the agency's "MySSA" online accounts to stay in line with the agency's goal to move in the digital service model

• Assist the Public in all matters of general Social Security related inquiries, both in person and over the phone on the National and General Inquiry line
• Communicate clearly with a diverse public in Spanish and English
• Certified in Spanish to translate documents on the agency's internal form SSA-533
• Prepare written correspondence to the Public in response to inquiries and request for information
• Interpret complex Agency Policy and disseminate the information to the Public in easy to understand “plain language”
• Easily adapt to multiple changes in daily assignments and priority workflows as assigned by management
• Resolve all Post-Entitlement issues such as non-receipt of payments, earnings corrections, Medicare billing, over payments, change of address, change of direct deposit and assist in training others in these workloads
• Process all types of Enumeration requests and assist in training others in this workload
• Currently serve as a go to person for the most complex Post Entitlement events such as Payee Misuse, complex Enumeration issues, Garnishments, Government Pension and Windfall offset policies
• Process abbreviated in the Supplemental Security Income after carefully establishing claimant’s ineligibility for benefits due to not lawful stats; then referring claimants to other agencies that may be able to provide assistance
• Process representative payee applications by carefully evaluating all available legal, medical, non medical and lay evidence to ensure the best applicant is selected
• Request, obtain and review the representative payee accounting reports in order to prevent payee misuse and identify when the service of a payee is necessary
• Handle and assist inquiry requests from internal components such as TSC and PC in a timely manner through the modernize development worksheet
• Organize and maintain control of various ongoing workloads from multiple sources such as mail, front counter intake and system related listings
• Serve as one of the three Cashiers in the office
• Mentor and coach multiple Service Representatives by creating guides and workflows for them to use for Medicare GEP, SEP and IEP
• Create an open environment for learning by offering one-on-one training and an “open door policy”
• Maintain current knowledge and share expertise of policy and automation systems with coworkers, to ensure the proper information is being provided to the public
• Promote e-services by providing step-by-step instructions to claimants on how to file online, register for MySSA, during interactions in person and via phone
• Describe elements of entitlement and provide benefit amount by using benefit estimation tools, such as the benefit matrix
• Process work related reports for Title II and Title XVI
• Generate over payment notices for B3 diaries
• Determining dire need circumstances and take appropriate action including the issuance of an immediate payment
• Review and process death inputs correctly and timely to prevent over payments and wrongful termination of a records
• Make recommendations to Management on updating and revising workflows and office procedures as needed when policy or systems change

Special Projects include:

• Organized and implemented an office wide training on current Medicare GEP procedures
• Organized and implemented an office wide training on complex Enumeration issues
• Designated the Medicare GEP, SEP, QMB training reference guide for the office in the Service Representative notebook
• Research and determine the proper workflow for the complex Asylee Applicant with no Identity Enumeration issue