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disability evaluation analyst dea iii resume example with 20+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Service-oriented Claims Analyst skilled at applying law and policy to solve complex problems. Motivated Analyst specializing in medical and vocational assessments.. Trustworthy, hard working, dependable and a team player. Enthusiastic Analyst eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Skills
  • Valuation knowledge
  • Policy investigations
  • obtain, Analyze and evaluate medical and vocational information from various sources, reviewing for consistency, validity, and sufficiency. Follow up with doctors, hospitals, and other community resources to ensure the timely receipt of evidence. Contact medical and non medical sources to obtain additional information and to clarify or supplement evidence as needed. When appropriate, prepare a Mental/Physical Residual Function Capacity determination and/or a Psychiatric Review Technique Form(PRTF), and if needed, a complete vocational evaluation based on the RFC. Prepare written summaries to document case development. Prepare written determination providing a medical-legal rationale for the decision. Prepare a personalized denial notice for disallowed applicants and less than fully favorable allowances.
  • Adjudicate Social Security, Supplemental Security Income, and/or MediCal applications for disability benefits under the Federal Social Security Act. Document cases with required medical and vocational information and make decision by applying appropriate provisions of the law using regulations provided by the Social Security Administration(SSA).
Work History
07/2012 to Current DISABILITY EVALUATION ANALYST-DEA III Ocean City Development | Franklin, MA,

07/23/2012-PRESENT

Initial development of disability claims, gather medical evidence and analyst information and make a recommendation to the medical consultants on potential eligibility or denial criteria that has been met. Talk to claimants and gather additional medical, income and past employment information that is required to make a determination. This job entitled that I obtain and analyze medical, personal, and vocational information -in the adjudication of claims for disability benefits under Title II (Disability Insurance), Title XVI (Supplemental Security Income), and Title XIX (Medically Needy Medi-Cal) of the Social Security Act. I’m responsible for Residual Functional Capacity preparation and for analyzing vocational factors requiring complete knowledge of jobs and the transferability of vocational skills from one job to another; performing quasi-judicial reappraisals for final determination of claims for reconsideration or continuing disability; training other staff or helping other staff while they finish training & performing division support and program service functions; analyzing and resolving program support need; investigating problem areas; gathering, compiling, and displaying data; designing and conducting studies and analyzing the findings; and recommending new equipment, procedures, or approaches.

05/2002 to Current REAL ESTATE AGENT Rentokil Initial | Mount Dora, FL,

05/28/2002-PRESENT

  • Communicated with clients to understand property needs and preferences.
  • Managed contracts, negotiations and all aspects of sales to finalize purchases and exceed customer expectations.
  • Negotiated, facilitated and managed real estate transactions.
  • Presented purchase offers to sellers for consideration.
  • Reviewed market research data and changed sales plans accordingly.

  • SELF EMPLOYED...SUB-CONTRACTOR, WORK OUT OF MY HOME AND ONLY PART-TIME UP TO 5 HOURS A WEEK. SOMETIMES MORE. CUSTOMER SERVICE...HELP CUSTOMERS OBTAIN HOMES AND/OR SELL THERE HOMES. INTERFACE AND TELECOMMUNICATION CUSTOMER CONTACT.
12/2006 to 07/2012 EMPLOYEMENT PROGRAM REPRESENTATIVE-EPR Employment Development Department-State Of Califor | City, STATE,


12/11/2006-07/22/2012


Appeal Specialist-Review and/or Redetermine Eligibility for claimants or Employer's accounts using Ui code and Law. Process appeal and prepare case and all documentation and send to the Office of Appeals for hearings. In some cases, I have to represent the department via a telephone hearing. I process appeal decisions, once the department has received them from the Office of appeals and if applicable pay the claimant and/or take any action necessary to clean the file and finish it.

Adjudication- Perform determinations(Interviews)for claimant's eligibility for UI Benefits, which also include interviewing the Employer's. Make an eligibility determination based on UI Code/Law. Process Payments to claimants if applicable. In addition, process recomputation request to have the claimants wages verified and have wages either removed from claim or add missing wages .Schedule claimants for interviews and take incoming calls to answer questions that the call center cant answer(pertaining to adjudication).Process Alien verification status.

12/1998 to 03/2005 Bilingual Customer Service Representative SBC COMMUNICATIONS | City, STATE,

12/01/1998-03/31/2005



Duties: Consider in detail and subject to an analysis in order to discover essential features
/ problems on a customers account. To provide in a methodical way,knowledge and answer any
inquires, complaints customers may have with there records. Provide thorough billing verification,
procedures, investigations and acquired Proficiency in billing database integrity. Provided in
house training to more than 70 fellow-peers on Rules and Regulations, New Systems,
Ordering Procedures and Company Updates. Have extensive knowledge in tariff requirements,
training program knowledge,work order processing, work order processing-graphics,
sales administration, problem resolution, report preparation,research and investigation,
service order knowledge, data entry/typing, multi-volume of inbound calls and outbound,
and worked with over 10 different web-based and t-1 applications & systems to accomplish
outcome.

Education
Expected in to to No Degree | GENERAL EDUCATION COURSES NATIONAL UNIVERSITY, San Diego, CA, GPA:
Expected in 08/2003 to to Associate of Arts | SOUTHWESTERN COLLEGE, CHULA VISTA , GPA:

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Resume Overview

School Attended

  • NATIONAL UNIVERSITY
  • SOUTHWESTERN COLLEGE

Job Titles Held:

  • DISABILITY EVALUATION ANALYST-DEA III
  • REAL ESTATE AGENT
  • EMPLOYEMENT PROGRAM REPRESENTATIVE-EPR
  • Bilingual Customer Service Representative

Degrees

  • No Degree
  • Associate of Arts

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