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social insurance specialist resume example with 20+ years of experience

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Summary

Focused Operations Manager versed in contract negotiation and process improvement. Applies in-depth knowledge of industry trends and shifts to offer valuable insights on opportunities for new growth and business expansion.

Highlights
  • Strategic planning
  • Analytical
  • Procedure development
  • Contract management
  • Client relationships
  • Personable
  • Team building
  • Complex problem solving
Experience
02/2010 to Current Social Insurance Specialist Enterprise Information Services | Columbia, MD,

I work in the Disability Processing Unit of the Seattle Regional Office. My responsibility is to adjudicate a variety of disability determination workloads for the Social Security Administration. I assist the Disability Determination State offices with complex disability decisions. My role is to demonstrate comprehensive knowledge of the rules and regulations affecting disability entitlement. My duty is to complete independent review of claims involving complexity, multiple issues, congressional and/or court involvement. I apply acquiescence rulings when appropriate to the claim, as well as determine if a prior decision warrants a re-opening and revision based on program policy. I interact with the field offices and claims representatives to resolve work and substantial gainful activity issues that may affect the disability onset date. Maintain caseload in the respective operating system designated by each Disability Determination Services office we assist. My priority is to identify and refer claims involving fraud to the appropriate offices. I attend and participate in weekly regional office meetings. Revise inter- component review drafts and give feedback on the proposed policy changes. I analyze, review and research daily policy instructions and postings to present them in our weekly management sessions and in the Center for Disability monthly meetings. Routinely engage in refresher courses as well as participate in any personal development training that is offered. I have been approached to be on several internal procedure and system enhancement groups, as well as to serve as a mentor for newly appointed co-workers.

07/2003 to 01/2010 Adjudicator and Examiner General Electric | Chamblee, GA,

Identified, compiled, analyzed, and evaluated medical information to determine if an individual was eligible for disability benefits under the Social Security Act. Developed and secured accuracy of the decision in various types of Social Security Disability claims. Addressed questions and concerns from the general public. Gathered and analyzed data on community needs and interests. Processed Medically Needy claims for the state programs. My role was to properly complete all required forms and assessments in a timely manner and in accordance to law, regulations, policies and procedures. My priority was to collaborate with community leaders, organizations and public agencies to promote the organizations community service programs. My role as a Master Adjudicator ranged from assisting and coaching other less experienced adjudicators with complex cases, to granting the final review of a claim before it left our office.

01/2001 to 01/2003 Administrative Specialist (Assistant Manager) United States Army | City, STATE,

Assisted mail-room manager in coordinating activities. Serviced approximately 8,000 postal customers and directed a group of 18 postal members. Determined work procedures, schedules and expedition of work-flow. Issued written and oral instructions. Assigned duties and examined work for exactness, neatness and conformance to policies and procedures. Standardized procedures to improve efficiency of subordinates. Consistently met or exceeded goals. Expedited communication between upper level management and general team members. Maintained skillful communication and negotiation methods. Counseled peers in professional, educational and personal matters. Consulted with customers to determine their needs and priorities. Identified problems, diagnosed cause, and determined corrective actions. Demonstrated effective leadership and encouraged team concepts. Secured high standards of excellence.

1997 to 2001 Operations Manager B & B Carriers, Inc. | City, STATE,

Directed the activities of terminal used by trucking concerns as intermediate freight distribution and shipping point. Recruited, hired and trained 15 new long haul drivers. Maintained records and mileage logs for a fleet of six trucks and six trailers; in accordance to regulations.

Effectively negotiated contracts and maintained long-term customer accounts and relationships. Increased productivity by scheduling loads within the 50 states. Assisted the general manager in planning and executing daily office procedures as well as long-term plans to achieve the expected goals. Prepared and processed more than 100 monthly load confirmations and handled complaints efficiently. Oversaw the overall operations of this trucking business.

02/1993 to 05/1996 Operations Specialist Le Bus, Inc. | City, STATE,

Arranged charter reservations for tourists. Organized traffic operations for a fleet of 40 buses. Adequately maintained daily schedule for 30 to 40 drivers. Optimized the overall customer experience through timely confirmations and adherence to scheduled programs. Handled customer complaints effectively. Accounted for maintenance and cleanliness of scheduled buses. Built and maintained effective longterm customer accounts.

Education
Expected in 2000 to to Bachelor of Arts | Management and International Business Florida International University, Miami, Florida GPA:
Expected in 1994 to to Associate of Arts | Computer Science Miami Dade Community College, Miami, Florida GPA:
Languages

Bilingual Spanish/English

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Resume Overview

School Attended

  • Florida International University
  • Miami Dade Community College

Job Titles Held:

  • Social Insurance Specialist
  • Adjudicator and Examiner
  • Administrative Specialist (Assistant Manager)
  • Operations Manager
  • Operations Specialist

Degrees

  • Bachelor of Arts
  • Associate of Arts

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