Journeyman Title II Claims Specialist; Former Life, Health & Annuities Agent
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I am journeyman claims specialist for the social security administration with experience in policy, research and financial services. I have previously worked as an insurance verification specialist as well as an life, health and annuities agent. I majored in History at Holy Family University.
By Learning how to research, cite and interpret primary and secondary sources I have been able to succeed at researching, citing and explaining public as well as corporate and financial policy to the claimants, policy holders and the general public as well as fellow coworkers.
Claims Specialist at Social Security Administration (2021-08 – Present)
As a Title II claims specialist responsible for interviewing and processing claims for Social Security Retirement, Disability, Auxiliary and Survivor/Lump Sum Death Benefits. Also responsible for processing T16 Applications for SSI, T18 Medicare Health Insurance and Supplemental Medical Insurance. Must know qualifications for entitlement; suspension; post-entitlement issues such as work reviews and incentives; medical reviews; reinstatement; due process for appeals on all proposed and adverse actions.
Must be informed on citizenship and resident alien status as it relates to access to SS benefits and policy. Also responsible for coordinating with state Disability Determination Services as well as Authorized Representative/Disability Attorneys. Responsible for maintaining all certifications, participating in trainings.
Health Plan Specialist at Accolade (2021-03 – 2022-07)
Work servicing Health Insurance plans for a Major National Carrier of health insurance policies handling billing and benefits questions. Research Policy Coverage, Benefits and Billing concerns, accept and process payments, assist members in accessing their care as well as the Pennsylvania state marketplace. Connect members to other Blue Cross services. 100% Remote Position but based out of Plymouth Meeting, Pa.
Senior Customer Service Specialist at C3I Solutions (2019-09 – 2021-03)
Responsible for all customer interactions including answering questions, reporting quality complaints and maintaining all contact via phone, email and web/chat for client corporations mainly PepsiCo. Entering and maintaining all records of data and contacts.
B.A. in History – Holy Family University (2012-05 – 2015-05)
