Assertiveness, Analyzing, Evaluating, Accuracy, Data Collection, Critical Thinking, Thorough, Claims Representative 8 years
Social Security Administration, Lorain , Ohio
Social Insurance Specialist (Claims Representative), 09/2007 - Present
Responsible for securing applications for beneficiaries seeking benefits from the retirement, survivor, and disability insurance programs. Secure applications for the Supplemental Security Income program. Initially, a determination of entitlement or eligibility must be made. Required to review and evaluate documents, ensure that all factors of entitlement or eligibility are met.
Development for the disability claims, includes gathering data and evidence of medical conditions. Additional development, includes review of work and when the beneficiary was unable to conduct customary work due to his/her medical conditions. Recommendation for date of onset is prepared and forwarded for final determination. Required to review medical records when a beneficiary is unable to handle his/her own benefits, or their ability is questionable.
Perform adjudication of claims in a timely manner. Ensure that claims are complete, concise and correct. Perform post-eligibility actions for claims. Required to complete non medical reviews of certain claims.