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Skills

  • Attention to detail in complex document reviews
  • Effective communication with diverse populations
  • Customer service in diverse environments
  • Complex case resolution
  • Effective communication skills
  • System equipment
  • Team management
  • Budgets
  • Cross-functional team collaboration
  • Resource information

Work Experiences

  • Assessed applicants' financial data, employment histories, and medical records to determine eligibility for public assistance and benefit programs.
  • Conducted investigations for fraud detection.
  • Applied findings to policy adjustments.
  • Provided career-related consulting services to over 7 people and communicated with them to determine their needs and goals.
  • Adjusted team workflow.
  • Analyzed data from interviews, educational and medical records, consultations with other professionals, and diagnostic evaluations to determine clients' capabilities, needs, and eligibility for services.
  • Calculated resource limits and performed income and asset checks to ensure compliance with method, rejecting ineligible applications to prevent overpayments.
  • Assisted in administrative dispute resolution.
  • Collected documentation for specialized cases.
  • Applied state and federal regulations.

Summaries

  • Supportive Eligibility Specialist with a strong commitment to customer service and extensive application engagement.
  • Boosted team efficiency by 40% %.
  • Accomplished at adapting communication styles to diverse populations, providing clear and understandable explanations of eligibility processes, resulting in improved service delivery across all demographic groups.
  • Professional who is well-organized and has excellent communication and multitasking skills.
  • Committed Eligibility Examiner who excels in cross-functional collaborations, actively participating in outreach initiatives that boosted program applications by 84% among underserved populations.
  • Bolstered overall case integrity.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Proficient at administering category assessments, analyzing client and job data, and maintaining client files.
  • Eligibility Examiner with 7 years of successful process improvement and workflow optimization experience.
  • Achieved a 32% process improvement.

Accomplishments

  • Led team in meeting processing goals by increasing weekly case reviews from 5 to 17 without compromising compliance or accuracy.
  • Created detailed procedural training documents aimed at improving team understanding of application processing, leading to a reduction in errors by 81% and faster turnaround times.
  • Analyzed complex eligibility documentation for discrepancies, resolving verification issues, and ensuring timely benefit allocation to clients.
  • Utilized data management software Tableau to audit and track 6 of cases monthly, ensuring up-to-date compliance and eligibility verifications.
  • Maintained constant communication with applicants and partner agencies, which improved client satisfaction scores by 35% and decreased overall processing complaints.
  • Collaborated with team of 11 in the development of program.
  • Reviewed and processed over 17 eligibility applications per week, ensuring adherence to category guidelines and reducing processing time by 54%
  • Trained team on new eligibility verification procedures, resulting in a 26% decrease in processing errors within two years.
  • Streamlined the re-certification process, achieving a 58% success rate in maintaining year-over-year coverage for eligible applicants.
  • Researched and applied knowledge of local, state, and federal regulations to ensure 15% compliance in eligibility determinations across the Southwest jurisdiction.

Affiliations

  • National Association of State Workforce Agencies
  • National Conference of State Legislatures
  • American Statistical Association
  • Freemason
  • American Evaluation Association
  • Association of Information Technology Professionals
  • National Association of Public Hospitals and Health Systems
  • American Society of Safety Professionals
  • National Council on Aging
  • Society of Women Engineers

Certifications

  • Certified Disability Management Specialist (CDMS)
  • First Aid/CPR Certified
  • Child Welfare Eligibility Worker Training Certification
  • Paralegal Certification with Specialization in Public Benefits Law
  • Project Management Professional (PMP)
  • Certified Public Accountant
  • Certified Asset Management Professional (CAMP)
  • Certified in Healthcare Compliance (CHC)
  • Certified Social Services Worker (CSSW)
  • Certified Benefits Professional (CBP)

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