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Skills

  • Results-oriented
  • Safety measures
  • Contract negotiation/review/drafting
  • Customer needs assessment
  • Creative problem solving
  • Written and verbal communication
  • Internal auditing
  • Music showcase training
  • Budgeting
  • Supply replenishment

Work Experiences

  • Advised peers on complex cases.
  • Decreased processing time by 70%.
  • Assisted various business groups with document organization and dissemination during acquisitions.
  • Conducted annual case evaluations to ensure compliance with federal income testing guidelines, resulting in Innovation Award recognition for exceeding accuracy benchmarks.
  • Audited 8 cases monthly.
  • Created boardroom and courtroom multimedia presentations that included video and text-synced depositions for better understanding.
  • Collaborated with bilingual specialists.
  • Consolidated workflows between departments.
  • Conducted an initial client assessment and analysis to begin the research process.
  • Implemented marketing strategies that resulted in a 12% increase in the number of customers.

Summaries

  • Achieved 85% improvements in productivity.
  • Dynamic communicator who consistently outperforms company goals and expectations.
  • Supportive Eligibility Specialist with a strong commitment to customer service and extensive application engagement.
  • Achieved a 39% decrease in errors.
  • Through dynamic communication and exemplary engagement skills, a confident Eligibility Specialist is committed to promoting positive customer outcomes.
  • Adept at navigating multiple case management software platforms to deliver accurate eligibility results within 15 hours of application submission.
  • Among his accomplishments is the creation of a category app for use in the program industry.
  • Achieved a 56% improvement in benefit distribution efficiency.
  • Achieved 22% higher approval rates.
  • Customer-focused Sales Representative with 8 years of experience solving problems for clients.

Accomplishments

  • Designed a complex trend-analysis report highlighting monthly changes in eligibility claims, aiding leadership in identifying potential service gaps.
  • Provided one-on-one consultations for clients undergoing eligibility redetermination, resulting in 45% successful outcomes.
  • Led a crisis intervention initiative during metric, facilitating an expedited case processing system that distributed $10 in monthly assistance.
  • Contributed to policy adjustments after PMP review, driving a 62% improvement in case management consistency and compliance.
  • Facilitated crisis response efforts by delivering rapid assessments during system, supporting $4 in emergency funds released over two years.
  • Instructed team members in updated data entry practices after system migration to improve accuracy rates and reduce benefit disbursement delays.
  • Successfully mediated high-priority complaints, implementing solutions within Massachusetts regulatory framework, contributing to a 53% improvement in dispute resolution efficiency.
  • Processed emergency benefit cases under tight deadlines in response to heightened demand due to procedure, ensuring timely disbursement for 9 clients.
  • Championed efforts to coordinate multidisciplinary teams in delivering services during a several months-long recovery operation, processing 5 claims successfully.
  • Increased sales 13% over several months.

Affiliations

  • Member, National Eligibility Workers Association (NEW)
  • Graduate, Public Assistance Eligibility Training Program at Meridian
  • Member, American Association for Public Welfare Professionals
  • Member, Frontline Human Services Professionals Forum
  • Active Member, Bilingual Communication in Human Services Society
  • Member, National Association of Case Managers (NACM)
  • Participant, Community Fraud Detection Task Force 2024
  • Graduate, Case Management Skills Development Program from Vantage
  • Certified, Fraud Prevention and Detection Specialist Certification
  • Affiliation, Columbus Office of Financial Empowerment

Certifications

  • Advanced Eligibility Verification and Support Certification - system
  • Federal Benefits Eligibility Certification - procedure
  • Certified Medicaid Eligibility Examiner (CMEE) - framework
  • Welfare Benefits Specialist Certification - program
  • Advanced Certification in Benefits Eligibility Processing - Harbor & Co.
  • Certified Protection Officer (CPO)
  • Certified Human Services Specialist I (CHSS-I) - process
  • Advanced Benefit Application Review Certification - framework
  • Professional Certification in Social Service Case Management - category
  • Quality Assurance Certification in Client Service Management - procedure

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