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Skills

  • Critical Thinking Under Pressure
  • Case assessment and analysis
  • Client advocacy
  • Conflict resolution
  • Medical and Legal Terminology Mastery
  • Document Management Systems Proficiency Jira
  • Project organization
  • Budgets
  • Government regulation compliance
  • Client Satisfaction Improvement

Work Experiences

  • Advised clients on Scrum Master requirements.
  • Achieved improvements in 2023.
  • Made current initiative information public, including the most recent policy updates and determinations.
  • Advocated for clients across Chicago.
  • Advised clients on benefit entitlements.
  • Achieved successful outcomes in method hearings.
  • Was in charge of all aspects of the process office, including budgeting, meeting with lobbyists, and communicating with concerned individuals.
  • Achieved successful outcomes in program hearings by clearly articulating complex legal arguments to administrative law judges and decision makers.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.

Summaries

  • Hearing Representative is a community-focused and intelligent Hearing Representative with experience analyzing large amounts of data from various sources and making appropriate decisions.
  • Within Miscellaneous, senior Hearing Representative and outstanding performer in cross-functional collaboration and budget management.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the system business.
  • Articulated clear arguments.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Adept at working with cross-functional teams.
  • Achieved favorable outcomes in 57% of cases.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved consistent outcomes.
  • Achieved favorable outcomes for clients.

Accomplishments

  • Drove a 59% improvement in timely case review results through implementing legal document management software, enhancing case preparation.
  • Achieved 50% reduction in client payment delays by implementing new structured benefit award systems for process claims.
  • Conducted post-hearing debriefs to assess performance and identify improvement areas, reducing resolution times by 18% year-over-year.
  • Delivered technical assessments on case readiness, minimizing dispute risks and enhancing claim accuracy within the team by 64%.
  • Worked collaboratively with vendors and external legal teams to secure settlements exceeding 16, resolving standard disputes for high-profile clients.
  • Managed case files involving complex system claims for Beacon Labs, resulting in a reduction of appeal times by 32%.
  • Reviewed and analyzed 15 of case files, improving department accuracy and reducing appeal times by an average of 16 days.
  • Successfully resolved 15 high-profile compensation disputes, contributing to 14 in settlements or awards for clients.
  • Developed thorough medical record reviews for procedure claims, decreasing overturn appeal decisions by 64%.
  • Generated comprehensive reports on hearing outcomes, helping to inform future case strategies and increasing the firm’s effectiveness in securing positive verdicts.

Affiliations

  • Association for Computing Machinery
  • National Organization of Social Security Claimants' Representatives (NOSSCR)
  • Membership in the Society of Professionals in Dispute Resolution (SPIDR)
  • Association of Information Technology Professionals
  • American Medical Informatics Association
  • International Association of Administrative Professionals
  • Jaycees
  • National Association of Social Workers
  • Contributor to the Administrative Law Review
  • Society of Women Engineers

Certifications

  • CAPA Certified Appeals Professional Accreditation
  • Certified Public Accountant
  • First Aid/CPR Certified
  • Workers' Compensation Claims Administration Certification
  • Certified Administrative Law Hearing Specialist (CALHS)
  • CPHR Certified Professional in Human Resources - Workers’ Compensation Emphasis
  • Certified Litigation Specialist (CLS) – Appeals Concentration
  • Claims and Appeals Strategy Expert Certification
  • NALA Certified Paralegal with Workers' Compensation Focus
  • Claim Investigation and Appeals Process Training Certification

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