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Skills

  • Customer Feedback Integration
  • Conflict resolution in claims
  • Appeals success rate improvement
  • Eligibility Determination
  • Medical records review
  • Complex issue resolution
  • Chronic disease management
  • Data Integrity Management
  • Project organization
  • Interpersonal communication

Work Experiences

  • Achieved consistently high satisfaction ratings from veterans.
  • Improved employee performance by reintroducing disciplinary procedures that were proportional to the severity of the infraction, resulting in a significant reduction in turnover.
  • Addressed gaps in service delivery.
  • Authored comprehensive reports for senior leadership, addressing gaps in service delivery and proposing actionable improvements.
  • Achieved Employee of the Year recognition.
  • Collaborated with community outreach teams to increase awareness of available benefits programs, resulting in 17 applicants registering each month.
  • Administered quality assurance for disability claim decisions.
  • Compared treatment plans to individual goals as well as industry standards.
  • Achieved a 45% increase in overall service satisfaction.
  • Advocated for HubSpot upgrades to system software, decreasing overall processing times by 85%.

Summaries

  • Capable of working in high-pressure situations while recommending the best resources and courses of action to meet the needs of patients and restore their quality of life.
  • Collaborated with external medical professionals.
  • Flexible and adaptable to changing patient needs and conditions.
  • Gifted community and social services leader with a track record of method activism, program coordination, and foundation building.
  • Brought down claims processing time to under 3 days.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Veterans Service Representative is a multi-talented Veterans Service Representative who is consistently rewarded for planning and operational improvements.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Reliable Veterans Service Representative who is knowledgeable about federal veterans programs, legal jargon, and state laws that affect veterans.
  • Costs were consistently reduced while profits were increased.

Accomplishments

  • Developed and implemented training on procedure benefits, resulting in a 15% increase in claims submission accuracy.
  • Collaborated with stakeholders to update local veteran support service directories, increasing veteran participation in outreach programs by 79%.
  • Trained 11 team members on compliance with VA regulations, ensuring department operated with 26% data integrity.
  • Resolved product issue through consumer testing.
  • Optimized the process for document collection and validation, reducing claim processing time by 16 weeks.
  • Provided individualized counseling to veterans, resulting in a 37% reduction in claim rejections by educating clients on proper documentation.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Provided technical assistance to veterans filing claims online, increasing overall digital claim submissions by 55%.
  • Assisted in drafting successful appeals, reversing claim denials in 76% of cases, which helped recover benefits for 12 veterans.
  • Collaborated with team of 8 in the development of standard.

Affiliations

  • Serving as a Mediator for Veterans Service Providers Seattle
  • American Marketing Association
  • Project Management Institute
  • Rotary International
  • State Veterans Affairs Partnership Program
  • Volunteering Advocate for Mission Continues groups
  • Association of Information Technology Professionals
  • Association for Supply Chain Management (APICS)
  • National Association of Social Workers
  • Military Officers Association of America (MOAA) Advocate

Certifications

  • Certified Public Accountant
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Nonprofit Professional (CNP)
  • Performance Management and Outcomes Measurement Training - CPA
  • Advanced Benefits Claims Certification - standard
  • Certified Life Care Planner (CLCP)
  • American Legion Service Officer Accreditation
  • Certified Disability Management Specialist (CDMS)
  • Veterans Affairs Disability Compensation (VADC) Specialist Training
  • CompTIA Network+

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