Data Entry Claims Consultant
Resume:
Barbetta M. Simmons
Swansea, IL 62226
Employment History
Claims Consultant
Allsup LLC
September 2010 to August 2024
Position Summary:
Responsible for managing a caseload of applicants applying for Social Security Disability benefits. Duties include using knowledge of Social Security Insurance program to advocate for applicants, as well as provide them education on the program and what to expect.
Essential Job Functions:
Manage a caseload of applicants filing for Social Security Disability
Use critical thinking and Social Security Disability knowledge to help individuals secure disability benefits from SSA
Analyze new referrals, consumer and/or commercial, to identify viable claims for SSDI benefits
Analyze medical evidence to evaluate and support the claim
Explain the benefits of using Allsup services and secure representation forms
Effectively communicate via phone and email with claimants, commercial clients, SSA and other government agencies building, maintaining and cultivating a positive working relationship
Complete and submit relevant SSDI forms for application and/or appeal accurately, timely, and appropriately
Conduct follow up activity with claimants, referring clients, and government agencies
Thoroughly document Allsup case notes with conversations, action plans, and other updates. Update the client’s disability claim file with notes and coding as appropriate
Serve as a SSDI subject matter expert and provide consultation on specific cases for the client’s disability claims teams.
Keep abreast of Social Security Program Changes, industry trends, and news
Support team members with technical questions and share knowledge where able to aide in the development of your peers with their Social Security disability knowledge
Information Specialist
Allsup LLC
September 2008 to September 2010
Provides technical expertise regarding SSDI on specific claims and maintain technical knowledge of all SSA programs and procedures.
Performs vital data entry, as needed, into Allsup’s Case Management and the LTD carrier systems. Documents thoroughly and accurately in both systems.
Recognizes and responds to questions and concerns regarding service issues and problems in a professional and timely manner.
Consults with Allsup’s Claims Consultants on issues requiring greater SSA technical expertise.
Participates in the training and development of peers; shares information.
Assists with special projects.
Works independently exercising initiative, good judgment, and strictly adhering to confidentiality practices.
Membership Service Associate
YMCA
June 2006 to August 2022
Partner with the branch management team to implement membership policies (SOP’s) and all systems that support branch membership, program and marketing objectives.
Enter membership and program registration data into HRIS operating system
Greet and engage with members and ensure all guests and program participants have been verified in Raptor before entering branch.
Process all HRIS operating system transactions with accuracy and perform daily close out and drawer count
Participate and recruit participants for member challenges also known as member visit drivers.
Ensures established processes for touring and following up with membership inquiries are followed.
Work continually towards self-development to stay current on customer service, sales, and “Leader” procedures & practices.
Respond to member and guest inquiries and problem solve via phone or in person using Listen First skills
Effectively handle conflict and member complaints, with the support of the center Membership Director
Performs all other duties as assigned.
Education
Bachelor’s of Arts – Accounting
McKendree University 2010
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