Service Representative Insurance Specialist
Resume:
MARIYLN GARCIA
Philadelphia, PA *****
Mobile: 267-***-****
Email: ***********@*****.***
Security Clearance
Secret Date of Investigation - DEC XX 20XX
Social Insurance Specialist (GS-Need Series Number-11) Bilingual, Social Security Administration July 2014 – Present
U.S. Social Security Administration
3400 Aramngo Avenue
Philadelphia, PA 19134
Conduct in person and telephone interviews to obtain, clarify and verify information about initial and continuing eligibility regarding retirement, survivors, disability and health insurance benefits as well as supplemental security income.
Resolve discrepancies and make final decisions for benefit claims and payments
Proactively identify and investigate potential program abuse
Provide mental health, nursing, child and elder care services
Interpreting and translating benefits program requirements to formulate policies, procedures and guidelines
Prepare preliminary and finished reports, documents and representing the office in dealings with claims recipients and personnel from administrative support organizations
Analyzed the effectiveness of performance targets and recommended process improvements
Veterans Service Representative, Legal Administrative Specialist (GS-09), Department of Veterans Affairs December 2010 to July 2014
Counsel veterans, their dependents, and their beneficiaries via telephone regarding the full array of benefits available through the Department of Veterans Affairs, to include compensation, pension, home loan eligibility, education, health care, life insurance, burial benefits, and vocational rehabilitation, as well as non-VA benefits available through other organizations concerned with veterans.
Explain decisions and reasons for the decisions made by the VA and communicate the information both orally and in writing to the veterans.
Research issue(s) to include direct contact with the Regional Office of jurisdiction if warranted, or in course of research with other federal or state agencies as necessary.
Perform claims-related work such as change of address, and direct deposits.
Ability to communicate orally with people from a variety of socio-economic backgrounds and varying levels of understanding.
Ability to analyze information in order to explain various benefits as it relates to customer inquiries.
Ability to use electronic processing systems to meet their customer needs by answering inquiries, monitoring and updating data, and preparing correspondence.
Ability to communicate in writing in a clear, concise, and understandable manner.
Ability to communicate orally with people from a variety of socio-economic backgrounds and varying levels of understanding.
Expert of federal laws, eligibility criteria and agency procedures pertaining to the full range of benefits in order to render advice and assistance to claimants.
Children’s Intensive Case Manager, CATCH INC., November 2009 to December 2010
Provided extensive protective services to 30 children who were eligible for services
Identified skills, strengths and deficiencies and established treatment goals for all children
Developed and implemented a written service plan for each child and family assigned
Identified and connected children and families to the appropriate clinical and community resources required to meet the needs identified in their functional assessments
Provided services that diffuse or resolve crises situations in order to prevent unnecessary use of emergency room visits, in-patient services and mental health admissions
Performed at home, hospital and community based visits a minimum of every 14 days
Residential Supervisor, Interim House Philadelphia Health Management, November 2009 to January 2010
Prepared and distributed weekly, monthly, quarterly, annual reports and power point presentations for
managers and regional directors
Proficiently supervised counselors on the management of homeless families with children in a transitional housing setting
Organized residential activities for the families and their children
Enforced house rules and policies for residents and employees at all times
Monitored security cameras to ensure the safety of all residents and employees
EDUCATION:
Master of Science
Organization Management and Leadership
Springfield College
Wilmington, Delaware
Bachelor of Science
Human Services
Springfield College
Wilmington, Delaware
SKILLS/QUALIFICATIONS: Microsoft Office Suite
PROFESSIONAL PROFILE
Substantial knowledge of and hands-on application of management practices, theories, and techniques.
Strong track record of analyzing and evaluating organizational needs and producing, conducting, and coordinating effective studies and project analysis.
Skilled in evaluating program effectiveness; formulating, advocating, and justifying programmatic and process improvements to senior leaders; and implanting recommendations.
Subject-matter expert in federal administrative laws and regulations, including HR, training, workforce needs assessment, and budget analysis.
Very strong written and oral communication skills.
Contact this candidate