Eligibility Worker Benefits Specialist
Resume:
Ebony Wood
Benefit Eligibility Worker II Human Services - TANF, SNAP, and Families and Children
Medicaid programs
Chesapeake, VA 23320
************@*****.***
To obtain a position that will provide the opportunity to utilize my proven Customer Service and Supervisory skills, provide and broaden the opportunity to continue my Professional and personal growth.
Work Experience
Benefits Specialist II
Conduent- Lockheed Martin - Chesapeake, VA
May 2022 to Present
Case Manage participants Medical, dental and vision benefits along with life insurance. Determining eligibility. Assisting participants with COBRA paperwork for continued health coverage for terminated employees and retirees. Providing assistance with enrolling, disenrolling, adding dependents, removing dependents from their health and life insurance benefits. I also case manage pension and 401k accounts for the LMC participants. Determine eligibility for dependents for various third party insurance carriers. Handle escalation calls and provide follow up and resolution feed back to management, reports, assist with file feed transfers to insurance carriers to ensure health coverage for participants. Handle emergency VOC's for medical, dental, and pharmacy to verify coverage to providers while providing excellent customer service to internal and external customers. Benefits Specialist II
City of Chesapeake - Chesapeake, VA
December 2013 to May 2022
Responsible for determining eligibility for public assistance programs and services; Securing and verifying case data and taking appropriate action where necessary. Report to the Intake Eligibility Supervisor. Determines initial eligibility for benefits and public Assistance programs and services by interviewing applicants, explaining rights and responsibilities, and interpreting policies; manages an on-going caseload, and coordinates Virginia's Initiative for Employment not Welfare (VIEW) work requirements with employment services. Processes cases by verifying customer statements, completing evaluations and review sheets, setting up records and files, keeping applicants informed, advising of alternatives and maintaining records. Identifies suspected fraud cases, prepares summaries of facts for fraud and overpayment, represents the agency in hearings and court appeals and takes appropriate action as required;
responds to state, federal and internal case review inquires; reviews and maintains program and policy manuals and prepares reports as needed.
Assists with coordinating error management and prevention of financial services programs to include developing standard operating procedures; assists with evaluating accuracy and productivity utilizing quality and quantity data and developing and implementing corrective Action plans and assists with identifying error trends and conducting/coordinating targeted case readings.
Attends in-service and other training sessions and conferences and may represent the agency on committees or task force groups. Makes service referrals within the department and to other agencies as needed and resolves a variety of customer's concerns. Going Senior Eligibility Worker
Newport News Division - Newport News, VA
April 2015 to October 2016
Responsible for determining eligibility for public assistance programs and services; Securing and verifying case data and taking appropriate action where necessary. Report to the Intake Eligibility Supervisor. Determines initial eligibility for benefits and public Assistance programs and services by interviewing applicants, explaining rights and responsibilities, and interpreting policies; manages an on-going caseload, and coordinates Virginia's Initiative for Employment not Welfare (VIEW) work requirements with employment services. Processes cases by verifying customer statements, completing evaluations and review sheets, setting up records and files, keeping applicants informed, advising of alternatives and maintaining records. Identifies suspected fraud cases, prepares summaries of facts for fraud and overpayment, represents the agency in hearings and court appeals and takes appropriate action as required;
responds to state, federal and internal case review inquires; reviews and maintains program and policy manuals and prepares reports as needed.
Assists with coordinating error management and prevention of financial services programs to include developing standard operating procedures; assists with evaluating accuracy and productivity utilizing quality and quantity data and developing and implementing corrective Action plans and assists with identifying error trends and conducting/coordinating targeted case readings.
Attends in-service and other training sessions and conferences and may represent the agency on committees or task force groups. Makes service referrals within the department and to other agencies as needed and resolves a variety of customer's concerns. Senior Eligibility Worker
Newport News Division of Human Services - Newport News, VA December 2013 to April 2015
Education
certification
coordinates and ensures staff trained via State SDSD Training Unit - Norfolk, VA March 2010 to December 2013
management and delivery of services
State and Contractor guidelines - Norfolk, VA
2005 to 2007
Associate's degree
Skills
• Account management
• Microsoft Project
• Human resources
• Employee relations
• Employment & labor law
• Sales
• Financial Services
• Microsoft SharePoint
• Computer Networking
• Visio
• Oracle
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