Case Management Social Worker

VALERIE REED-MARTIN

TAMPA, FL

813-***-**** ***********@*****.***

SUMMARY

Social Worker with 30+ years providing comprehensive case management, care planning, problem solving, coordinating transition of services, coordinating benefits/financial support to children, adolescents, adults, elderly, individuals with development disabilities and families in need. Skilled in relationship building and working with diverse populations. PROFESSIONAL SOCIAL WORK EXPERIENCE

KELLY SERVICES EDUCATIONAL STAFFING September 2019 – March 2020 Substitute Teacher Tampa, FL

• Oversaw the safety and behavior of students up to twenty students.

• Taught grades from K – 12; Taught the students the lessons provided by the teacher; compiled report on the day’s activities after each teaching the day.

• Maintained established routines and procedures of the school and classroom to which assigned. YOUR CHOICE SUPPORT COORDINATION, INC. December 2000 – August 2019 Medicaid Waiver Support Coordinator/Contractor Tampa, FL

• Owner/CEO, Supervision of 12 to 15 staff members, Trainer

• Managed caseload of thirty-two cases of individuals with disabilities.

• Created customized Service Plan reports and Cost Plans yearly and updated as necessary in a 90% successful transition into community programs.

• Facilitated face to face visits with customers at home, community programs, or school at least monthly.

• Maintained a 90% satisfaction rate based on customer and family feedback.

• Improved customer enrollment in treatment programs and/or community service programs through effective case management.

• Ensured proper implementation of services by service providers.

• Worked as Independent Insurance Claims Adjuster

CHAPTERS HEALTH SYSTEMS - LIFE PATH HOSPICE March 2015 - March 2016 Social Services Specialist Tampa, FL

• Provided case management services to patients with chronic diseases with a life expectancy of 6 months or less.

• Participated in Interdisciplinary Group (IDG) meetings: developed and updated customized Care Plans and services.

• Completed visits at the hospice house (hospital-like setting) and home visits, telephonic contact with the consumer to monitor consumer’s needs and progress.

SUCCESS 4 KIDS & FAMILIES June 2010 - June 2014

Case Manager Tampa, FL

• Managed case load of 10 to 15 cases of high-risk children, adolescents, and families in need at any given time.

• Created customized Service Plan reports and Cost Plans yearly and updated as necessary in a 90% successful transition into community programs.

• Facilitated face to face visits with customers at home, community programs, or school at least monthly.

• Maintained a 90% satisfaction rate based on customer and family feedback.

• Improved customer enrollment in treatment programs and/or community service programs through effective case management.

• Ensured proper implementation of services by service providers. AGENCY FOR PERSONS WITH DISABILITIES (APD) December 2006 - May 2010 Florida Freedom Initiative Coordinator (FFI) / Medicaid Infrastructure Grant Coordinator (MIG) Tampa, FL

• Coordinated events for public, providers, and families to educate about community resources, Medicaid, Medicare, and government services.

• Conducted training to families, clients, providers and public about Medicaid and Medicare’s guidelines and services.

• Performed case management, visited and telephone contact with clients, providers, and business owners.

• Certified Medicaid Waiver Supported Employment Coach and Trainer. Conducted certification training (including Medicaid, Medicare, SSI, and SSDI training) to Supported Employment Coaches and was a consultant for the coaches. Department of Children and Families January 2000 – November 2000 Adult Protective Investigator Tampa, FL

• Case management

• Investigated alleged abuse, neglect or exploitation of elderly persons or disabled adults.

• Collected evidentiary information through interviews, observations, and data.

• Assessed risks to victims, arranged emergency placement and treatment when necessary.

• Provided referrals and implemented services.

• Communicated with law enforcement and regulatory agencies.

• Compiled legal documents for court and investigative records.

• Provided testimony in court.

ADJUSTING EXPERIENCE

01/2024 – 02/2024 National Disaster Recovery Technical Assistance Consultants, Inc. / FEMA – File Reviewer – Santa Fe, NM 05/2023 – 10-2023 The Best Claim Solutions / Progressive Insurance – Catastrophe Desk Auto Adjuster – Irving, TX 01/2023 – 05/2023 Crawford and Company / USAA Insurance – Liability Auto Desk Auto Adjuster – Tampa, FL 06/2022 – 12l2022 The Best Claim Solutions / Progressive Insurance – Catastrophe Desk Auto Adjuster – Irving, TX 02/2022 – 05/2022 Acceptance Insurance Company – Desk Liability Auto Adjuster – Remote 08/2021 – 01/2022 QuestPro/Q-Temps / Progressive Insurance – Desk Liability Auto Adjuster – Antioch, TN 06/2021 – 07/2021 Alacrity Solutions / Liberty Mutual Insurance - Desk Liability Auto Adjuster – Remote, Valrico, FL 12/2020 – 05/2021 Avatar Property and Casualty Insurance – Desk Property Adjuster – Tampa, FL 06/2020 – 11/2020 Catastrophe Response Unit (CRU) – Catastrophe Desk Auto Adjuster -Toronto, Canada 11/2018 – 12/2018 Worley Catastrophe / State Farm Insurance – Catastrophe Desk Auto Adjuster – Atlanta, GA 10/2018 – 11/2018 The Best IRS / State Farm Insurance – Catastrophe Desk Property Adjuster -Atlanta, GA

• Assisted with subrogation cases, prepared case files, acquired supporting documents, and issued payments for claims.

• Managed claimant and witness statements while maintaining a focus on exceptional customer service.

• Investigated and processed catastrophe-related auto claims while maintaining clear communication with policyholders.

• Assessed damage, reviewed policy coverage, and negotiated settlements for total loss and repair claims.

• Assisted policyholders in understanding repair processes, total loss evaluations, and settlement options.

• Managed 1st and 3rd party auto claims, conducted investigations, made liability determinations, and authorized payments.

• Delivered high-quality customer service while managing auto liability claims.

• Negotiated and issued settlements, prepared required correspondence, and managed represented claims.

• Resolved disputes efficiently and fairly, ensuring high levels of customer satisfaction.

• Approved damage estimates, issued payments, and maintained effective communication with all parties involved. OTHER EMPLOYMENT POSITIONS

• FOSTER CARE COUNSELOR 9/1997 – 11/1999

• HOSPITAL DISCHARGE PLANNER 1/1989 - 1/1990

• NURSING HOME SOCIAL WORKER 11/1987 - 12/1989

• ELDER ABUSE OBMUDSMAN 9/1986 -10/1987

EDUCATION

Bachelor of Art in Social Work

California State University, Long Beach

LICENSES

Florida Resident Insurance Adjusters License 620 (Home State), and adjusters licenses in the following states: Alabama, Alaska, Arkansas, Georgia, Indiana, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, New Hampshire, New Mexico, North Carolina, Oklahoma, South Carolina, Texas, West Virginia

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