Social Insurance Specialist Resume Summary
Resume:
EXPERIENCE AND QUALIFICATIONS STATEMENT FOR POSITION VACANCY
(Please read instructions carefully before completing)
Announcement No.
SB-113*****-**-VC
Position Applied for
Social Insurance Specialist (Claims Specilist)
Location of Vacancy
Statesville FO 331
Grade Level(s)
Applied for
GS-9
Lowest Grade
Acceptable
GS-9
Name(Last, First, Middle)
Hernandez, Maria T
Home Address (For Vacancies in SSA Field Offices or Other HHS Agencies
1670 Mt Vernon Rd Woodleaf NC 27054
Social Security No. (Last 4 digits only)
2515
Current Duty Station and Address
1840 Jake Alexander Blvd
Salisbury NC
Office Telephone & Extension
877-***-**** ex 22427
1. EXPERIENCE (Begin with most recent experience and work back)
You must specify the dates at each grade level if you have had a career ladder position. Be sure to
show all experience which is pertinent and related to your qualifications for the position for which
you are applying. Any details to other positions or duties should be described In Part II – Details
Dates of Employment in this Position
(Specify the dates at each grade level.)
Exact Title of Your Position
Service Representative
Grade
From (Mo., Day, Yr.)
To (Mo., Day, Yr.)
GS-8
GS-7
10/22/2011
10/22/2009
To Presant
10/22/10
Name & Telephone of
Immediate Supervisor
Brain Walker 877-***-**** Ex 22400
Civil Service Series
(Or yearly Pay When Not Federal Employee N/A
Avg. hours
Per Week
40
Employer (Name and Address)
Social Security Administration
1840 Jake Alexander Blvd
Salisbury NC
Number and Kind of
Employees You Supervised 0
Detailed Description of Duties: (Do Not Attach Position Description)
As a Service Representative, I manage the reception area and interview claimants both face-to-face and by telephone in a respectful, responsive and professional manner. My goal is to determine the nature of their problem and take corrective action as necessary. The native language of my country is Spanish. I have been a bilingual service representative for 11 years and 6 months but have been translating for more than 20 years. I fluently read and write in Spanish and assist in translating for non-English claimants taking applications for both T16 and T2; this has given me the experience in developing claims for both the titles.
I assist our claimants in person and by telephone. When conducting interviews, I set the tone of the conversation, which leads to a positive outcome. I listened to the issues being raised by claimants and respond appropriately and with sensitivity. I investigated and resolved discrepancies, which can cause the interruption of monthly payments. I ensure that any payments are paid to the number holder in a timely manner. I utilize the Modern Development Worksheet to communicate with payment centers as well as control and monitor these cases. I demonstrated sound analytical reasoning when applying policy and procedures in order to resolve a case. I ensured that my knowledge of SSA programs and procedures were current by attending office trainings, reviewing daily Policy Net postings, researching policies and procedures to ensure that proper actions are being taken. My goal is to ensure that the right claimant receives the correct payment at the right time. I communicate with claimants in a way that is clear and easy to understand. I compose letters that address various issues and ensure that all appropriate information is included. Through the utilization of the 800# appointment system, I schedule appointments for retirement, disability, survivor and Medicare claims. I provide retirement computations at different ages to help claimants make the right decision. By utilizing the Earnings Modernization System (EM 2.8), I identify, resolve and process earning discrepancies. I help claimants understand their Medicare enrollment options and payments and enrollment options of initial enrollment period (IEP), general enrollment period (GEP) and special enrollment period (SEP) as well as process the enrollment applications.
I provide answers to inquiries regarding social security insurance and supplemental security income benefits. This involves explaining the technical and regulatory information of both programs. I properly investigate problems and concerns, involved with these benefits and resolve these issues. I explain provisions of their eligibility and benefits paid under retirement, survivors, disability, the Medicare and the supplemental security income program. As a SR, I make necessary changes to both T2 and T16 programs. I utilize the post entitlement eligibility screen for T2 changes and MSSICS and non-MSSICS programs to update T16 records to prevent missing or incorrect payments. I authenticate proofs provided to ensure they are acceptable for claims. I photocopy and certify the documents and forward them on to the appropriate staff. Sometimes it is even necessary to input this information to the shared processes program to enable claims representatives in the ICTU to complete their claim taking process. I provide detailed information about work incentives provisions, reporting requirements, submitting proper reports to continue, suspend, or terminate monthly payments I make contact with claimants, investigate the reasons and why for of the cause of overpayment and made determination on whether to approve or disapprove the waiver request. Once an overpayment is input, I initiate recovery, setup payment arrangements, and provide the number holder with their waiver options or appeals rights as appropriate. As a service representative, I process informal waiver request. This includes ensuring the proper completion of the request for waiver of overpayment form (632) and ensures proof of monthly expenses is included. After the documents return to the field office, I verify monthly expenses by the proofs that the claimant submits and make necessary inputs in debt management to initiate the waiver request process.
As a SR, I select preferred representative payee when the need for representative payee arises. During this interview, I inform them of their reporting responsibilities, which include the completing of representative payee accounting forms mailed out to them on a yearly basis. I explain reporting duties to the payee and ensure they fully understand their duties. I complete Organizational Payee applications submitted by approved agencies. The ERPA program enables me to manage the reporting responsibilities of representative payee. My responsibility is to maintain this program by making necessary phone calls or mail contacts to the payees to make sure they complete these forms. There is also a field office request for assistance from PC to deal with non-responsive payee accounts forms or undeliverable payee accounting forms. My service representative duties are to get these accounting forms completed, and stress the importance of their reporting responsibilities. Representative payee accountability has become a very important process in the management of Social Security benefit payments.
I receive, verify and process student attendance forms in a timely manner to ensure non-interruption of payments. I also receive, develop and monitor Social Security disability, retirement or survivor requests for waiver of overpayment with the Debt Management System (DMS). I assisted claimants with filing and completing documentation for appeals and hearing requests. I utilized the SS-5 Assistant program to process Social Security Number applications for both Foreign born applicants and US citizens. I evaluate the evidence, check for authenticity of documents and code the application properly. I prioritize my workloads and interact with various field offices and program service centers to ensure that I have no aged E562's, MDWs or PCACS. I utilized PUPS to develop and clear prisoner alerts in order to ensure that the appropriate action taken causes proper suspension or reinstatement. I also perform the development and clearance of death alerts. I identified the need for social services and provided proper referrals to other agencies. I provided assistance, support to my co-workers and management in a positive and helpful manner, and serve as a mentor and instructor. I always took proactive steps and anticipated the needs of individuals in order to improve the quality of service and save the agency work. I actively participating in the Opportunity for Excellence Program; my goal is to become a T2 or T16 Claims Representative, and put my practice and duties of Claims Representative. While working with a mentor I have had access to the Online T2 training website. I have been able to load appeals and assist with internet claims. The program has given a broader understanding of what a Claims Representative job entails.
I prioritize my workloads by utilizing WAC. This list allows me to control my desk and workloads associated with being a service representative. I efficiently maintain my workloads on a daily basis. I also manage the death alerts and take the necessary actions to remove number holder’s name from the list. I efficiently develop and process social security number applications. These include new ssn’s, ssn replacements and any development needed to process these requests or make changes to a claimant’s numident record.
I strive to ensure that I am helpful, courteous and accurate in all that I do. I feel I am efficient at my job as a Service Representative and want the challenge that being a Claim Representative will give me. I am able to effectively communicate with all Spanish-speaking claimants as well as interpret documents written in Spanish for proper claims processing. I feel I am ready to accept the task of being a Claims Representative and I know that with my work ethic, I can do the work involved in processing T2 or T16 claims correctly, timely and efficiently.
Form SSA-45-F5 (06/79)
Page 7 of 7
EXPERIENCE AND QUALIFICATIONS STATEMENT FOR POSITION VACANCY
(Please read instructions carefully before completing)
I. EXPERIENCE (Continued from Page 1)
Dates of Employment in this Position
(Specify the dates at each grade level.)
Exact Title of Your Position
Grade
From (Mo., Day, Yr.)
To (Mo., Day, Yr.)
Office Assistant IV/ Health Dept Rowan County
NA
04/07
10/2009
Name & Telephone of
Immediate Supervisor
Sandra Long 704-***-****
Civil Service Series
(Or yearly Pay When Not Federal Employee
Avg. hours
Per Week
40
Employer (Name and Address)
Rowan County Health Department
1811 East Innes Street
Salisbury NC 28146
Number and Kind of
Employees You Supervised
None
Detailed Description of Duties: (Do Not Attach Position Description)
Translate for our Spanish-speaking clients. Work in the following areas; Adult Health, Child Health, Immunization, Family Planning, and reception. File, answer the telephone, and schedule appointments. Help with the transportation for our patients when they needed to schedule pick up times. This job required a highly responsible clerical worker and involved making independent decisions as problems were encountered within the assigned work. Process information requests; resolved problems within the framework of established policies, procedures, laws, and ordinances. Maintain a variety of detailed records and files. Interpretation and translation of various information to Spanish speaking clients both verbally and in written form. Process application from clients for specific governmental assistance programs, which may include verifying employment and income of clients. Highly responsible clerical work that involved making independent decisions or problems encountered within the assigned work. Process information requests; resolved problems within the framework of established policies, procedures, laws, and ordinances. Maintain a variety of detailed records and files. Interpretation and translation to Spanish speaking clients both verbally and written. Process applications from clients for specific governmental assistance programs, which may include verifying employment and income of clients. If clients were approved for the WIC program they were asked several questions to complete their applications and record information into our data base program. They were referred to the nutritionist for further explanation of the program. Once the clients were done speaking to the nutritionist they were referred back to me to print vouchers and explain how to use vouchers at the store and what products were approved by the federal funded program. I Setup up appointments for their next time to pick up vouchers. Once a year we setup a both at the Rowan County Fair to promote and deliver information on the various programs the health department offered.
Form SSA-45-F5 (06/79)
Page 7 of 7
EXPERIENCE AND QUALIFICATIONS STATEMENT FOR POSITION VACANCY
(Please read instructions carefully before completing)
I. EXPERIENCE (Continued from Page 1)
Dates of Employment in this Position
(Specify the dates at each grade level.)
Exact Title of Your Position
Grade
From (Mo., Day, Yr.)
To (Mo., Day, Yr.)
Legal Assistance/Manger
NA
02/05
07/06
Name & Telephone of
Immediate Supervisor
Self / Michale Cleaves (owner) 704-***-****
Civil Service Series
(Or yearly Pay When Not Federal Employee
n/a
Avg. hours
Per Week
40 Hrs
Employer (Name and Address)
129 W Braod St
Statesville NC 28677
Number and Kind of
Employees You Supervised
only one employed
Detailed Description of Duties: (Do Not Attach Position Description)
Welcomes guests and clients by greeting them in person or on the telephone; answering or directing inquiries. Produce information by transcribing, formatting, inputting, editing, retrieving, copying, and transmitting text, data, and graphics; coordinating case reparation. Conserves attorneys time by reading, researching, reviewing, verifying, and routing correspondence, reports and legal documents; drafting letters and documents; collecting and analyzing information; initiating telecommunications; organizing client conferences, and attorney meetings; scheduling couriers, court reporters, expert witnesses, and other special functions; coordinating preparation of charts, graphs, and other courtroom visuals; preparing expense reports. Maintains attorney calendar by planning and scheduling conferences, teleconferences, dispositions, and travel; recording and monitoring court appearance dates, pleadings, and filing requirements; monitoring evidence-gathering; anticipating changes in litigation or transaction preparation requirements. Represent attorney by communicating and obtaining information; following-up on delegated assignments; knowing when to act and when to refer matters to attorney. Generate revenues by documenting and inputting attorney billable time and reimbursable expenses; preparing invoices; tracking payments. Maintained client confidence by keeping client/attorney information confidential. Provided historical reference by developing and utilizing filing and retrieval systems; recording meeting discussions; maintaining transcripts; documenting and maintaining evidence. Maintained office supplies by checking stocks; placing and expediting orders; evaluating new products. Ensures operation of equipment by completing preventive maintenance requirements; calling for repairs.
I continued to keep my job knowledge up to date by participating in educational opportunities; reading professional publications. Enhanced department and organization reputation by accepting ownership of accomplishments establishing more efficient ways of working. I explored opportunities to add value to the job and the actions accomplished by those changes. I prepared Driving Privilege rights to DWI clients and submitted evidence to the state and kept up with their community service. Also submitted state appointed clients and submitted invoices to the state for payment of our service .
Form SSA-45-F5 (06/79)
Page 7 of 7
EXPERIENCE AND QUALIFICATIONS STATEMENT FOR POSITION VACANCY
(Please read instructions carefully before completing)
I. EXPERIENCE (Continued from Page 1)
Dates of Employment in this Position
(Specify the dates at each grade level.)
Exact Title of Your Position
Grade
From (Mo., Day, Yr.)
To (Mo., Day, Yr.)
Interpreter ( Health Department)
10/06
12/06
Name & Telephone of
Immediate Supervisor
Patty Yost
Civil Service Series
(Or yearly Pay When Not Federal Employee
Avg. hours
Per Week
40
Employer (Name and Address)
Rowan County Health Department
1811 East Innes Street
Salisbury NC 28146
Number and Kind of
Employees You Supervised
none
Detailed Description of Duties: (Do Not Attach Position Description)
Translate for our Spanish-speaking clients. Work in the following areas; Adult Health, Child Health, Immunization, Family Planning, and reception. File, answer the telephone, and schedule appointments. Help with the transportation for our patients when they needed to schedule pick up times. This job required a highly responsible clerical worker and involved making independent decisions as problems were encountered within the assigned work. Process information requests; resolved problems within the framework of established policies, procedures, laws, and ordinances. Maintain a variety of detailed records and files. Interpretation and translation of various information to Spanish speaking clients both verbally and in written form. Process application from clients for specific governmental assistance programs, which may include verifying employment and income of clients. This job required a highly responsible clerical worker that had to make independent decisions on problems encountered within the assigned work.
ADDITIONAL EXPERIENCE RELEVANT TO POSITION VACANCY
If you wish to submit additional work experience relevant to the position vacancy, please use supplemental Form SSA-45A, or provide information on blank sheets in format as above.
Form SSA-45-F5 (06/79)
Page 7 of 7
EXPERIENCE AND QUALIFICATIONS STATEMENT FOR POSITION VACANCY
(Please read instructions carefully before completing)
II. DETAILS AND DEVELOPMENTAL ASSIGNMENTS
List all details or developmental assignments you have participated in for 30 calendar days or longer which are relevant to the position being filled. Specify beginning and ending dates and give a brief description of the duties performed. If more space is needed, provide information in same format on blank sheet or use Continuation Form SSA-45A.
Date Began
(Mo., Day, Yr.)
Date Ended
(Mo., Day, Yr.)
Duties While on Detail
III. TRAINING AND SELF-DEVELOPMENT RELEVANT TO POSITION
Training and self-development activities may include but are not limited to OPM training courses, SSA training Course, Adult Education courses, training received in private industry, courses at Trade or Vocational Schools, Armed forces training, and Business College courses, as well as formal education received through attendance at college and other schools
High School grad. Or G.E.D. Yes No
Years
Completed
Total Credits Received
Type of Degree Earned
Major
Relevant
Courses Subjects
Credits Earned
Per Course Subject
A. Name of College or
University Attended
Day
Night
Sem.
Qtr. Hrs.
Sem.
Qtr. Hrs
Rowan Community College
06/11
26 credits
Still Pending
Working to get Business Admin.
26 total
B. Other Schools or Training
School or Training Facility
Dates
Title of Course or Subject
Tot. No. of Hours
Full or Pt. Time
Certificate Received?
Yes
No
Form SSA-45-F5 (06/79)
Page 7 of 7
EXPERIENCE AND QUALIFICATIONS STATEMENT FOR POSITION VACANCY
(Please read instructions carefully before completing)
IV. Pertinent Outside Activities (Refer to Factors and Weights for Position Vacancy)
Outside activities generally fall in the category of pertinent civic, welfare, service and organizational activity performed either with or without compensation. List all outside activities which you have participated in, and which you believe are relevant to the position for which you are applying as mere membership alone will not be given credit. Please be specific as to your actual degree of participation. Include the amount of time (weekly, monthly, etc.) spent on these activities.
Date Began
(Mo., Day, Yr.)
Date Ended (Mo., Day, Yr.)
Organization
Position
Held
Describe your
Participation Briefly
Amount of
time spent
V. Awards – List All Job Related Awards
Type of Award
Special Achievement,
HQ1, Other (Describe)
Month and
Year of
Award
Grade Level at time of Award
Brief Summary of Award
PERFORMANCE AWRD
Mar-21
8
ROC AWARD
INDIVIDUAL CASH AWARD NRB
Apr-19
8
CASH AWARD
PERFORMANCE AWARD ROC
Jul-18
8
CASH AWARD
PERFORMANCE AWARD
Jul-17
8
CASH AWARD
VI. Highest Grade Held
IX. SSA AND OPM Tests Taken
Enter Highest Grade Held in Federal Position
GS 8 WG 6
SSA Test Title
Score
Date of Test
VII. Skills
Typing
50 WPM
Shorthand
WPM
Card Punching
CPM
Other:
Ability to Speak or Write Language Other Than English
Language
Speech
Comprehension
Translation
Fluent
Passable
Good
Fair
Good
Fair
Spanish/English
yes
yes
yes
yes
OPM Test Title
Score
Date of Test
VIII. Panel Interview Results (For Meet and Deal Positions)
Panel Interview Taken?
Yes No
Rating
Date (Mo., Day, Yr.)
(Attach Copy of Results)
I certify that the statements made by me on this form are true, complete, and correct to the best of my knowledge and belief and are made in good faith. Falsification of any information on this form is punishable by fine or imprisonment under U.S. CODE TITLE 18, SEC 1001.
Signature: Date: 05/13/2021
Form SSA-45-F5 (06/79)
Contact this candidate