Barbara Doyle
Monroe
Summary
Results-driven claims specialist with expertise in client communication and policy compliance. Demonstrated success in claims evaluation and training development, enhancing operational efficiency and delivering high-quality support. Experienced Claims Specialist with a strong focus on client communication and policy compliance. Proven ability to evaluate claims and process appeals efficiently, ensuring timely updates for clients.
Overview
48
48
years of professional experience
Work History
Claims Specialist Technical Expert
Social Security Administration, SSA
Monroe
08.1998 - 01.2025
- Reviewed and processed claims for accuracy and compliance with SSA policy.
- Evaluated claims for disability benefits and ensured compliance with federal regulations.
- Processed appeals and re-evaluations for denied claims within established SSA policies.
- Gathered necessary information from clients to facilitate accurate processing of disability claims.
- Processed payments for valid claims according to established procedures.
- Ensured timely updates were provided to clients regarding their claim status.
- Provided training and support to new claims team members on procedures.
- Trained new hires and claims specialists, fostering skill development and operational proficiency.
- Created training materials on best practices for handling various claim types, enhancing staff knowledge and efficiency.
- Identified inefficiencies in processes and recommended best practices, improving workflow and claim handling.
Claims Specialist
Social Security Administration, SSA
Monroe
02.1977 - 07.1998
- Processed claims for social security benefits efficiently and accurately.
- Collaborated with clients to gather information and resolve claims-related issues, ensuring timely processing.
- Reviewed case files and maintained comprehensive records to support accurate claims assessments.
- Evaluated allowances and denials for claims returned with medical decisions to ensure benefits initiation.
- Advised claimants on application procedures and benefit options available.
- Responded promptly to claimant inquiries, delivering clear information about benefits and coverage to enhance client understanding.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
Education
Bachelor of Arts - Social Welfare - Minor Psychology
Northeast Louisiana University
Monroe, LA12-1970
Skills
- Claims evaluation
- Appeals processing
- Policy compliance
- Training development
- Client communication
- Attention to detail
- Team leadership
- Effective communication
Timeline
Claims Specialist Technical Expert
Social Security Administration, SSA
08.1998 - 01.2025
Claims Specialist
Social Security Administration, SSA
02.1977 - 07.1998
Bachelor of Arts - Social Welfare - Minor Psychology
Northeast Louisiana University