Mission focused highly skilled professional with the ability to explain benefit programs and entitlement criteria, conduct interviews, identify issues, gather relevant evidence, adjudicate claims, and input data necessary to generate award and notification letters. SME in servicing, claims handling, claims investigations, and policy analysis. Explained benefit program and entitlement criteria, conducted interviews, identified issues, gathered relevant evidence, adjudicated claims, authorized payments and inputted data necessary to generate award and notification letters. Expert knowledge in principles and processes for providing customer and personal services. Conducted interviews in person and by telephone. Utilized various electronic data processing (EDP) systems. Excel in a professional environment by supporting all levels of leadership within population with respect, commitment, loyalty, dependability, and compassion. Able to utilize various electronic data processing (EDP) systems to input data for processing claims and generating automated correspondence. Extensive experience in Office Management, Customer Service/Administration, Training/Development, Document Management, and Executive Assistant and Client Relations. Experienced in preparation of presentation and maintaining the utmost confidentiality. Strong motivator with strong interpersonal, communication, problem solving, decision making, and team player with effective leadership skills together with a business focus and a results-driven attitude. Ability to establish and maintain strong alliances; exceed customer expectations and achieve fiscal bottom-line results. Distinguished leader; instill resiliency, motivates peers, and subordinates to achieve the vision and organizational strategic goals setting through strong advocacy of the team concept. Proven leader with exceptional oral / written communication skills. Make sound decisions, while managing complex programs. Adept at developing individualized guidance plans based on assessments and evaluations. Familiar with VA Compensation Claims Processing & Pension Claims. Experienced in interpreting, regulations and applying laws required to explain, evaluate and recommend determinations of eligibility to claimant request for services and benefits. Performed administrative duties and activities in the absence of senior leadership. Provided the appropriate technical guidance necessary to meet procedural, legal and administrative requirements. Advance knowledge of medical terminology, policies and procedures common to Primary Care and PVAMC as well as the ability to think analytically to resolve daily workflow issues. Competency to make determinations as to the eligibility for the type of benefit sought to include questions relating to adequacy of military service, medical evidence and the evaluation of evidence of income, employability, dependence and relationship. Able to request examinations, re-examination or opinions to evaluate disabilities resulting from diseases or injuries. Ability to review claims/cases to assure all issues have been addressed, applied and interpret VA laws, including veterans’ case law, existing statutes and procedures, precedent rulings and state law in the adjudication process. Skilled in conducting interviews in person or by phone with veterans. Able to explain the full range of VA benefits and related programs. Prepared and released correspondence for use by other federal, state and local agencies. Skilled in expediting the movement of essential parts in critical situations, proactively resolving issues, and consistently exceeding key performance objectives. Articulate communicator, keen bottom-line focus, and a proven record of enhancing operations through delivery of value-added programs, policies, systems, and procedures. Strong qualifications in problem-solving, personnel development, and performance improvement. Exceptional interpersonal, investigative, analytical, and troubleshooting skills.
Experienced with coordinating administrative tasks and maintaining organized office environments. Utilizes strong organizational skills to enhance office efficiency and support team operations. Track record of effective communication and multitasking to meet diverse administrative needs.
DD-214 provided upon request
Navy Achievement Medal