Yonaira I Bou Agosto

Request to medical office, hospitals, clinics, etc medical evidence about claimants to confirm and review allegations, resume and analyze evidence, request more information if it is needed. Order Consultative Evaluation if medical evidence in file is insufficient for established severity. Answer call from claimant, contact person, legal representative, doctors, record medical office gave information about the claim, or for received information which could help the claim, complete a note in the system, send barcodes letter. Interview claimant, obtain a detailed vocational information, for complete, in the most of the cases, transferability options, this mean that we have to consider vocational skills and see if claimant is able to perform other work related to vocational task/skills using Social Security Guidelines. Protect PII (Personal Identify Information). Complete trainning about PII, Fraud, File management, etc.

• Assisted claimants in understanding their rights and responsibilities throughout the application process, enhancing customer satisfaction levels.
• Assisted in the development of internal policies and procedures, contributing valuable insight from years of experience as a Disability Examiner.
• Handled sensitive personal information with discretion while adhering to strict confidentiality guidelines set forth by the Social Security Administration.
• Improved disability claim processing efficiency by applying thorough knowledge of Social Security Administration policies and procedures.
• Collaborated with vocational experts to determine appropriate job categories for claimants based on their skillset and limitations.
• Expedited decision-making process for disability claims by effectively managing a high-volume caseload under strict deadlines.
• Examined claims forms and other records to determine insurance coverage.
• Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
• Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
• Maintained contact with claimants and attorneys to determine treatment status.
• Kept current on industry trends and best practices through regular attendance at conferences, workshops, and continuing education courses related to disability evaluation services.