II Controll
@iicontroll
Detail-oriented claims adjudicator with strong customer service skills.
What I'm looking for
I am a dedicated professional with a Bachelor of Science in Biology from Texas State University. My experience as a Claims Adjudicator III at Disability Determination Services has honed my skills in gathering and analyzing complex information for Social Security disability claims. I take pride in my ability to write comprehensive summaries of medical evidence and conduct thorough vocational analyses, ensuring that each claim is handled with the utmost care and precision.
Throughout my career, I have demonstrated a commitment to excellence, achieving performance goals of 750 cases a year with a remarkable 100% quality in 2024. My role also involved mentoring new hires and fostering a collaborative environment among team members. I believe that strong relationships with medical consultants and effective communication with claimants are key to successful claims processing.
In addition to my analytical skills, I have a background in customer service as a Lifeguard Instructor and Lifeguard, where I developed my leadership abilities and a passion for safety. I am eager to leverage my strengths in attention to detail and customer service to contribute to an organization's growth and success.
Experience
Work history, roles, and key accomplishments
Claims Adjudicator III
Disability Determination Services, Texas Health & Human Serv
May 2023 - May 2025 (2 years)
Gathered and analyzed medical and non-medical evidence for Social Security disability claims, assessing residual capacity to work. Wrote comprehensive summaries and vocational analyses to determine claimant eligibility. Mentored new hires, supported team members in complex cases, and maintained high performance goals for case resolution and quality.
Lifeguard Instructor
Safeguard Aquatics
Jan 2018 - Jan 2020 (2 years)
Taught swim lessons, water safety, and first aid/CPR courses, ensuring participant safety and skill development. Supervised pool activities, enforced rules, and responded to emergencies, including training other aquatic staff. Maintained accurate records and ensured facility cleanliness and chemical balance.
Lifeguard
Northwest Family YMCA
May 2015 - Jan 2020 (4 years 8 months)
Vigilantly observed swimmers, enforced safety rules, and responded quickly to emergencies, performing water rescues and providing first aid/CPR. Assisted with facility maintenance, including water chemistry testing and cleaning. Provided clear instructions to patrons and supported swim instructors, ensuring student safety during lessons.
Education
Degrees, certifications, and relevant coursework
Texas State University
Bachelor of Science, Biology
Studied core principles of biology, including genetics, ecology, and cellular processes. Developed strong analytical and research skills through laboratory work and coursework.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
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