Independently referred participants to other social service agencies that could provide for special needs such as autism, legal services, renter's rights,for short term case management living needs.. Assisted GAIN Services Supervisor as a backup with reports and special assignments and additionally helped train and assist other GAIN Services Workers demonstrating an unselfish, above and beyond the call of duty to be of service.

Conducted group orientation of up to 30 GAIN Participants in 60-month time limit seminars. Adeptly expedited a case load of case management of around 130 Post Time Limit participants showing care for their particular needs. Designated Family Reunification Worker due to exceptional communication skills. Persistently gathered all necessary information in order to make determinations for exemptions to participating in the GAIN program. Having training as a Substance Abuse Counselor and Domestic Violence Counselor demonstrated sensitivity to participants needs in assisting them in obtaining support services in those areas. Skillfully assisted participants in identifying and motivating them to overcome barriers to achieving economic self support by helping them re-write action accomplishment oriented resumes and coaching them on interviewing techniques that focus on selling themselves to the interviewer. Enthusiastically counseled participants as to education benefits to further their success. Negotiated contracts with participants for referrals to vocational or post employment skill assessment. As a post employment and intake worker, accurately processed participant's requests for ancillaries as to transportation, school supplies, books, tools, and fees totaling from hundreds to thousands of dollars. Assisted participants as a laison to helping them to resolve child care requests. Diligently worked to resolve non- compliance and sanction situations of participants as a home visit Gain Services Worker. Conducted investigations as to discrepancies of potential welfare fraud and made referrals as necessary. Coordinated with Eligibility Workers, Child Care Case Managers, Mental Health Providers, Department of Child and Family Services Workers to provide the best possible help to participants in their gaining self sufficiency. Maintained computer database in support of all GAIN service functions.

Recommended from claims examiner to check technician researching and processing 50+ cjecks per day. Process 40+ hospital/medical suspended claims according to plan/network provisions and sop meeting a 95% accuracy rate per day. Initiated investigations, denials, and eligibility of providers and charges. Aggressively met and awarded for highest production, qualilty, utilization and attendance standards. Refered or pended claims to appropriate areas for assistance in suspense resolution. Made frequent contact with group/policyholders, members, health care providers and other insurance carriers to obtain information in claim resolution ever keeping pjoliteness in mind. Winner of employee of the month for most improved trainee and highest production in the unit. Recalculated 50+ claims per day based on telephone calls and other forms of communication from membeers and providers with a 95%+ accuracy. Reviewd correspondance determining appropriate action i.e. denying or paying claims.. Refered claims and correspondence to responsible areas when appropriate to obtain further information, eligibility changes, rules changes, and provider maintenence. Proveded written feedback to other examiners regarding processing errors in order to improve overall quality. Integrated phone documentation system with 5 different databases to obtain claim resolution. Wolunteered and asded to help others with clearing backlogs and other duties as needed. Committed to identifying problems and share information with other members of the team. Willingly assisted others when approached. Participated in team discussions in a positive manner. Good working relationships with other members on the team. Displayed interest in company level activities and asked questions to learn more about the organization. Uses as a resource to review files for processing errors and to provide technical support to others in the department.