Samuel Gillespie Email and Phone Number

Reviews claims to investigate fraudulent activities and serves as a liaison between DDS and its regional offices. Performs background, criminal and financial history checks; verifies medical history to determine eligibility for social security disability programs Collaborated with the Dept. of Justice’s Office of Inspector General and Federal Bureau of Investigations to investigate and conduct due diligence for case determinationsSupervises and provides quality assurance of caseload through the sequential evaluation system to help determine case decisions. Conducts trainings to reinforce current and to update new policies mandated by the federal government to prevent fraudulent activitiesReevaluates examined cases to rectify and determine accurate decision-making in addition to assisting with case determination Event Coordinator for the DC One Fund organized by The Office of the Secretary. This campaign allows government employees a full opportunity to participate in charitable giving in their community and raised $1M in 2018

Functioned as a core member of DDS making determinations for residents on behalf of the DC Commissioner of Social Security. Utilized federal and state regulations to determine eligibility for both Supplemental Security Income (SSI) and Social Security Disability Income (SSDI). Utilized extensive knowledge of social security disability programs and full range of disability adjudication processes including supplemental documents to effectively evaluate 15-20 claimant files per day Adjudicated and fast tracked the Agency’s most complex and technical, non-routine Titles II and 16 cases such as the Special Disability Workload, Expedited Reinstatement, and Military Casualty cases, and provided determinations within 20 days deadlineEstablished processes for issuing resolution such as making recommendations to management personnel as appropriate in either abbreviated summaries, assessments or written reports and performed follow-up actions as necessary to produce eligibility recommendations for access to classified material and/or approvalsDetermined accuracy of disability determinations and identified deficiencies in specialist’s interpretation and determination analysis; while preparing reports of collected data, recorded and tabulated to determine effectiveness of division operation to interpret and apply complex policies and procedures that change frequently Effectively trained and mentored employees every quarter on organizational policies, case management, procedures and systems in order to efficiently accomplish daily objectives and manage time sensitive and confidential information. Furthermore, consulted with chief medical officers on medical issues and policy compliance to communicate with management teamMonitored and updated databases to keep track of all cases for decision making purposes and provided comments on the adequacy of documents and took the necessary steps to reconcile any deficiencies

Prepared correspondences, accounting and financial documents for analysisServed as a mentor and trainer to new employees and junior team membersAssisted with special events/projects that enhanced the operations of the visitation centerAttended meetings and trainings necessary for professional development and as required by the agency or its funding sourcesCollected information about clients, using techniques such as testing, interviewing, discussion and observationIdentified family members, social networks, and community support systems for inclusion in clients’ treatment plansMaintained detailed administrative and procedural processes to improve accuracy and efficiencySuccessfully established an effective system for record retention by creating a database for daily correspondence trackingFacilitated workshops and orientations about the grants and programs that were available to the public

Instrumental in direct preparation and coordination efforts for disability determination services, provided accurate and timely disability decisions for citizens. Collected and evaluated medical, psychological, and vocational evidence needed to determine eligibility for disability benefits. Conducted review of the evidence and materials for analysis against the Social Security Disability Regulations Reviewed disability claims in accordance with Social Security Administration (SSA) requirements including requesting and analyzing medical, vocational and school-related documentsApplied SSA criteria by using logic to identify key facts, explore alternatives, and proposed quality solutionsCritically analyzed large amounts of information; organized information in a clear and concise manner to document, present and explain claims and formal determinationsConsulted with professional staff including medical, field office personnel, in-house physicians, psychologists, lawyers, and social workers to gather information and materials required for evaluationsDemonstrated knowledge of program policies and guidelines, that is used to appropriately developed evaluating and decision-making of claims Prepared routine legal correspondences and memoranda for administrative law judges