Jude Nwulu
Abingdon
Summary
Experienced A+ Claims Examiner II with the Social Security Administration under the Maryland Disability Determination Services (DDS). Successfully handled various disability claims for 2 years, ensuring accuracy and compliance with all applicable guidelines. Adept at conducting thorough investigations and gathering necessary evidence to support claims. Certified in Security and Privacy Awareness Training and Health Insurance Privacy and Accountability Act (HIPAA). Skilled at interpreting medical documentation and interviewing claimants and medical professionals. With almost 10 years of experience as a critical care tech in a variety of healthcare settings, proficient in assisting patients with activities of daily living, ambulation, and other delegated tasks. Developed strong analytical and problem-solving skills in a fast-paced environment, excelling in data analysis and regulatory compliance for accurate and efficient claim assessments. Seeking to leverage these transferable skills in a new and challenging field. Professional with comprehensive experience in claims processing and evaluation, demonstrating strong analytical skills, thorough knowledge of insurance policies, and a consistent track record of identifying and resolving complex claims. Valued team player with a strong focus on collaboration and results, adaptable to evolving work environments. Known for reliability, problem-solving abilities, and effective communication with stakeholders.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Claims Examiner II
Social Security Administration (SSA)
05.2023 - Current
- Company Overview: Disability Determination Services (DDS) 211 Schilling Circle, Hunt Valley, MD21031 410-308-4500
- A highly skilled and experienced Disability Claims Examiner with a proven track record of success adjudicating and assessing disability claims under Social Security Administration (SSA) regulations and procedures
- Makes professional decisions regarding the level of impairment, the capacity for work and the vocational rehabilitation potential of disabled applicants under the Social Security Act
- Efficiently process adult initial and reconsideration claims to determine continuity of disability benefits
- Reviews electronic disability applications to establish a plan for development in order to adjudicate claims for SSA disability benefits and supplemental security payments
- Secures appropriate medical, vocational, and psychological evidence for documentation of claim by contacting physicians, attorneys, hospitals, teachers, and third parties as required by the SSA
- Conducts telephone interviews with claimant, their representatives and medical community members to obtain evidence to document impairment severity
- Provides general information to interested persons to explain the mission and parameters of the Disability Determination Services and the Social Security Administration Disability Processing Program
- Evaluated medical and vocational evidence to determine the degree and severity of disabilities in each case based on established federal criteria
- Confers with in-house medical and psychiatric staff by exchanging judgments and opinions and interpretations of medical evidence being used for determinations
- Requests consultative examinations, which are purchased, based on determining a need for medical, psychological, and/or vocational evaluation
- Clarifies the technical and legal aspects of disability determination by using occupational, technical, and operational manuals
- Used agency automation system to prepare appropriate documents justifying award or denial of SSA disability and supplemental income benefits; demonstrates proficiency in preparing automated medical records request and personalized denial notices, and interpreting caseload management information
Clinical Technician
The Johns Hopkins Hospital
01.2018 - 04.2023
- Company Overview: Weinberg Surgical Intensive Care Unit 1800 Orleans Street, Baltimore, MD21287 410-502-1048
- Member of a surgical Intensive care unit specializing in post-operative care for critically ill patients
- Consistently performs patient care activities according to the clinical standards of the JHH, Department of Nursing, and functional unit as outlined in the Nursing Practice and Orientation Manual (NPOM), volumes I & II, Interdisciplinary Clinical Practice Manual (ICPM), and other relevant manuals
- Observes complex electronic monitoring equipment to obtain hemodynamic and electrocardiographic measurements
- Demonstrates competency in care of age-specific patient populations
- Sets up and maintains the operation of clinical equipment
- Changes surgical/wound dressings utilizing aseptic technique and according to established procedures; assist nurse with complex dressing changes
- Reports physical condition of assigned patients
- Independently obtains lab results from computer, documents in chart and reports to nurse
- Initiates emergency interventions (e.g
- CPR) as appropriate according to unit-based standard of care
- Monitors other patients on unit during emergency on unit and communicates issues to appropriate provider
- Performs activities that maintain efficient unit operations, as assigned (such as preparing patients for transport, keeping egress clear)
- Provides excellent customer service while adhering to Hospital and departmental policies
- Exhibits communication skills necessary to interpret age-specific responses to assessment, treatment, and interactions with others
Patient Care Associate
Life Bridge Health, Sinai Hospital of Baltimore
01.2012 - 01.2018
- Company Overview: 2401 W Belvedere Avenue, Baltimore, MD21215
- Member of an interdisciplinary team on a36-bed Intermediate Care Unit
- Provide safe and age-appropriate care for8-12 patients with a variety of acute medical and surgical diagnoses requiring continuous telemetry and pulse oximetry monitoring
- Provides hourly rounding initiative to ensure that all needs are promptly addressed
- Safely assist patients with ambulation and activities of daily living, including bathing, grooming, feeding, and toileting
- This includes the proficient use of assistive devices such as canes, walkers, wheelchairs, crutches, prostheses, and traction
- Provide comfort measures such as positioning, massage, skin care, heat and cold therapy, transportation, and companionship
- Participate in a2-hour turning schedule to prevent skin breakdown on bed-bound patients
- Collect and record vital signs, blood glucose measurements, accurate intake and output, and12-lead EKGs
- Responsible for measuring surgical drain output, including Jackson-Pratt drains and Hemovacs
- Observe and reports critical changes in patient condition and utilize effective communication with providers to ensure immediate intervention as appropriate
- Obtain a variety of laboratory specimens for diagnostic testing
- This includes proficiency with phlebotomy and collection of urine and stool samples
Certified Nursing Assistant/ Geriatric Nursing Assistant (CAN/GNA)
Genesis Healthcare – Baltimore, MD
04.2010 - 01.2012
- Provided care and support to12-15 geriatric patient population in a long-term care facility
- Assisted with activities of daily living, feeding, toileting, ambulation and bathing
Education
Master’s degree - health administration
Towson University
12.2024
B.Sc. - Gerontology with a minor in Public Health
Towson University
05.2022
Skills
- Proficient in National Case Processing Systems (NCPS)
- Health Information Technology (HIT)
- Microsoft Office, EPIC Hyperspace, and internet applications
- Regulatory compliance
- Data verification
- Disability claims process
- Investigative skills
- Critical thinking
- Medical terminology expertise
- Strong analytical skills
Certification
- Certified Nursing Assistant/Geriatric Nursing Assistant (CNA/GNA)
- Maryland Board of Nursing Certified
- Advanced Cardiac Life Support/Basic Life Support (ACLS/BLS)
- Patient Privacy Workforce member (2022)
- Member American College of Health Care Administration
- Collaborative Institutional Training Initiative (CITI Program) ID:13638978.09/03/2024
Timeline
Claims Examiner II
Social Security Administration (SSA)
05.2023 - Current
Clinical Technician
The Johns Hopkins Hospital
01.2018 - 04.2023
Patient Care Associate
Life Bridge Health, Sinai Hospital of Baltimore
01.2012 - 01.2018
Certified Nursing Assistant/ Geriatric Nursing Assistant (CAN/GNA)
Genesis Healthcare – Baltimore, MD
04.2010 - 01.2012
- Certified Nursing Assistant/Geriatric Nursing Assistant (CNA/GNA)
- Maryland Board of Nursing Certified
- Advanced Cardiac Life Support/Basic Life Support (ACLS/BLS)
- Patient Privacy Workforce member (2022)
- Member American College of Health Care Administration
- Collaborative Institutional Training Initiative (CITI Program) ID:13638978.09/03/2024
Master’s degree - health administration
Towson University
B.Sc. - Gerontology with a minor in Public Health
Towson University
Similar Profiles
Priscilla Andrea GutierrezPriscilla Andrea Gutierrez
Customer Service Representative, CSR at Social Security Administration, SSACustomer Service Representative, CSR at Social Security Administration, SSA
Hope LaffertyHope Lafferty
Social Security Recipient at Social Security Administration SSASocial Security Recipient at Social Security Administration SSA
Aretha WrightAretha Wright
Customer Service Representative at Social Security Administration, SSACustomer Service Representative at Social Security Administration, SSA