Brian H.

Key Skills

Software

Other

Top Subject Matter

Social Security benefits eligibility adjudication and claims verification

Income maintenance casework and benefits eligibility determination

Social Security benefits determination and payment calculation

Top Data Types

Text

Document

Top Task Types

Classification

Freelancer Overview

Social Insurance Specialist (Claims Specialist), Social Security Administration. Brings 15+ years of professional experience across legal operations, contract review, compliance, and structured analysis. Core strengths include Other. Education includes Bachelor of Arts, Duquesne University (2006). AI-training focus includes data types such as Text and labeling workflows including Classification.

Labeling Experience

Social Insurance Specialist (Claims Specialist), Social Security Administration

OtherTextClassification

Adjudicated and authorized entitlement or disallowance actions for Social Security programs (Title II and Title XVI) by reviewing evidence and applying eligibility rules to decide outcomes. Examined case records, correspondence, and supporting documents to determine required developmental actions and ensure the correct acceptance of evidence for benefit entitlement. Communicated decisions and rights to claimants and verified eligibility through inquiries and interviews. • Performed eligibility/entitlement classification decisions at multiple difficulty levels • Reviewed and validated evidence in claims and post-entitlement actions • Conducted investigative interviews to verify initial and continuing eligibility • Identified potential program abuse or fraud based on case facts

2021 - 2024

Income Maintenance Caseworker, Commonwealth of Pennsylvania

OtherTextClassification

Analyzed discrepancies in social insurance claims using multiple applications containing sensitive applicant data, and ensured the correct application of legal standards. Managed a high-volume caseload involving benefits reviews, renewals, reporting, and verification of information received from clients and external entities. Researched discrepancies between reported income levels and actual amounts to resolve complex cases involving multiple eligibility criteria. • Classified and resolved eligibility-related discrepancies within large caseloads • Applied federal and state legal manuals to determine correct program actions • Conducted verification inquiries with employers and educational institutions • Balanced workload and maintained appointments while performing casework reviews

2013 - 2021

Legal Administrative Specialist (Benefit Authorizer), Social Security Administration

OtherTextClassification

Made final determinations on entitlement, non-entitlement, continuing entitlement, and payment amounts for a range of Social Security post-adjudicative actions by reviewing claim facts and award materials. Used electronic systems and administrative processes to adjust benefits, correct errors, and compute benefit payment rates consistent with Social Security Act provisions. Evaluated reporting compliance and recognized unusual circumstances, including identifying potential fraud-related issues. • Performed outcome classification for entitlement and payment determinations • Reviewed awards, supporting documents, and correspondence for necessary actions • Adjusted/resumed/reinstated/suspended/terminated benefits and computed rates • Assessed penalties for noncompliance and investigated fraud-related factors

2010 - 2013

Education

Work History