Summary
Overview
Work History
Education
Skills
Language skills
Timeline
Additional information
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Jesus Jose Vargas

Gilbert,AZ

Summary

Claims professional well-versed in intricacies of claim management and resolution. Known for strategic approach to resolving disputes and ensuring compliance with industry standards. Reliable team collaborator with focus on achieving optimal outcomes and adapting to changing requirements. Skilled in negotiation and critical thinking.

Overview

24
24
years of professional experience

Work History

Claims Specialist (Disability and SSI)

Social Security Administration
Mesa, AZ
06.2014 - 08.2025

Served as a senior technical authority responsible for adjudicating and resolving complex claims and post-entitlement actions under Title II and Title XVI of the Social Security Act. Applied advanced knowledge of SSA laws, regulations, and the Program Operations Manual System (POMS) to ensure accurate determinations, regulatory compliance, and consistent application of policy.

Provided expert technical guidance and oversight to claims specialists and management, reviewing claims for accuracy, identifying and correcting deficiencies, and resolving non-routine eligibility, entitlement, and payment issues. Functioned as the primary technical resource within the office, exercising independent judgment in cases involving conflicting evidence, sensitive circumstances, and complex beneficiary situations.

Led and delivered formal and informal technical training to all employees in an office of 33 staff members, ensuring proficiency in claims development, policy interpretation, and procedural updates. Served as the subject-matter expert for new hires and experienced employees, providing mentoring, case consultation, and ongoing technical support to maintain workload quality and program integrity.

Worked extensively with the Arizona Department of Child Safety (DCS) and other partner agencies to determine the most appropriate Representative Payee for minor and vulnerable beneficiaries. Coordinated with child welfare professionals to evaluate foster care placements, guardianship, and reunification with parents, ensuring benefit payments aligned with SSA policy and the best interests of the child.

Reviewed court documents, placement records, and custodial information to support representative payee selection, changes, and oversight. Ensured benefits were properly managed for children in foster care or returning to parental custody while maintaining confidentiality and compliance with federal requirements.

Delivered accurate, timely, and equitable service in a high-volume environment, supporting SSA’s mission through strong analytical skills, technical expertise, inter-agency collaboration, and a commitment to quality, accountability, and public trust.

  • Collateral duty involved assisting the Area Systems Coordinator as a Site Lan Coordinator; in such capacity the duties involved training employees and troubleshooting the Local Area Network, and all office automation equipment and agency databases, ensuring the office staff were apprised of automation updates and upgrades. Responsible for the safeguarding 100% of claimant's personal identifiable information on a daily basis to include SSN's, Direct Deposit accounts, vital records, court documents among various other sensitive information associated with each claimant.
  • Series: 0105 - Grade: 11
  • Hours per week: 40

Logistics Specialist (Active and Reserve)

U.S. Navy
Glendale, AZ
07.2001 - 06.2020
  • Active Duty Periods: 07/09/2001-02/20/2006, 01/05/2007-04/05/2008, 06/05/2014-12/15/2014, 02/15/2018-11/28/2018. Between periods was drilling reservist until retirement 06/2020.
  • Assistant Financial Manager: Responsible to the Financial Manager for the efficient management of Unit's Operating Target (Budget) of $2.5M; ensuring each shipboard department was allotted appropriate funds to operate each quarter within the fiscal year, establishing contracts with port services, contractors, and husbanding agencies. Successfully passed 2 Supply Management Assessment/Inspection. Government Purchase Cardholder: responsible for purchasing, balancing, and reconciling of monthly purchases of over 50 items valued over $50k.
  • Maintenance Leading Petty Officer: Flawlessly managed and maintained a 100% repairable inventory and records validity, valued at over $25 million, in support of 2 SH-60B helicopters, and 14 High Mobility Multi-Wheeled Vehicles (HMMWV's). Compiled information received from various work centers and databases to promptly draft, format, and prepare for the routing of over 100 Naval Messages which include Casualty Reports, Non-Mission Capable Supply, and Partial Mission Capable Supply. Properly maintained and updated Aviation Inventory Management System, R-Supply, and OMMS-NG databases to reflect administrative changes and supply transactions. Trained over 120 Sailors for Qualifications as Officer of the Deck, Work-center Supervisor, Repair Parts Petty Officer, Enlisted Surface Warfare Specialist, Expeditionary Warfare Specialist, Petty Officer of the Watch, Messenger of the Watch and 3M Maintenance Man. Served as crane operator for Navy Cargo Handling Battalion 14 from 2009-2015, as such I amassed over 200 crane operations hours with ZERO mishaps or accidents while supervising and training 5 junior Sailors. Drafted, proof-read, and routed periodic evaluations of 32 sailors as Leading Petty Officer.
  • Correspondence/Administration Manager: Responsible for 100% of all Command Directives to include Naval Instructions, Notices, Manuals and personal letterhead for USNS Comfort - Hospital ship. In this capacity I drafted, edited, and routed over 50 of aforementioned Directives to the Commanding Officer for final authority. Defense Travel Coordinator; responsible for 100% of all travel and travel claims for 34 Sailors resulting in zero financial discrepancies. Assistant security manager: responsible for the training and adjudication of Security Clearances onboard USNS Comfort successfully clearing/adjudicating 100% of all clearances submitted.
  • Hours per week: 4

Administrative Assistant

Department of the Navy
Tempe, AZ
03.2011 - 06.2014
  • Maintained 150 student administrative and performance files in accordance with Naval Service Training Command Regulations for Officer Development Manual. Performed various administrative duties as Command Correspondence Manager - relating to the composition, preparation, distribution, and maintenance of Naval and business correspondence, directives, Naval messages, memoranda, endorsements, and other documents in accordance with the Navy Correspondence Manual SECNAV M-5216. Responsible for the day-to-day operation of the Defense Travel System (DTS); processed and reviewed travel authorizations and vouchers for summer cruises and various training curriculum requests in support of 150 students and 10 active duty staff members. Provided DTS training to travelers on the utilization of DTS including explanation of the Joint Federal Travel Regulations (JTR) regarding their authorizations, vouchers. Serves as assistant supply technician in that capacity being a Government Purchase Card Holder, order uniforms, textbooks, and maintaining 100% inventory validity. Utilizes JUMS and FASTDATA database to maintain inventory and allocate funds to Government Purchase Card for open purchases through DoD E-mail and other sources. Served as Privacy Act Coordinator in such capacity ensuring all Personal Identifiable Information for students and staff was safeguarded at all times.
  • Series: 0303 - Grade: 05
  • Hours per week: 40

Teller

Chase Bank
Mesa, AZ
10.2010 - 03.2011
  • Receive and count working cash at beginning of shift. Identify customers, validate and cash checks Accept cash and checks for deposit and check accuracy of deposit slip. Process cash withdrawals. Perform specialized tasks such as preparing cashier's checks, personal money orders, issuing traveler's checks and exchanging foreign currency. Perform services for customers such as ordering bank cards and checks. Receive and verify loan payments, mortgage payments and utility bill payments. Record all transactions promptly, accurately and in compliance with bank procedures. Balance currency, cash and checks in cash drawer at end of each shift. Answer inquiries regarding checking and savings accounts and other bank related products. Attempt to resolve issues and problems with customer's accounts. Initiate and open new accounts. Explain, advise on and promote bank products and services to customers.
  • Hours per week: 20

Janitor

American Building Maintenance
Tempe, AZ
05.2009 - 05.2010
  • Responsible for all floor maintenance which includes stripping, waxing, buffing, mopping, and vacuuming at Apache Junction City Hall.
  • Hours per week: 40

Fraud Analyst

Bank of America
Phoenix, AZ
04.2006 - 06.2008
  • Served as primary contact for BofA Credit Card holders submitting fraud claims. Made determination of eligibility for submission of fraud claim by gathering information from customers and account in question. Reviewed potential fraudulent accounts for the prevention and detection of Fraud and verified account activity with customers. Investigated fraud claims with merchants, customers, and through various databases to establish validity and responsibility of fraud claim. Performed fraud prevention activities on deposit accounts, focusing on functions established to provide early warning signs of potential losses. Saved Bank of America over $500K through investigations made of erroneous fraud claims.
  • Hours per week: 40

Education

Some college - no degree

Mesa Community College
Mesa, AZ

Skills

  • Policy interpretation
  • Claims analysis
  • Documentation review
  • Complex claims consulting
  • Time management
  • Critical thinking
  • Organizing and prioritizing work
  • Attention to detail
  • Teamwork and collaboration
  • Multitasking Abilities
  • Interpersonal communication
  • Eligibility determination
  • Denied claims identification
  • Records management
  • Regulatory compliance adherence
  • Skilled in MS Word, Excel, PP

Language skills

Spanish Spoken: Advanced | Written: Advanced | Read: Advanced
Native or Bilingual

Timeline

Claims Specialist (Disability and SSI)

Social Security Administration
06.2014 - 08.2025

Administrative Assistant

Department of the Navy
03.2011 - 06.2014

Teller

Chase Bank
10.2010 - 03.2011

Janitor

American Building Maintenance
05.2009 - 05.2010

Fraud Analyst

Bank of America
04.2006 - 06.2008

Logistics Specialist (Active and Reserve)

U.S. Navy
07.2001 - 06.2020

Some college - no degree

Mesa Community College

Additional information

  • Army Commendation Medal; Mar 2008
  • Navy and Marine Corps Achievement Medal; Nov 2018
  • Navy and Marine Corps Achievement Medal; Dec 2014
  • Navy and Marine Corps Achievement Medal; Dec 2005
  • Navy and Marine Corps Achievement Medal; Jun 2010
  • Afghanistan Campaign Medal
  • 90 WPM typing speed. Proficient in MS Word, Excel, PowerPoint, Access.
Jesus Jose Vargas