Adjudicator 1

Georgia Department of Revenue•Atlanta, GA

18d•Onsite

About The Position

The Adjudicator 1 works under supervision to gather and assess evidence, decide or recommend decisions on government-program claims or appeals, and prepare written decisions. The role evaluates initial Social Security Disability and Supplemental Security Income claims, including medical and vocational evidence, to determine eligibility for disability benefits. It maintains a caseload, resolves issues throughout case development, and ensures that decisions comply with applicable Social Security laws, regulations, statutes, and internal procedures. The position also safeguards sensitive claimant information and communicates with claimants and relevant professionals or organizations to obtain evidence and address complex cases. This is a full-time position based in Stone Mountain, Georgia, with a 40-hour workweek, Monday through Friday from 8:30 a.m. to 5 p.m. The role operates in a professional office environment, may involve a high-volume workload and deadlines, and occasionally requires long hours and weekend work. Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected.

Requirements

Bachelor's degree in a related area from an accredited college or university, or three years of experience interpreting and applying laws regarding program eligibility.
Complete a mandatory federal and national background check, pre-employment testing, and any additional checks required for the job.
Be legally authorized to work in the United States; employment visa sponsorship is not offered.
Meet the requirements of Homeland Security Presidential Directive-12.
Ability to work a 40-hour workweek and attend regularly.

Nice To Haves

Professional experience in disability, medical, or insurance claims adjudication or investigation, health care, unemployment, workers' compensation, social services, or a related field.
Fluency in speaking, reading, and writing a foreign language, especially Spanish.

Responsibilities

Review and analyze medical and vocational evidence concerning conditions that prevent an individual from gainful employment, and determine whether to approve or deny disability benefits.
Prepare detailed written case analyses explaining the facts and basis for decisions, and provide written notice to claimants and the Social Security Administration.
Maintain a caseload of initial Social Security Disability and Supplemental Security Income claims at various stages of development, exercising judgment to resolve issues.
Protect confidential and sensitive personal, medical, and vocational information in accordance with federal and state mandates.
Review initial disability cases and prepare comprehensive analyses to ensure compliance with Social Security laws, regulations, legal statutes, and internal procedures.
Determine what medical and vocational information is needed; analyze medical, vocational, educational, and other collateral information; and apply Social Security disability regulations to claim facts.
Determine when additional medical tests, evaluations, or consultative examinations are needed and arrange expenditures for medical evidence.
Prepare written residual functional capacity assessments based on the severity of medical conditions and the nature of impairments.
Consult internal and external professionals or contract providers, including physicians, psychologists, and vocational experts, on highly complex issues.
Interview or correspond with claimants, family members, legal representatives, employers, community resources, and others to obtain information or collateral evidence about functional abilities.