Adjudicator 1

Georgia Department of Revenue•Atlanta, GA

8d•Onsite

About The Position

The Georgia Vocational Rehabilitation Agency is hiring multiple Adjudicator 1s in Stone Mountain, Georgia. Under supervision, the role assists in gathering and assessing evidence to decide or recommend decisions on claims or appeals concerning government programs and prepares decisions. The position reviews medical and vocational evidence and determines whether claimants qualify for Social Security disability benefits, maintains a caseload of initial Social Security Disability and Supplemental Security Income claims, and prepares written case analyses and notices. It also safeguards confidential information, identifies and arranges for additional medical evidence when needed, prepares residual functional capacity assessments, consults with professionals on complex issues, and obtains information from claimants and other relevant parties. This is a full-time position in a professional office environment, with a 40-hour workweek and a Monday-through-Friday schedule of 8:30 a.m. to 5 p.m. The role may occasionally require long hours and weekend work. Travel is primarily local during the business day, although some out-of-area and overnight travel may be expected. Employment is contingent on successfully completing required background checks, pre-employment testing, and additional checks.

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.
Successfully complete a mandatory federal and national background check, pre-employment testing, and additional checks required for the job.
Be legally authorized to work in the United States; the agency does not offer employment visa sponsorship.

Nice To Haves

Professional experience working with disability, medical, or insurance claims adjudication or investigation, health care, unemployment, workers' compensation, social services, or a related field.

Responsibilities

Review and analyze evidence of illness, injury, disease, medical conditions, and vocational factors to determine whether to approve or deny disability benefits.
Prepare detailed written analyses explaining case facts and the 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, ensuring issues are resolved.
Protect confidential and sensitive personal, medical, and vocational information in accordance with federal and state requirements.
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 to substantiate claims; analyze medical, vocational, educational, and other collateral information and apply Social Security disability regulations to the case facts.
Determine whether additional medical tests, evaluations, or consultative examinations are needed and arrange funding for medical evidence.
Prepare written residual functional capacity assessments based on the severity of medical conditions and the nature of impairments.
Consult with internal and external professionals or contract providers, including physicians, psychologists, and vocational experts, to address complex issues.
Interview or correspond with claimants, family members, legal representatives, employers, community resources, and others to obtain additional information or collateral evidence about functional abilities.