Disability Claims Adjudicator

State of Indiana•Indianapolis, IN

8d•Onsite

About The Position

The State of Indiana is seeking a Disability Claims Adjudicator to join the Family & Social Services Administration (FSSA), specifically within the Disability Determination Bureau. This role involves determining eligibility for Social Security Disability Insurance and Supplemental Security Income Benefits. The adjudicator will assess medical requirements, interpret medical and psychological test results, and work with physicians and psychologists. The FSSA is a health care and social services funding agency that serves over 1.5 million Hoosiers, with a mission to compassionately serve and connect individuals with social services, health care, and their communities. The Disability Determination Bureau manages programs for individuals with disabilities that preclude them from working or fully participating in learning activities.

Requirements

Extensive knowledge of and the ability to understand and apply the established principals, policies and guidelines of the Social Security Administration pertaining to case evaluation, program operation procedures, Privacy Act, Freedom of Information Act, Social Security Rulings, court decisions, vocational rules, and internal business processes.
Excellent organizational skills and the ability to quickly read voluminous documents in both paper and electronic format.
Ability to use multiple computer programs, and key data accurately and efficiently.
Ability to present ideas clearly and effectively, both written and orally, and to deal tactfully with others.
Ability to research medical references, such as the Merck Manual, Physicians’ Desk Reference, and Diagnostic and Statistical Manual of Mental Disorders.
Must successfully pass both the State background check and the Federal HSPD-12 credentialing process.
At least 3+ years of experience applying the outlined knowledge, skills, and abilities in a similar role may be considered.
Individuals should have the ability to perform essential functions with or without reasonable accommodation.

Nice To Haves

A degree is not required.

Responsibilities

Review the disability report and determine the evidence needed to document medical and non-medical facts of record.
Determine authorization for the purchase of medical records and special consultative examinations.
Determine the eligibility for Presumptive Disability/Blindness payments to effectuate early receipt of cash benefits.
Communicate the rights, responsibilities, and guidelines of the Social Security Disability Program to claimants, attorneys, medical community, and the public.
Research Social Security Administration program references to determine severity ratings, residual functional capacity assessments, vocational assessments, and other case transactions.
Analyze medical data in both paper and electronic format, many of which are scanned images of handwritten medical notes.
Confer with clinical psychologists and physicians, assesses credibility of symptoms, assigns controlling weight of medical opinions and drafts residual functional capacity assessments.
Prepare the final determinations of eligibility and write grammatically and technically correct notices of decisions.

Benefits

Three (3) medical plan options (including RX coverage) as well as vision and dental plans
Wellness Rewards Program: Complete wellness activities to earn gift card rewards
Health savings account, which includes bi-weekly state contribution
Deferred compensation 457(b) account (similar to 401(k) plan) with employer match
Two (2) fully-funded pension plan options
A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers, Up to 15 hours of paid community service leave, Combined 180 hours of paid vacation, personal, and sick leave time off
12 paid holidays, 14 on election years
Education Reimbursement Program
Group life insurance
Referral Bonus program
Employee assistance program that allows for covered behavioral health visits
Qualified employer for the Public Service Loan Forgiveness Program
Free Parking for most positions
Free LinkedIn Learning access