Disability Claims Adjudicator

Department of Health and Human ServicesWinthrop, MA
Hybrid

About The Position

Disability Determination Services (DDS) is hiring Disability Claims Adjudicators. DDS provides disability decisions for Social Security Disability Benefits. As a Disability Claims Adjudicator, you will request and research prior medical records, collaborate with in-house Doctors and Psychologists around functional limitations, conduct vocational work analyses, and ultimately make disability determinations for the Social Security Administration. Good candidates will have a dedication to public service, the ability to learn quickly and manage different and complex tasks efficiently and display a collaborative approach with excellent and compassionate customer service. In-depth training will be provided and a remote option for up to 3 days a week is available after the first 8-12 months. On-going staff development is available as well as the ability to collaborate with many state, local, and federal partners.

Requirements

  • Intermediate education, training, and/or experience in a field involving research, investigation, data analysis, and/or development of comprehensive reports.
  • Ability to work in a production environment with quality and processing speed goals.
  • Sensitivity to the needs of the public and customer focus.
  • Ability to communicate effectively and work cooperatively through phone, email, video-conferencing, and other communication technologies.
  • Attention to detail, analytical and problem-solving skills.
  • Ability to learn complex medical information, vocational policies, and ongoing technologies.
  • Positive attitude and a desire to work in a team atmosphere.
  • Passing the SSA suitability process, including pre-screen and final background adjudication.

Nice To Haves

  • Dedication to public service
  • Ability to learn quickly and manage different and complex tasks efficiently
  • Collaborative approach with excellent and compassionate customer service

Responsibilities

  • Collect, review, examine, and analyze medical, psychiatric, and vocational claimant reconsideration appeals, continuing benefits applications, and complex initial applications in order to determine final adjudication of eligibility and benefit payments eligibility.
  • Determine eligibility for disability benefits according to federal regulations, and complete written disability determinations in order to provide assistance.
  • Determine eligibility for advanced payments for claimants with severe disabilities in order to provide immediate aid to those eligible.
  • Contact and interview claimants and physicians in order to obtain medical and vocational evidence.
  • Authorize and arrange for consultations and medical and psychiatric examinations in order to comply with program requirements.
  • Write detailed letters to claimants, medical consultants, and state and federal agencies in order to request information and inform claimants of the reasons and results of disability decisions.
  • Assign codes to written decisions in order to develop and maintain statistical data.
  • Perform additional special duties such as quality assurance, mentoring, training, professional relations activities, processing Canadian claims, and other special projects in order to meet division needs.

Benefits

  • 13 paid holidays
  • 12 days of sick leave
  • 3+ weeks of vacation leave annually
  • Health Insurance Coverage (State pays 85%-100% of employee-only premiums)
  • Health Insurance Premium Credit (5% decrease in employee-only premiums)
  • Dental Insurance (State pays 100% of employee-only premiums)
  • Retirement Plan (Maine Public Employees Retirement System - MainePERS)
  • Six weeks of fully paid parental leave
  • Ongoing staff development
  • Remote option for up to 3 days a week after the first 8-12 months
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