Disability Claims Adjudicator

State of Maine•Winthrop, ME

1d•Hybrid

About The Position

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State. . Department of Health and Human Services (DHHS) Opening Date: March 20, 2026 Closing Date: April 2, 2026 Job Class Code: 3065 Grade: 25 (Professional & Technical) Salary: $54,412.80 - $76,315.20 per year Position Number: 020004012, 020004013, 020004014, 020004015, 020004016, 020241622 Location: Winthrop Currently, this position is not eligible for visa sponsorship or STEM OPT extensions. Are you interested in a career in Public Service and assisting some of Maine’s most vulnerable? Do you enjoy complex, fast-paced work with a high degree of independence? Do you want to be part of a growing team and have a positive work culture? Maine Disability Determination Services is hiring! DDS provides disability decisions for Social Security Disability Benefits. As a Disability Claims Adjudicator, you 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. For more information watch the linked video: https://www.youtube.com/watch?v=j4kzvB78_pI Please note that this video uses the term ‘claims examiner’ which is the same position in Maine as ‘Disability Claims Adjudicator’.

Requirements

Intermediate education, training, and/or experience in a field involving research, investigation, data analysis, and/or development of comprehensive reports.
Your conditional job offer and access to the Social Security Administration’s (SSA’s) system, data, information, and/or premises are contingent upon you passing the SSA suitability process.

Nice To Haves

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.

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

Work-Life Fit – Rest is essential. Take time for yourself using 13 paid holidays, 12 days of sick leave, and 3+ weeks of vacation leave annually. Vacation leave accrual increases with years of service, and overtime-exempt employees receive personal leave.
Health Insurance Coverage – The State of Maine pays 85%-100% of employee-only premiums ($12,845.82 - $15,112.76 annual value), depending on salary. Use this chart to find the premium costs for you and your family, including the percentage of dependent coverage paid by the State.
Health Insurance Premium Credit – Participation decreases employee-only premiums by 5%. Visit the Office of Employee Health and Wellness for more information about program requirements.
Dental Insurance – The State of Maine pays 100% of employee-only dental premiums ($395.72 annual value).
Retirement Plan – The State contributes the equivalent of 14.11% of the employee's pay towards the Maine Public Employees Retirement System (MainePERS).
Parental leave is one of the most important benefits for any working parent. All employees who are welcoming a child—including non-birthing and adoptive parents—receive six weeks of fully paid parental leave.
State employees are eligible for an extensive and highly competitive benefits package, covering many aspects of wellness.

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