DISABILITY CLAIMS SPECIALIST
State of Illinois•Springfield, IL
•$77,520 - $112,044•Hybrid
About The Position
The Division of Rehabilitation Services is seeking a detail-oriented Disability Claims Specialist to provide technical advice and serve as a resource on claim-related matters for adjudicators and adjudicator trainees. The role adjudicates assigned backlogs of disability claims in accordance with state and federal guidelines, ensuring accuracy and expediency. It also analyzes complex disability claims involving medical and vocational issues, verifies documentation integrity, and evaluates medical, functional, and vocational evidence.
Requirements
- A bachelor's degree with major courses in medical, premedical, legal, prelegal, nursing, psychology, pharmacy, health, biological sciences, physical sciences, business administration, management, or disability claims adjudication; alternatively, current valid licensure as a Registered Nurse in Illinois plus three years of professional registered nursing experience.
- Two years of progressively responsible professional experience as a Disability Claims Adjudicator II.
- Ability to pass a federal employment background investigation and suitability determination.
Responsibilities
- Audit aged cases and analyze trends that contribute to delays.
- Adjudicate assigned backlogs of disability claims in compliance with state and federal guidelines, ensuring accuracy and expediency.
- Analyze complex disability claims involving medical and vocational issues, ensuring compliance with state and federal guidelines, documentation integrity, and accurate evaluation of medical, functional, and vocational evidence.
- Assist with Cooperative Corrective Action Plans for the Division of Adjudication Services.
- Promote and maintain professional relationships with key providers.
- Review requests for additional testing and approve or deny them.
- Perform other duties assigned or required that are reasonably within the scope of the position.
Benefits
- Pension program
- Competitive group insurance benefits, including health, life, dental, and vision insurance
- Three paid personal business days annually
- Twelve paid sick days annually, with unused days carrying over from year to year
- Ten to 25 days of paid vacation annually, with 10 days in the first year of employment
- Thirteen paid holidays annually, and 14 in even-numbered years
- Flexible work schedules when available and dependent on position
- Twelve weeks of paid parental leave
- Deferred compensation supplemental retirement plan
- Optional pre-tax Medical Care Assistance Plan and Dependent Care Assistance Plan
- Federal Public Service Loan Forgiveness Program eligibility
- GI Bill training and apprenticeship benefits eligibility for qualifying veterans
- Five percent salary differential for bilingual positions
- Commuter Savings Program for Chicago employees
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Senior
