OPERATIONS SERVICES MANAGER - SES - 64005078

State of Florida • Pensacola, FL

3d • $55,682 - $98,879 • Onsite

About The Position

This is work managing, directing and supervising a unit of claims examiners who develop and adjudicate disability claims under the Social Security Act. Work will also require the management and oversight of all incoming claims/pre-developed claims prior to assignment to adjudicative staff.

Requirements

• Knowledge of the procedures and requirements for reviewing and analyzing Social Security determinations for compliance with applicable rules, regulations, policies and procedures.
• Knowledge of anatomy, physiology, function, dysfunction and disease processes.
• Ability to understand and apply applicable rules, regulations, policies and procedures.
• Ability to monitor claims processing for compliance with applicable policies and procedures.
• Ability to manage a disability program section.
• Current employee witht the Florida Department of Health.

Nice To Haves

• At least three years’ experience adjudicating Social Security or Medically Needy disability cases.
• Experience adjudicating all levels of Social Security or Medically Needy disability cases (including Continuing Disability Reviews).

Responsibilities

• Coordinates and directs the activities of a unit of Claims Adjusters/Examiners/Investigators to ensure that operational objectives are met.
• Reviews and analyzes case management data for the purpose of evaluating each claim’s examiner, communicating on a regular basis with claims examiners.
• Conducts probationary, quarterly, annual or special performance evaluations.
• Reviews case files to ensure compliance with Social Security law and regulations and ensures compliance with timeliness targets.
• Coordinates training for new and experienced claims examiners in the unit.
• Monitors closely management reports on the expenditure of funds to ensure cost effectiveness.
• Routinely studies publications of Social Security and State agencies pertaining to the program to keep abreast of new developments and changes in medical and vocational aspects of disability.

Benefits

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions
• Flexible Spending Accounts;
• Tuition waivers;

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed