OPS MEDICAL DISABILITY EXAMINER - 64858446

State of FloridaMIAMI, FL
Onsite

About The Position

This is entry level professional work researching, developing, compiling, analyzing, and rendering independent decisions relative to Social Security Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is provided on relevant policy, medical review and vocational evaluation. Potential advancement based on successful performance of job duties. As a key member of the team, you must be able to communicate effectively with team members and the public. You must be able to operate successfully in a demanding environment, manage multiple tasks, and work independently. We are looking for people who are detailed-oriented, have critical thinking skills, understand basic math, and are able to work in a Windows-based computer environment. All work is conducted utilizing multiple computer screens and typed case notes. Appropriate transactional inputs process cases from beginning to closure, reviewing computer generated alerts to ensure timely processing. Utilizes effective verbal communication skills and telephone techniques to develop and/or establish necessary factual medical and vocational documentation. Evaluates a variety of documents to determine their evidentiary sufficiency for decision-making purposes. Evaluates data for accuracy and completion. Authorizes purchase of specialized medical or psychological diagnostic services, when appropriate, for the purpose of documenting the severity of impairment. Secures medical evidence of record needed to document the presence of "disabling" or "not disabling" impairments. Renders a formal decision of disability based on evidentiary requirements of Social Security law rules and regulations.

Requirements

  • Knowledge of the principles and techniques of effective communication.
  • Ability to collect, evaluate and analyze data relating to disability benefits.
  • Ability to understand and apply applicable rules, regulations, policies and procedures relating to disability benefits.
  • Ability to evaluate data for accuracy and completion.
  • Ability to identify errors or problems and take appropriate corrective action.
  • Ability to compose correspondence.
  • Ability to organize data into logical format.
  • Ability to work independently.
  • Ability to conduct fact-finding research.
  • Ability to utilize problem-solving techniques.
  • Ability to plan, organize and coordinate work assignments.
  • Ability to communicate effectively.
  • Ability to establish and maintain effective working relationships with others.
  • Detailed-oriented.
  • Critical thinking skills.
  • Understand basic math.
  • Able to work in a Windows-based computer environment.
  • Written communication skills.
  • Organizational abilities.
  • Basic computer skills.
  • Ability to learn and communicate effectively, orally and in writing, in English.

Nice To Haves

  • Managing a caseload for an insurance, disability, vocational, social work or government program
  • Determining initial or continued eligibility of claims, based on rules and regulations
  • Experience working in a medical or vocational field

Responsibilities

  • Researching, developing, compiling, analyzing, and rendering independent decisions relative to Social Security Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims.
  • Communicating effectively with team members and the public.
  • Operating successfully in a demanding environment, managing multiple tasks, and working independently.
  • Conducting all work utilizing multiple computer screens and typed case notes.
  • Processing cases from beginning to closure using appropriate transactional inputs.
  • Reviewing computer generated alerts to ensure timely processing.
  • Maintaining records and other reading materials related to services or benefits.
  • Planning, organizing, and coordinating work assignments.
  • Utilizing effective verbal communication skills and telephone techniques to develop and/or establish necessary factual medical and vocational documentation.
  • Evaluating a variety of documents to determine their evidentiary sufficiency for decision-making purposes.
  • Evaluating data for accuracy and completion.
  • Authorizing purchase of specialized medical or psychological diagnostic services, when appropriate.
  • Securing medical evidence of record needed to document the presence of "disabling" or "not disabling" impairments.
  • Renders a formal decision of disability based on evidentiary requirements of Social Security law rules and regulations.

Benefits

  • State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options
  • Retirement plan options, including employer contributions
  • Flexible Spending Accounts
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