KNOWLEDGES:

• Customer and Personal Service

SKILLS:

• Active Learning and Listening
• Critical Thinking
• Complex Problem Solving
• Judgment and Decision Making
• Time Management

ABILITIES:

• Deductive Reasoning
• Inductive Reasoning
• Written Comprehension
• Problem Sensitivity

Tools & Equipment

• General Office Equipment
• Computer/Laptop/Tablet
• Cell Phone

• Determines and redetermines adult and child medical eligibility for Social Security Disability, Supplemental Security Income, or Medicaid benefits using medical, psychiatric, vocational, and educational data for initial, reconsideration, continuing disability, and pre-hearing claims in accordance with Social Security Administration (SSA) guidelines. May mentor claims examiners and assist with best practices.
• Routinely conducts telephone interviews with claimants and others to clarify information on disability redetermination applications and/or to obtain additional information to expedite the continuing disability claims process. Educates claimants and authorized representatives to ensure clear understanding of the continuing disability process.
• Verifies proper time frame for requests of claimant records and obtains records from relevant treatment sources. Selects, composes, and sends proper disability determination notices to claimants and authorized representatives explaining medical and vocational decisions.
• Independently reviews and analyzes applications, current and prior impairments, newly discovered allegations, medical assessments, medical records, and vocational assessments as needed for initial, reconsideration, continuing, and pre-hearing disability claims.
• Organizes and enters claimant documentary evidence and claim decisions into a paper or electronic case file. Documents case notes, appointments, and general correspondence in case notes for review and adjudication.
• Assesses claimant’s medical conditions to identify impairments, onset issues, and limitations by reviewing medical records, statements, and other pertinent information to prepare and compose a medical assessment. Routinely confers with internal medical consultants and various other subject matter experts to ensure all aspects of disability claims are in accordance with SSA guidelines.
• Schedules/reschedules consultative examination appointments for claimants and notifies claimants, third parties, and attorneys of appointment time and date, and documents reasons for any missed exams. Authorizes payments for examinations and claimant travel.
• Reviews claimant’s work history to determine if claimant’s past work description is adequate and contacts claimant by phone if additional work history is needed. Identifies and analyzes claimant’s past relevant work by researching jobs and earnings reported to SSA, and compares the claimant’s residual capacity with the functional requirements of the claimant’s past and other work