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Disability Determination Senior Adjudicator
3 months ago
Summary Statement
This is the advanced level of disability determination adjudication work.Essential Functions
Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here. Reviews claims and plans case development to adjudicate claims. Gathers necessary medical, vocational and other evidence by telephone and letter contact to clarify initially submitted information and obtain additional information needed to adjudicate a case. Reviews and analyzes medical, psychological, psychiatric, social, educational and vocational evidence to determine the severity of medically determinable impairments, justifiable onset date, and credible work-related limitations in accordance with Federal regulations and programmatic mandates. Requests consultative medical examinations to adjudicate claims and manages scheduling arrangements with medical providers and claimants to ensure that claimants attend examinations. Researches the affects of disease processes and resulting impact on the ability to perform work-related activities. Prepares documentation for favorable decisions; prepares written decision rationales and letters to inform claimants of unfavorable decisions made on their disability applications; and explains due-process and appeal rights. Authorizes payment of medical invoices. Maintains up-to-date reference materials and manuals necessary to the adjudication process.Job Requirements
JOB REQUIREMENTS for Disability Determination Senior Adjudicator Applicants must have education, training and/or experience demonstrating competence in each of the following areas:
At least two years experience evaluating disability claims and making disability determinations. Three years experience in caseload management which includes managing the flow of cases from beginning to completion. Six months experience in disability adjudication appeal and review process. Six months experience in interpreting Social Security Administration laws, rules, regulations, standards, policies and procedures. Six months experience in narrative report writing.