Disability Determination Supervisor & Claims Consultant

Health & Human Services; North Carolina; On-site; USD 61,000 - 107,000; Full time

Benefits offered by this job

Health insurance options

Standard and supplemental retirement

NCFlex program

Paid vacation and sick leave

Paid parental leave

Job summary

North Carolina Department of Health and Human Services (DHHS) in Raleigh, NC, seeks a Disability Determination Manager I (S) to oversee claims development and adjudication for SSA and Medicaid disability programs. The role requires leading training for new examiners and providing guidance to experienced staff in an electronic case processing system.

The position emphasizes supervising claims workflow, ensuring accuracy, and maintaining performance standards in a busy DDS environment.

Qualifications

• At least 36 months of documented experience as a Disability Analyst at a State DDS office or related SSA component.
• Experience adjudicating Initial, Reconsideration, Age 18 Redetermination, and Continuing Disability Reviews.
• Demonstrated ability to move quickly between tasks with strong organizational skills.
• Proficiency in computer applications and SSA electronic case processing system.

Responsibilities

• Provide lead supervision for in-service training of new examiners and guidance of experienced examiners.
• Direct all facets of claims development and adjudication in supervisory absence.
• Process unattended claims and assist examiners with performance issues using an electronic environment.

Skills

Disability analysis

Case adjudication

Training/mentoring

Education

Bachelor's degree

Tools

SSA electronic case processing system

Job description

North Carolina Department of Health and Human Services (DHHS) in Raleigh, NC, seeks a Disability Determination Manager I (S) to oversee claims development and adjudication for SSA and Medicaid disability programs. The role requires leading training for new examiners and providing guidance to experienced staff in an electronic case processing system.

The position emphasizes supervising claims workflow, ensuring accuracy, and maintaining performance standards in a busy DDS environment.