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Texas Health and Human Services Commission in Austin is seeking a Disability Specialist II/Claims Examiner II to adjudicate SSA disability cases, assemble evidence, and document DDS decisions. The role requires coordinating with SSA, collecting medical evidence, and applying SE processes to determine disability.
The position is fully onsite in Austin, with duties including developing RFC analyses and vocational profiles, and ensuring timely final determinations under SSA guidelines.
Date: Jul 31, 2026Location: AUSTIN, TXJoin the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Disability Specialist IIJob Title: Claims Examiner IIAgency: Health & Human Services CommDepartment: DDS - Program AdminPosting Number: 19594Closing Date: 08/30/2026Posting Audience: Internal and ExternalOccupational Category: Community and Social ServicesSalary Range: $4,594.16 - $5,094.16Pay Frequency: Monthly Salary Group: TEXAS-B-16Shift: Day Additional Shift Telework: Not Eligible for Telework TravelRegular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Nonexempt Facility Location: Job Location City: AUSTIN Job Location Address: 6101 E OLTORF Other Locations: MOS Codes: No military equivalent Brief Job Description The Disability Specialist II/Claims Examiner II adjudicates Social Security Administration (SSA) adult and childhood disability cases. Researches and verifies Disability Determination Services (DDS) jurisdiction to process incoming cases; returns to SSA any cases DDS is proscribed from processing. Solicits medical evidence of record (MER), activities of daily living (ADL) information, detailed descriptions of past relevant work (PRW), education records and teacher evaluations on child claimants, and other information required to evaluate disability and properly document the case file. Applies the SSA Sequential Evaluation (SE) process to determine whether a claimant is disabled. Orders Consultative Examinations (CEs) to investigate undocumented claimant allegations and/or clarify medical evidence. Prepares a detailed analysis of the cumulative effect of all medically determined physical and mental impairments on residual functional capacity (RFC) for adults; ability to function at an age-appropriate level in six developmental domains for children. Assesses the cumulative impact of developmental deficits to determine disability in childhood cases. Develops complete claimant vocational profiles for adults. Determines adult disability by assessing a claimant’s potential ability to work based on a complex analysis of vocational profiles; RFC limitations; PRW performance criteria as described by the claimant and by standard occupation references; results from research of national economy job references. Creates forms, letters and supporting materials required to document disability decisions. Identifies and reports for investigation cases involving potential fraud. Works under moderate supervision with limited latitude for the use of initiative and independent judgment. This position occasionally requires work during the weekends, holidays, and before or after normal business hours. DDS employees perform all business functions for SSA, using the federal SSA network and equipment. Homeland Security Presidential Directive (HSPD)-12 security clearance is required. Essential Job Functions (EJFs) Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Develops adult physical/mental residual functional capacity (RFC) and childhood developmental assessments to document diagnoses/objective evidence, including signs, symptoms, and lab/test results for all alleged disabling impairments; assess residual capacity to function based on extensive knowledge of physical/mental conditions and disease processes and their effect on functionality; apply witness credibility legal standards to assess claimant or treating physician statements regarding disability in the final decision process. Develops comprehensive vocational profiles for adults, and determines adult medical/vocational eligibility for disability, applying complex Social Security Administration (SSA) vocational standards and evaluative tools to assess a claimant’s potential ability to return to past relevant work (PRW) or perform other work. (20%) Determines when available information is sufficient to evaluate impairments alleged by the claimant. Creates all forms, letters, and supporting materials required to properly document the final disability determination. Completes the determination in a timely manner. (20%) Reviews all file documentation upon receipt of disability cases, researching and investigating information that may affect Disability Determination Services (DDS) jurisdiction to adjudicate the case. Returns cases that are not DDS jurisdiction to SSA without action for correction or closure. Applies provisions of the Social Security Act, as amended, related Federal and State statutes, regulations, SSA rulings, and pertinent Federal Court rulings to decide whether a claimant is or is not disabled; applies the SSA sequential evaluation standard to render decisions as soon as possible. (20%) Establishes standards for customer-focused communication and coordination within areas of responsibility and with all internal and external associates and customers. (20%) Develops cases in a timely manner by contacting medical and non-medical sources for medical evidence of record (MER) relevant to alleged physical/mental impairments. Obtains functional and work history information about claimants in order to evaluate how alleged mental and physical impairments affect their daily lives and ability to work. Orders Consultative Examinations (CE) to clarify evidence and properly document the impairments and the claimant’s current condition. (15%) Provides backup for absent Disability Specialists in accordance with established procedures. (5%) Knowledge Of Knowledge, Skills and Abilities (KSAs):