Remote Disability Claims Adjudicator I

State of Delaware; Delaware; Hybrid; USD 52,000 - 70,000; Full time

Benefits offered by this job

Telework eligibility

Alternative Work Schedules

Job summary

The State of Delaware Disability Determination Service (DDS) is hiring an Adjudicator I to evaluate disability claims under Titles II and XVI of the Social Security Act. You will review medical evidence, determine onset and severity, and assess credible work-related limitations for eligibility decisions.

Responsibilities include gathering medical, vocational and other data, scheduling consults, and preparing decision rationales.

Qualifications

• Possession of a Bachelor’s degree or higher in Behavioral, Social or Health Science or related field.
• Six months experience in analyzing medical conditions in terms of vocational success.
• Six months experience in conducting medical and vocational case assessments to include collecting, analyzing and summarizing data in written narrative reports.
• Six months experience in applying laws, rules, regulations, standards, policies and procedures.

Responsibilities

• 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.

Education

Bachelor's degree or higher in Behavioral, Social or Health Science or related field

Job description

The State of Delaware Disability Determination Service (DDS) is hiring an Adjudicator I to evaluate disability claims under Titles II and XVI of the Social Security Act. You will review medical evidence, determine onset and severity, and assess credible work-related limitations for eligibility decisions.

Responsibilities include gathering medical, vocational and other data, scheduling consults, and preparing decision rationales.