Job details

Disability Examiner

Job description:

We are looking to hire an efficient examiner, this is entry-level professional work researching, developing, compiling, analyzing, and rendering independent decisions relative to Social Security Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of South Carolina.

Training is provided on relevant policy, medical review and vocational evaluation. Potential advancement based on successful performance of job duties (.17 week class room training - 1 YEAR to be fully up and running).

As a key member of the team, you must be able to communicate effectively with team members and the public. You must be able to operate successfully in a demanding environment, manage multiple tasks, and work independently. We are looking for people who are detailed-oriented, have critical thinking skills, understand basic math, and are able to work in a Windows-based computer environment.

Responsabilities:

Under guidance of a supervisor or designee, review applications for disability claims for the Social Security Administration.
Request and review medical, psychological, vocational, employment, and other evidence needed to determine eligibility for benefits under Title XVI of the Social Security Act.
Read and analyze medical reports and other disability file documents and make a judgment as to the existence of physical or mental impairments confirmed by medical diagnosis.
Recognize the sufficiency of evidence and recommend purchase of consultative examinations as needed to provide updated and current documentation of files.
Contact applicants, usually by telephone, to document medical and nonmedical evidence as well as determine the existence of pertinent medical sources of evidence.
Identify and resolve conflicts in medical, vocational, and other evidence; and contact physicians and other medical sources by telephone or by letter to resolve these conflicts.
Choose from a variety of approaches to accomplish claim documentation; but must ensure claim quality and production standards are met.
Make judgments or finding of fact regarding the way impairments impact the applicants’ ability to perform specific work-related activities based on the presence of medically determinable physical or mental impairments and submit these documents for Medical Consultant review.
Make judgments regarding the accuracy of the treating physicians’ opinion as to the severity of the applicants’ impairment, comparing the physicians’ supporting medical evidence to the opinion rendered.
Initially assist agency medical and psychological consultants to establish residual functional capacity (ability of an applicant, given their current physical condition, age, education, and work history, to function in the workplace) and findings of fact regarding age, education, and vocational background to determine eligibility for benefits, eventually completing a designated percentage independently upon experience.
Prepare analysis and make decisions as to eligibility for benefits on a medical basis alone or remaining functional capacity of applicants to perform work.
Utilize federal database to make judgments as to what occupations would be appropriate given the remaining functional capacity, relevant work skills, age, and education, if the claimant is not eligible for benefits.

•Prepare a formal determination of eligibility for benefits based on regulations for Title XVI of the Social Security Act, court orders, rules, and regulations.

Examiner Requirements:

Must have BS/MA (in any subject)
2 years professional experience - Case Management, Social Work, CI, Customer Service in a medical setting (UCI, Life HME, PWC).
Proficient in Microsoft Office applications (Word, Excel, Outlook).
Excellent communication and organizational skills.
Good telephone etiquette.

The Company is proud to be an Equal Opportunity Employer. We believe in people, and we are committed to working with people of all backgrounds and connecting them with clients and companies who share our goals of diversity and inclusiveness. All qualified applicants will receive consideration for employment without regard to race, religion, ancestry, color, national origin, age, gender identity or expression, genetic information, marital status, medical condition, disability, protected veteran status, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.

Job Type: Full-time

Salary: $21.00 - $22.00 per hour

Schedule: