Claims Specialists

Social Security Administration

About the organization

The Social Security Administration is one of the largest independent agencies in government with over 60,000 employees. We work at more than 1,400 field offices and service centers throughout the country, as well as regional and headquarters locations. The majority of positions at Social Security involve working directly with the public, with multiple positions located throughout the country. Our Public Contact Representatives receive extensive training and mentoring in Social Security programs and state laws. They also speak with beneficiaries about their rights under Social Security laws, gather facts and evidence to establish eligibility for benefits, determine benefit amounts to individuals, and use technol

Claims Specialists speak with beneficiaries about Social Security benefits. A Claims Specialists interviews applicants and will make decisions to determine eligibility. They must be able to obtain, clarify, and verify data used to analyze claims and make benefit decisions.

Duties

This keystone position of the Social Security Administration authorizes entitlements to programs administered by the agency. The incumbent reviews and authorizes claims and other complex determinations for benefits under Titles II, XVI and/or XVIII of the Social Security Act. Adjudicates and authorizes entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Develops, investigates, and resolves claims and post-entitlement actions that may involve suspension, resumption, adjustment, or termination of eligibility, or payments. Conducts inquiries and/or interviews to obtain, clarify, and verify information about individual applicants' initial and continuing eligibility for programs administered by SSA. Assists the public by explaining the options for conducting business with SSA, including online services. Informs claimants and/or their representatives about their legal rights and reporting responsibilities. Examines evidence to evaluate its validity and acceptability in establishing entitlement to benefits, and, when necessary, takes the required developmental actions to obtain all available relevant evidence. Responds to contacts from beneficiaries, recipients, the public or other SSA staff by researching inquiries or initiating action to make changes to the claims or beneficiary record.

Qualifications

Ability to interpret and apply complex laws and regulations to resolve the assigned claims including the ability to recognize all the elements affecting a claim so that an accurate and complete claims determination can be made. Skill to communicate effectively orally, electronically, and in writing with a diverse population representing varied cultures, races, ethnicities, education, socioeconomic backgrounds and values. This skill is essential to obtain information, to convey an understanding of complex requirements, to articulate program decisions, and to secure compliance as needed with the programs administered by SSA.

Education: GS 5 - Successful completion of a full 4-year course of study in any field leading to a bachelor's degree. One year of study is defined as 30 semester hours or 45 quarter hours. GS 7 - One full year of graduate level education in any field. One year of full-time graduate study is defined as 18 semester hours or 27 quarter hours OR a combination of graduate level education and the specialized experience as described below OR a Bachelor's degree and superior academic achievement. GS 9 - Master's or equivalent graduate degree, or successful completion of two academic years of progressively higher graduate education, or LL.B. or J.D.

The position goes to a GS 11 on the Federal General Scale.

Salary

GS 7 - $45,067; GS 11 - $66.697

Application instructions

Contact email: [email protected]

In interested please email a one page resume to District Manager, Yvette Feliciano. Please also submit letter of service verification with the Peace Corp, which shows the hours completed and eligibility of NCE.

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Equal Opportunity Employment

The posting employer has certified that this announcement complies with Peace Corps’ Equal Opportunity Employment policy:

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