Social Insurance Specialist (Claims Specialist)
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.
Our mission is to “Deliver Social Security Services that meet the changing needs of the public”. The Social Security Administration (SSA) administers the following federal benefits programs: retirement, survivors, disability, Medicare, and supplemental security income benefits. This is a public contact agency that takes great pride in providing world-class customer service to a broad spectrum of people. If you enjoy helping others in a challenging and ever changing environment this is a great agency to be a part of!
Skills We Look For:
• Good written and oral communication skills
• Good people skills
• Skills in independent analysis and problem solving using policies, procedures, laws, and regulations
Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, Medicare, and supplemental security income benefits. The ability to deal with the public in a fast-paced customer service setting. Work experience in customer service is beneficial.
• Provides direct service to the general public addressing all facets of the SSA benefit programs
• Conducts face-to-face and telephone interviews with the public to determine eligibility and continuing eligibility for benefits
• Provides assistance with all areas of administrative appeals
• Makes payment or denial decisions based on the evidence submitted
• Offers a variety of referral services
• Identifies and investigates allegations of potential fraud and abuse.
• Use state of-the-art technology to access and update claims information
Entry into these positions is at the GS-5 or GS-7 level with advancement opportunity within the position to the GS-11 level. Further career development includes, but is not limited to, technical expert and management positions.
GS-5: Three years of general experience that demonstrates the ability to 1) analyze problems, identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; 3) communicate effectively orally and in writing; and using online technology and automation tools. Examples of qualifying experience include analyzing, explaining, applying or interpreting laws, rules, regulation or policies.
GS-7: Fifty-two weeks of specialized experience in 1) assisting individuals in establishing their entitlement to receive benefits; 2) adjudicating, authorizing or reconsidering claims; 3) representing benefit programs before the general public; 4) evaluating benefit program operations to assess the integrity and quality; or 5) interpreting benefit program requirements and formulating policies, procedures and guidelines.
SUBSTITUTING EDUCATION: If you are qualifying for this position based on completed education at an accredited college or university, you must provide a copy of your official or unofficial college transcripts or other proof of education.
Starting at $38,879 (GS5) - $48,159 (GS7) with career ladder advancement up to $71,274 (GS11)
Contact email: [email protected]
Additional Application Materials:
Please submit the following via e-mail to [email protected]
The subject line should be titled, “Peace Corp Employment Consideration”:
• Cover letter
• NCE certification. This position is available to applicants with active non-competitive eligibility (NCE) status. NCE is a special federal hiring status applicable for certain federal jobs. For more information on NCE, visit http://www.peacecorps.gov/ncewww.peacecorps.gov/nce
*College transcript (official or unofficial)
Equal Opportunity Employment
The posting employer has certified that this announcement complies with Peace Corps’ Equal Opportunity Employment policy:
The Peace Corps is committed to providing equal opportunity to all employees, Volunteers, and applicants for employment and volunteer service. Peace Corps policy prohibits discrimination and harassment because of race, color, religion, sex, national origin, age (40 or over), disability, sexual orientation, gender identity, gender expression, marital status, parental status, political affiliation, union membership, genetic information, or history of participation in the Equal Employment Opportunity process, grievance procedure, or any authorized complaint procedure.
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