Ops Medical Disability Examiner - 64801357
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 Florida. Training is provided on relevant policy, medical review and vocational evaluation. Potential advancement based on successful performance of job duties.
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.
Electronic Case Management - All work is conducted utilizing multiple computer screens and typed case notes. Appropriate transactional inputs process cases from beginning to closure, reviewing computer generated alerts to ensure timely processing. Competencies required : Written communication skills, organizational abilities, and basic computer skills required. Maintains records and other reading materials related to services or benefits. Plans, organizes and coordinates work assignments.
Verbal Communication - Utilizes effective verbal communication skills and telephone techniques to develop and / or establish necessary factual medical and vocational documentation.
Evaluates a variety of documents to determine their evidentiary sufficiency for decision-making purposes. Evaluates data for accuracy and completion.
Authorizes purchase of specialized medical or psychological diagnostic services, when appropriate, for the purpose of documenting the severity of impairment.
Secures medical evidence of record needed to document the presence of "disabling" or "not disabling" impairments. Competencies : Identifies errors or problems and takes appropriate action. Conducts fact-finding research.
Renders a formal decision of disability based on evidentiary requirements of Social Security law rules and regulations. Competencies : Understands and applies rules, regulations, policies and procedures relating to services and benefits.
Required Knowledge, Skills, and Abilities : Knowledge of the principles and techniques of effective communication. Ability to collect, evaluate and analyze data relating to disability benefits. Ability to understand and apply applicable rules, regulations, policies and procedures relating to disability benefits. Ability to evaluate data for accuracy and completion. Ability to identify errors or problems and take appropriate corrective action. Ability to compose correspondence. Ability to organize data into logical format. Ability to work independently. Ability to conduct fact-finding research. Ability to utilize problem-solving techniques. Ability to plan, organize and coordinate work assignments. Ability to communicate effectively. Ability to establish and maintain effective working relationships with others.
Qualifications : Preference will be given to applicants with a bachelor's degree (or an equivalent combination of education and work experience - such as an Associate's degree with two years of work experience, or a high school diploma with four years of work experience), in one or more of the following fields :
1) Managing a caseload for an insurance, disability, vocational, social work or government program
2) Determining initial or continued eligibility of claims, based on rules and regulations
3) Experience working in a medical or vocational field
Where you will work : Miami
Examiner • Miami, FL, US