State of Tennessee · 1 day ago
DISABILITY CLAIMS EXAMINER 2* - 01272026- 74672
United States
Full-time
Remote
Entry, Mid Level
$44K/yr - $54K/yr
2+ years expThe State of Tennessee is seeking a Disability Claims Examiner 2 to perform disability determination work of average difficulty. The role involves determining medical eligibility for Social Security Disability, Supplemental Security Income, or Medicaid benefits for initial claims, under general supervision.
AgricultureChildrenEducationGovernmentHealth Care
No H1B
Security Clearance Required
Responsibilities
Determines adult and child medical eligibility for Social Security Disability, Supplemental Security Income or Medicaid benefits using medical, psychiatric, vocational, and educational data for initial and reconsideration claims in accordance with federal Social Security Administration (SSA) guidelines
Routinely conducts telephone interviews with claimants and others to obtain and/or clarify information on applications. Determines jurisdiction and proper timeframe for requests of claimant records and obtains records from relevant treatment sources
Independently reviews and analyzes applications, medical assessments, medical records, and vocational assessments as needed for initial and reconsideration claims. Reviews prior decisions for accuracy and development of evidence and examines new allegations or evidence, redetermines medical eligibility, and issues reconsideration decisions
Documents case notes, appointments, and general correspondence for review and adjudication. Organizes and enters claimant documentary evidence and claim decisions into an electronic case management folder
Assesses claimant's medical conditions to identify impairments, onset issues, and limitations by reviewing medical records, statements, and other pertinent information to prepare a medical assessment
Routinely confers with internal medical consultants and various other subject matter experts to ensure all aspects of disability claims are in accordance with federal guidelines. Selects, composes, and sends proper federal disability determination notices to claimants explaining medical and vocational decision issues to claimants and authorized representatives
Schedules/reschedules consultative examination appointments for claimants and notifies claimants, third parties, attorneys of appointment time and date, and documents reasons for any missed exams. Authorizes payments for examinations and claimant travel
Reviews claimant's work history to determine if claimant's past work description is adequate and contacts claimant by phone if additional work history is needed. Identifies and analyzes claimant's past relevant work by researching jobs and earnings reported to SSA and compares the claimant's residual capacity with the functional requirements of the claimant's past and other work
Qualification
Required
Bachelor's degree and two years of full-time professional disability claims examination work
Complete a federal background check in accordance with the Homeland Security Presidential Directive 12 (HSPD-12) for issuance of an HSPD-12 compliant Personal Identity Verification (PIV) credential card
Company
State of Tennessee
State government is the largest employer in Tennessee, with approximately 43,500 employees in the three branches of government.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Hugh Hale
Chief Information Officer, TennCare
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