CLAIMS ADJUDICATOR TRAINEE DISABILITY DETERMINATIONS
Under direction of a supervisory official, as a trainee and
productive worker, reviews applications and develops medical and
nonmedical data to make determinations of disablility in accordance
with the provisions of the Social Security Disability and Supplemental
Security Income Disability Programs; assists in the processing and
closing of other types of insurance claims according to applicable
state laws as required; documents decisions by selective development of
vocational or other data; does related work as required.
NOTE: The examples of work for this title are for illustrative
purposes only. A particular position using this title may not
perform all duties listed in this job specification. Conversely,
all duties performed on the job may not be listed.
NOTE: Appointments may be made to positions requiring
64951C - Bilingual in Spanish and English
Applicants must be able to read, write, speak, understand, or
communicate in Spanish and English sufficiently to perform
the duties of this position.
EXAMPLES OF WORK:
As a trainee and productive worker:
Assists in reviewing cases referred by Social Security District
Offices or insurance carriers and prepares a work sheet of the case
containing demographic characteristics, available medical evidence,
and such nonmedical evidence as substantial gainful activity engaged
subsequent to the alleged onset date.
Obtains additional medical data, as recommended by the review
physician; obtains nonmedical data, including data relating to vocational
factors, when so required, from applicants, treating physicians,
hospitals and clinics.
Evaluates applicants' work records and verifies the alleged onset
date of disability.
Contacts claimants to obtain their written permission to obtain
additional medical evidence.
Assists in reviewing medical evidence and in determining the
extent of an individual applicant's disability in accordance with the
medical guides furnished by the Social Security Administration.
Confers with review physicians to determine residential functional
limitations and capacities as they relate to claimant's ability to
return to his or her former employment.
Makes full use of available community resources, including the
Veterans Administration, Vocational Rehabilitation Services, and
Employment Services local offices, as required.
Assists in reviewing and evaluating case data and, after conferring
with review physician for his concurrence, may prepare case
determination for transmittal to the Baltimore Regional Office of the
Social Security Administration.
Maintains essential records and files.
Will be required to learn to utilize various types of electronic
and/or manual recording and computerized information systems
used by the agency, office, or related units.
Graduation from an accredited college or university with a
Appointees will be required to possess a driver's license
valid in New Jersey only if the operation of a vehicle, rather than
employee mobility, is necessary to perform the essential duties
of the position.
KNOWLEDGE AND ABILITIES:
Ability to understand current trends in the theories of social
insurance, especially disability insurance.
Ability to gain the confidence of general practitioners, medical
specialists, and others, in order to elicit necessary case information
leading to determinations of eligibility.
Ability to profit by an inservice training program.
Ability to comprehend, analyze, and interpret basic legislation,
regulations, and procedures.
Ability to comprehend and interpret medical evidence in support
of diagnoses and use these data to make determinations of eligibility
in accordance with standards developed by the Social Security
Ability to review and analyze cases to determine the adequacy
and currency of medical and related nonmedical data.
Ability to prepare clear, sound, accurate, and informative case
histories containing determinations of disability.
Ability to maintain essential records and files.
Ability to learn to utilize various types of electronic and/or
manual recording and information systems used by the agency,
office, or related units.
Ability to read, write, speak, understand, or communicate in
English sufficiently to perform the duties of this position. American
Sign Language or Braille may also be considered as acceptable
forms of communication.
Persons with mental or physical disabilities are eligible as long
as they can perform essential functions of the job with or without
reasonable accommodation. If the accommodation cannot be
made because it would cause the employer undue hardship,
such persons may not be eligible.
Applicants who complete the twelve-month (12) training period
successfully will be eligible for advancement to the title: Claims
Adjudicator, Disability Determinations.
The inability of an employee in this title to attain a level
of performance warranting advancement to the title listed above
shall be considered as cause for separation.
This job specification is applicable to the following title code(s) which
are different work week or work month and/or variants of the job class title:
|64951C||Bilingual In Spanish And English||S||C||35||95||N/A||P95||-|
This job specification is for state government use only.
Salary range is only applicable to state government.
Local salaries are established by individual local jurisdictions.