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DDSSA CLAIMS ADJUDICATOR III

The Department of Disability Determination for Social Security Administration (DDSSA) Adjudicator III is responsible for determining eligibility for federal Social Security disability benefits for

Class Code:

X071C

Job Grade:

GS08

Special Job Requirements:

None

Typical Functions:

Gathers information for Social Security disability claims by requesting further medical records and other relevant physical or mental evidence from acceptable sources. Summarizes medical and non-medical evidence to describe information that relates to medical or mental impairment criteria, as established in the Social Security Listings of Impairments for program eligibility. Determines whether case evidence and documentation is sufficient to justify allowing or denying a social security disability claim. Schedules claimants for various mental or physical examinations so that cases may be fully developed to the point where a decision can be made. Obtains vocational information from claimants and former employers to write vocational analyses to assess whether claimants can return to past relevant work or the claimants have the capacity to perform other work based on physical and mental restrictions. Consults with agency medical and psychological staff to arrive at a determination and to obtain residual functional assessment (i.e. the highest level of work related physical, mental, and/or social demands the claimant can be expected to perform). Finalizes claim review results by following Agency policy and Social Security disability regulations and completing forms, data base information, and notices to claimants of the decision. May interpret and communicate eligibility requirements, polices, and procedures to others. Performs other duties as assigned.

Knowledge, Abilities, and Skills:

Knowledge of federal criteria required for eligibility for cases involving children, adults, and continuation of disability benefits. Knowledge of medical and mental terminology, procedures, anatomy, and disease processes. Knowledge of basic vocational criteria. Ability to learn Social Security disability rules and regulations. Ability to review and analyze medical evidence/records. Ability to present orally and/or in writing medical and non-medical case information. Ability to analyze medical reports according to criteria and make appropriate determinations. Ability to interpret manuals, rules, and regulations.

Minimum Qualifications:

The formal education equivalent of a bachelor’s degree in social work, psychology, sociology, biological, life sciences, or related field; plus two years of experience in Social Security disability adjudication. Additional requirements determined by the agency for recruiting purposes require review and approval by the Office of Personnel Management. OTHER JOB RELATED EDUCATION AND/OR EXPERIENCE MAY BE SUBSTITUTED FOR ALL OR PART OF THESE BASIC REQUIREMENTS, EXCEPT FOR CERTIFICATION OR LICENSURE REQUIREMENTS, UPON APPROVAL OF THE QUALIFICATIONS REVIEW COMMITTEE.

Required Certificates:

None

Exempt:

N
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