Disability Claims Adjudicator Date Posted: Sep 23, 2024 Requisition ID: 449973 Location: Indianapolis, IN, US, 46219 Work for Indiana Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a diverse range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana. At the State of Indiana, we don’t just talk about diversity and inclusion—we make it our goal to create a welcoming, accessible, and equitable workplace with a workforce that is representative of Indiana's population. As a proud equal opportunity employer, reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. About the Family & Social Services Administration (FSSA): FSSA was established by the Indiana General Assembly in 1991 to consolidate and better integrate the delivery of human services by state government. FSSA is a health care and social services funding agency. Ninety-four percent of the agency’s total budget is paid to thousands of service providers ranging from major medical centers to a physical therapist working with a child or adult with a developmental disability. The six care divisions in FSSA administer services to more than 1.5 million Hoosiers. FSSA’s mission is to compassionately serve Hoosiers of all ages and connect them with social services, health care and their communities. Disability Determination Bureau: Title II (Disability Insurance) covers workers who have established eligibility through prior work and Title XVI (Supplemental Security Income) has a needs-based income and resource eligibility requirement. The purpose of these programs is to identify people who have disabilities that preclude the ability to work, or for children, preclude the ability to fully participate in learning activities. These programs have two desired outcomes. The first desired outcome is to correctly identify disabled adults and children. The second desired outcome is to have adults with potential referred to a public or private Vocational Rehabilitation Services, through the Social Security Administration’s “Ticket to Work” program. Role Overview: A bachelor's degree is preferred. Salary Statement: The salary for this position traditionally starts at $47,320.00 but may be commensurate with education or work experience. A Day in the Life: ​The essential functions of this role are as follows: + Review the disability report and determine the evidence needed to document medical and non-medical facts of record. + Determine authorization for the purchase of medical records and special consultative examinations. + Determine the eligibility for Presumptive Disability/Blindness payments to effectuate early receipt of cash benefits. + Communicate the rights, responsibilities, and guidelines of the Social Security Disability Program to claimants, attorneys, the medical community, and the public. + Research Social Security Administration program references to determine severity ratings, residual functional capacity assessments, vocational assessments, and other case transactions. + Analyze medical data in both paper and electronic format, many of which are scanned images of handwritten medical notes. + Confer with clinical psychologists and physicians, assesses the credibility of symptoms, assign controlling weight of medical opinions, and draft residual functional capacity assessments. + Prepare the final determinations of eligibility and write grammatically and technically correct notices of decisions. The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time. What You'll Need for Success: The ideal candidate will have the following qualifications: + Four years of full-time professional experience in the evaluation of applications or claims. A bachelor's degree is preferred. + Extensive knowledge of and the ability to understand and apply the established principals, policies and guidelines of the Social Security Administration pertaining to case evaluation, program operation procedures, Privacy Act, Freedom of Information Act, Social Security Rulings, court decisions, vocational rules, and internal business processes. + Excellent organizational skills and the ability to quickly read voluminous documents in both paper and electronic format. + Ability to use multiple computer programs, and key data accurately and efficiently. + Ability to present ideas clearly and effectively, both written and orally, and to deal tactfully with others. + Ability to research medical references, such as the Merck Manual, Physicians’ Desk Reference, and Diagnostic and Statistical Manual of Mental Disorders. This person must satisfy the following requirements to continue employment: + Must successfully pass both the State background check and the Federal HSPD-12 credentialing process. Supervisory Responsibilities/Direct Reports: This role may be utilized in a supervisory capacity based on agency needs. Benefits of Employment with the State of Indiana: The State of Indiana offers a comprehensive benefit package for full-time employees which includes: + Three (3) medical plan options (including RX coverage) as well as vision and dental plans + Wellness Rewards Program: Complete wellness activities to earn gift card rewards + Health savings account, which includes bi-weekly state contribution + Flexible work scheduling options, including the potential for hybrid remote work for employees whose work may be performed outside state facilities + Deferred compensation 457B account (similar to 401k plan) with employer match + Two (2) fully-funded pension plan options + A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to: + 150 hours of paid new parent leave + Up to 15 hours of paid community service leave + Combined 180 hours of paid vacation, personal, and sick leave time off + 12 paid holidays, 14 on election years + Education Reimbursement Program + Group life insurance + Referral Bonus program + Employee assistance program that allows for covered behavioral health visits + Qualified employer for the Public Service Loan Forgiveness Program + Free Parking for most positions + Free LinkedIn Learning access Equal Employment Opportunity: The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Our policy is to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, creed, religion, sex, national origin, ancestry, age, sexual orientation, gender identity, physical or mental disability, or veteran status. We will comply with the spirit as well as the letter of all applicable state and federal laws. If you are a qualified individual with a disability and require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at [email protected] . The State of Indiana has established a culture that welcomes equity, inclusion, and opportunity for all employees and applicants. We encourage you to apply if you feel you have the transferrable skills to be successful in this position and we look forward to reviewing your application. Current Employee? 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