DISABILITY CLAIMS ADJUDICATOR I (UPWARD MOBILITY)
Springfield, IL, US, 62702
Agency : Department of Human Services
Opening Date: 5/25/23
Closing Date/Time: 06/08/2023
Salary: Anticipated Salary: $4,525 - $6,622 per month
Job Type: Salaried Full Time
County: Sangamon
Number of Vacancies: 30
Plan/BU: RC062
This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.
All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.
While not required, a Resume/Curriculum Vitae (CV) is recommended. When applicable, titles that require specific coursework, professional license or certification will include a notation requesting the appropriate document(s) be uploaded in the Additional Documents section of your application. Failure to upload requested transcripts, license and/or proof of certification when specified may result in ineligibility. Please note that the Department of Human Services must verify proof of higher education for any degree earned (if applicable) regardless of vacancy title before any offer can be extended.
Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.
Posting Identification Number 10-64-27164
Position Overview
The Bureau of Disability Determination Services is seeking to hire a Disability Claims Adjudicator to perform responsible, complex administrative, medical and legal work pursuant to the adjudication of initial claims for disability benefits under Title II and Title XVI of the Social Security Act. This position reviews paper or electronic initial claim application, initiates request for necessary medical or non-medical evidence such as job descriptions or activities of daily living through contact by letter or telephone including but not limited to medical treatment sources, employers, Social Security field offices, legal representatives, etc. and prepares and authenticates decision of allowance (establishing onset), denial or a closed period of disability for Illinois residents who have disabling impairments which preclude substantial gainful activity as defined in the Federal regulations.
Job Responsibilities
- Examines and analyzes data recorded by Social Security field office obtained through an interview or internet application of clients who file for disability.
- Reviews and assesses medical and lay evidence received through the paper or the electronic case process.
- Obtains full job description of all relevant past employment.
- Communicates with claimants regardless of their language, educational level or type of impairment and effectively handle crisis.
- Reviews regulatory changes, policy guidelines, procedures and transmittals received electronically from state and federal operations, keeps informed of professional and medical technological advances which affect adjudications.
- Screens all final decisions.
- Provides input to update and maintain current information in the medical reference source book and assess effectiveness of the consultative examination panel physicians. Ensures that proper disclosure rules are followed to preserve the confidentiality of the client’s record following HIPPA guidelines.
- Performs other duties as assigned or required which are reasonably within the scope of duties enumerated above.
Minimum Qualifications
- Requires a bachelor’s degree, with major courses in medical, premedical, legal, prelegal, nursing, psychology, pharmacy, health, biological sciences, physical sciences, business administration, management, or disability claims adjudication OR requires current valid licensure as a Registered Nurse in the State of Illinois, plus three (3) years of professional registered nursing experience.
- In addition to either of the above, requires successful completion of bureau’s training program OR one (1) year of professional social security disability adjudication experience.
*This class is included as an Upward Mobility Program credential title.
Conditions of Employment
- Requires ability to pass a federal employment background check. Individuals selected for positions with the Illinois Disability Determination Service (DDS) must go through a complete federal background investigation suitability determination by the Social Security Administration. Those individuals meeting the state requirements for employment must first complete the federal background investigation prior to their start date. This is necessary to determine whether an employee can be issued credentials in order to have access to the Social Security Disability data, records and systems. Further details will be provided during the pre-employment background check process.
Work Hours: 8:00am - 4:30pm Monday-Friday
Work Location: 100 N 1st St Springfield, IL 62794
Division of Rehabilitation Services
Bureau of Disability Determination Services
(1 vacancy) Section A, Unit 3
(1 vacancy) Section A, Unit 5
(1 vacancy) Section A, Unit 13
(1 vacancy) Section A, Unit 26
(1 vacancy) Section B, Unit 14
(1 vacancy) Section B, Unit 15
(1 vacancy) Section B, Unit 16
(1 vacancy) Section B, Unit 17
(1 vacancy) Section B, Unit 18
(1 vacancy) Section C, Unit 7
(1 vacancy) Section C, Unit 9
(1 vacancy) Section C, Unit 11
(1 vacancy) Section E, Unit 1
(1 vacancy) Section E, Unit 2
(1 vacancy) Section E, Unit 4
(1 vacancy) Section E, Unit 12
(1 vacancy) Section F, Unit 27
(1 vacancy) Section F, Unit 30
(1 vacancy) Section F, Unit 31
(2 vacancies) Section G, Unit 20
(2 vacancies) Section G, Unit 21
(1 vacancy) Section G, Unit 24
(1 vacancy) Section G, Unit 22
(1 vacancy) Section G, Unit 23
(1 vacancy) Section H, Unit 32
(1 vacancy) Section H, Unit 33
(1 vacancy) Section H, Unit 34
(1 vacancy) Section H, Unit 36
Agency Contact: DHS.HiringUnit@illinois.gov
Job Family: Legal, Audit & Compliance; Social Services
About the Agency: The Illinois Department of Human Services serves families in need across Illinois. Our mission is providing equitable access to social services, supports, programs and resources to enhance the lives of all who we serve. We are committed to the core values of Human Dignity, Equity, Community, Urgency, Transparency and Kindness.
As a State of Illinois Employee, you will receive a robust benefit package that includes the following:
• A Pension Program
• Competitive Group Insurance Benefits including Health, Life, Dental and Vision Insurance
• 3 Paid Personal Business Days annually
• 12 Paid Sick Days annually (Sick days carry over from year to year)
• 10-25 Days of Paid Vacation time annually - (10 days in year one of employment)
* Personal, Sick, & Vacation rates modified for 12-hour Work Schedules (as applicable)
• 13 Paid Holidays annually, 14 on even numbered years
• Flexible Work Schedules (when available dependent upon position)
• 10 Weeks Paid Maternity/Paternity Leave
• Deferred Compensation Program - A supplemental retirement plan
• Optional Pre-Tax Programs such as Medical Care Assistance Plan (MCAP), Dependent Care Assistance Plan (DCAP)
• Tuition Reimbursement Program and Federal Public Service Loan Forgiveness Program eligibility
• 5% Salary Differential for Bilingual Positions
• Commuter Savings Program (Chicago only)
For more information about our benefits please follow this link: https://www2.illinois.gov/cms/benefits/Pages/default.aspx
APPLICATION INSTRUCTIONS
Use the “Apply” button at the top right or bottom right of this posting to begin the application process.
If you are not already signed in, you will be prompted to do so.
State employees should sign in to the career portal for State of Illinois employees – a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon.
Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account.
If you have questions about how to apply, please see the following resources:
State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid
Non-State employees: on Illinois.jobs2web.com – click “Application Procedures” in the footer of every page of the website.
Qualifying state employees in the Upward Mobility Program should follow the Upward Mobility Policy Guidelines when applying for this title.
The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
- donotreply@SIL-P1.ns2cloud.com
- systems@SIL-P1.ns2cloud.com
Nearest Major Market: Springfield