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DISABILITY CLAIMS ADJUDICATOR TRAINEE / DISABILITY CLAIMS ADJUDICATOR I (UMP TARGET TITLE) 1

We continually strive for a workforce that reflects the growing diversity within the State of Illinois.  A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our ability to most effectively serve the public.  Bilingual skills welcome

Reasonable Accommodation Statement

Persons with disabilities are provided reasonable accommodations throughout the hiring process and during performance of all job duties.  Please email the Central Management Services Disability Resource Center at CMS.DisabilityResCen@illinois.gov or call (217) 524 - 7514 for further information and to request an accommodation.

Sponsorship for Employment

The State of Illinois does not provide sponsorship for employment visa status (e.g. H-1B visa status).  To be considered for permanent employment with the State of Illinois, applicants must be currently authorized to work in the United States on a full-time basis.

Disclosure of Salary Information

In compliance with the Illinois Equal Pay Act, 820 ILCS 112/1 et seq., the State does not seek, request, or require a job applicant’s wage or salary history.  Employment decisions are not made based on an applicant’s wage or salary history.  To that end, please do not include wage or salary information in your resume or other profile or application materials.

Date:  Jun 8, 2021
Location: 

Springfield, IL, US, 62702-5042

Job Requisition ID:  4157

Agency:  Department of Human Services  
Closing Date/Time:  06/22/2021 
Salary:  DCA Trainee - $3,676 - $5,247/Monthly / DCA I - $4,164 - $6,128/Monthly 
Job Type:  Salaried Full Time 
County:  Sangamon 
Number of Vacancies:  50 
Plan/BU:  RC062 

 

Collective Bargaining Agreement language applies to this requisition:
We are currently transitioning away from a paper application process to an electronic application process. This position has not been transitioned. Please follow the directions below when applying to this position.

 

DO NOT APPLY ONLINE

**DO NOT CLICK THE APPLY BUTTON**

 

CMS100/B Employment Application and all applicable documentation should be submitted to the Agency contact listed below.

 

Posting Identification #

   10-64-4157-29612-29661

Position Overview - Disability Claims Adjudicator Trainee


Under immediate supervision, actively participates in a formal training unit not to exceed eighteen months. Develops knowledge and job-related skill necessary to perform the responsibilities required to independently adjudicate disability claims under the provisions established by the Social Security Administration (SSA). 

Job Responsibilities - Disability Claims Adjudicator Trainee

 1.     Participates in both formal classroom and on the job training, receiving instructions necessary to accurately and timely adjudicate complex disability claims for both Title II and Title XVI benefits. Prepares decisions based on SSA regulations and guidelines upon receipt of adequate evidentiary medical evidence.

 

2.      Through formal classroom training receives instruction on detailed anatomy, physiology, and disability criteria on major body systems in both adult and children. Gains thorough understanding of disease processes and the impact on function. Instruction includes basic textbook materials, lectures from medical staff, lectures from training staff, interactive video training, films, and field trips.

 

3.      Receives instruction on procedures and practices in securing medical evidence from health care professionals and communicating effectively utilizing medical terminology with treating physicians, consultative examiners, psychologists, social workers, etc. Develops sound working knowledge of medical impairments and disability issues.

 

4.     Receives detailed instructions on vocational evaluations as it relates to disability regulations established by SSA Secures work history and descriptions of employment to include both exertional and non-exertional factors. Makes appropriate determinations as to the ability to do past work or other work based on functional assessments and skill levels described in Dictionary of Occupational Titles.

 

5.     Obtains through both formal and on the job training knowledge of computer software applications needed to process disability claims.

 

6.     Reviews for and completes written examinations on administrative and medical material presented in training; includes evaluations and observations prepared by Training staff as well as Quality Assurance evaluations of adjudicative work reviewed via work sampling.

 

7.     Performs other duties as assigned or required which are reasonably within the scope of duties enumerated above.

Minimum Qualifications - Disability Claims Adjudicator Trainee

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 years of professional registered nursing experience.

Position Overview - Disability Claims Adjudicator I (UMP)

Under general supervision, performs responsible, complex administrative, medical and legal work pursuant to the adjudication of claims for disability benefits under Title II and Title XVI of the Social Security Act; 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. Prepares and authenticates decision for allowance (establishing onset), denial or closed period of disability for Illinois residents who have disabling impairments which preclude substantial gainful activity as defined in the Federal regulations.

Job Responsibilities - Disability Claims Adjudicator I (UMP)

1.     Examines and analyzes data recorded by Social Security field office obtained through an interview or internet application of clients who file for disability.

 

2.     Reviews and assesses medical and lay evidence received through the paper or the electronic case process.

 

3.      Obtains full job description of all relevant past employment.

 

4.      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.

 

5.     Develops, updates and maintains skills necessary to generate changes in the interfaced state-federal data control system (coding, diary dates, capability alerts, messages, decisions, etc.).

 

6.     Screens all final decisions.

 

7.     Communicates with claimants regardless of their language, educational level or type of impairment and effectively handle crisis.

 

8.     Provides input to update and maintain current information in the medical reference source book and assess effectiveness of the consultative examination panel physicians.

 

9.     Ensures that proper disclosure rules are followed to preserve the confidentiality of the client’s record following HIPPA guidelines.

 

10.    Performs other duties as assigned or required which are reasonably within the scope of duties enumerated above.

Minimum Qualifications - Disability Claims Adjudicator I (UMP)

1. 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 years of professional registered nursing experience. 

 

2. In addition to either of the above, requires successful completion of bureau’s training program or one year of professional social security disability adjudication experience.

This class is included as an Upward Mobility Program credential title.

 

Knowledge, Skills, and Abilities - Disability Claims Adjudicator I (UMP)

  • Working knowledge of personal computers including but not limited to keyboard skills.
  • Working knowledge of medical terminology, body systems and/or impairments and understanding their disabling effects.
  • Working knowledge of the Social Security Act and Amendments and the organization and operation of the Social Security Administration.
  • Working knowledge of the provisions of the Social Security Act and Amendments relating to the occupational and legal aspects of disability, opinions and instructions issued in connection with the Disability Program.
  • Working knowledge of the Disability Determination Services in Illinois and of the policies, regulations and standards under which the program functions.
  • Working knowledge of the Office of Rehabilitation Services, the service it offers and its organization and operation.

Employment Conditions

Individuals selected for positions with the Illinois Disability Determination Service (DDS) will go through a complete federal background investigation suitability determination by the Social Security Administration. This is necessary to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records and systems. Finalists must pass a preliminary check prior to a job offer being made. A full background investigation will follow. Further details will be provided during the interview process.

Work Hours:  8:00am - 4:30pm Mon-Fri  
Work Location: 
Disability Determination Services, Techical Services/Training Unit, 100 N 1st St Springfield, IL 62702-5042  
Agency Contact: 
MINDI.TUXHORN@ILLINOIS.GOV

Job Function:  Legal and Compliance  

 

DHS Mission Statement -  IDHS serves families in need all 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.

 

CANDIDATES MUST SUBMIT A SEPARATE BID FORM (as applicable) AND CMS-100/B FOR EACH POSTED VACANCY APPLIED FOR. 

 

Assignment to a bilingual position may be available after completion of the training program and certification as a Disability Claims Adjudicator I, based upon organizational needs.

 

APPLICATION INSTRUCTIONS

DO NOT APPLY ONLINE. APPLY BY EMAIL AT MINDI.TUXHORN@ILLINOIS.GOV OR BY FAX AT 217-558-5076 ATTN: MINDI TUXHORN

 

Current State Employees:

  • Seeking a Promotion – Submit an Official Position Vacancy Bid Form and CMS-100B Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
    • Older versions of the CMS-100B will not be graded or returned to applicants. 
    • Failure to complete and submit the new CMS-100B (version dated 9/2020 or after) will result in your application being rejected.

 

  • Seeking a Transfer – Submit an Official Position Vacancy Bid FormTransfer Request, and CMS-100 Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
    • A separate Bid form and Application is required for each Posting Identification#/Job Requisition ID # or your bid will be rejected.  
    • Failure to complete and submit the new CMS-100 version (dated 9/2020 or after) will result in your application being rejected.

 

  • Seeking a Reduction - Submit an Official Position Vacancy Bid Form and CMS-100 Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
    • A separate Bid form and Application is required for each Posting Identification#/Job Requisition ID # or your bid will be rejected.  
    • Failure to complete and submit the new CMS-100 (version dated 9/2020 or after) will result in your application being rejected.

 

 Former State Employees:

  • Submit an Official Position Vacancy Bid Form and CMS-100 Employment Application (version dated 9/2020 or after) to the Agency Contact address listed above.
    • A separate Bid form and Application is required for each Posting Identification#/Job Requisition ID # or your bid will be rejected. 
    • Failure to complete and submit the new CMS-100 (version dated 9/2020 or after) will result in your application being rejected.

 

Non-State Employees:

  • Submit a CMS-100 Employment Application (version dated 9/2020 or after) and official college transcripts (where applicable) to the Agency Contact address listed above.
    • Documentation is required for each Posting/Bid ID or your application(s) will be rejected.  
    • Failure to complete and submit the new CMS-100 version (dated 9/2020 or after) will result in your application being rejected.