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DISABILITY CLAIMS SPECIALIST

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

The State of Illinois is committed to working with and providing reasonable accommodations to people with disabilities. Further, federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job, interview for a job, or for any other activity related to the hiring process. Examples of reasonable accommodation include, but are not limited to, making a change to the application process (if possible), providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

To be provided a Reasonable Accommodation during the hiring process, you will need to provide a certification of disability from a physician, psychiatrist, school official or an Illinois Department of Human Services (DHS) Division of Rehabilitation Services (DRS) Vocational Rehabilitation (VR) Counselor. Supporting documentation should be uploaded under My Documents → Additional Documents section for each application.

Any questions on Reasonable Accommodations can be directed to Central Management Services Disability Resource Center at CMS.DisabilityResCen@illinois.gov or call (217) 524-7514 for further information and to request or discuss 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:  Nov 15, 2024
Location: 

Springfield, IL, US, 62702

Job Requisition ID:  42980

Job Requisition ID: 42980 
Agency: Department of Human Services
Class Title: DISABILITY CLAIMS SPEC - 12558 
Skill Option: None 
Bilingual Option: None 

Opening Date: 11/18/2024

Closing Date/Time: 12/03/2024
Salary: Anticipated Salary $6,005-$8,678/month ($72,060-$104,136/year)
Job Type: Salaried
Category: Full Time 
County: Sangamon
Number of Vacancies: 6
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  42980

Why Work for Illinois?

Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.


No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.

Position Overview

The Division of Rehabilitation Services is seeking to hire a detail-oriented Disability Claims Specialist to provide technical advice and serve as a resource person on claim-related matters to adjudicators and adjudicator trainees.  This position adjudicates assigned backlog of disability claims in compliance with state and federal guidelines to ensure accuracy and expediency. The Disability Claims Specialist also analyzes complex disability claims involving medical and vocational issues to ensure compliance with the state and federal guidelines, integrity of pertinent documentation and accurate evaluation of medical, functional, and vocational evidence. 

Essential Functions

  • Audits aged cases and provides analysis of trends leading to delays.

  • Adjudicates assigned backlog of disability claims in compliance with state and federal guidelines to ensure accuracy and expediency.

  • Analyzes complex disability claims involving medical and vocational issues to ensure compliance with the state and federal guidelines, integrity of pertinent documentation and accurate evaluation of medical, functional, and vocational evidence. 

  • Assists with Cooperative Corrective Action Plans for the Division of Adjudication Services.

  • Promotes and maintains professional relationships with key providers, reviews requests for additional testing with authority to approve or deny such requests.

  • 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.

  • Requires two (2) years of progressively responsible professional experience as a Disability Claims Adjudicator II.

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.

*The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description.

Work Hours: Mon-Fri, 8am-4:30pm; 1 hour unpaid lunch.
Work Location: 100 N 1st St Springfield, IL 62794  

Division of Rehabilitation Services

Bureau of Disability Determination Services

Adjudication Services/Supplemental and Assistive Services Section
Agency Contact: DHS.HiringUnit@illinois.gov
Posting Group: 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 & part-time work schedules (as applicable)

  • 13 Paid Holidays annually, 14 on even numbered years

  • Flexible Work Schedules (when available dependent upon position)

  • 12 Weeks Paid Parental Leave

  • Deferred Compensation Program - A supplemental retirement plan

  • Optional Pre-Tax Programs such as Medical Care Assistance Plan (MCAP), Dependent Care Assistance Plan (DCAP)

  • Federal Public Service Loan Forgiveness Program eligibility

  • GI Bill® Training/Apprenticeship Benefits eligibility for qualifying Veterans

  • 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.

State employees should include temporary assignment in the application profile. Temporary assignment verification forms can be uploaded to the Additional Documents section.

 

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

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