Disability Claims Adjudicator II
Springfield, IL, US, 62702
Agency : Department of Human Services
Opening Date: 04/25/24
Closing Date/Time: 05/08/2024
Salary: Anticipated Salary: $5,311 - $7,856 per month ($63,732 - $94,272 per year)
Job Type: Salaried
County: Sangamon
Number of Vacancies: 9
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 37245
Position Overview
The Bureau of Disability Determination Services (BDDS) is seeking to hire a detail-oriented Disability Claims Adjudicator II to perform comprehensive reviews of assigned intake cases. The Disability Claims Adjudicator II documents and adjudicates claims that have been denied a period of disability at the initial level and that have a request for reconsideration that was filed timely. This position will access Continuing Disability Review (CDR) claims to determine if disability continues, reviews past decisions upon receipt to determine if claimant’s impairment meets the medical improvement review standard established by the Social Security Reform Act of 1984, checks for entitlement to extended periods of eligibility or clear-cut cessations. Adjudicator II promotes and maintains professional relationships with SSA personnel, claim representatives and medical providers and provides technical advice and assistance in problem resolution to less experienced adjudicators.
Job Responsibilities
- Performs comprehensive reviews of assigned intake cases.
- Documents and adjudicates claims that have been denied a period of disability at the initial level and that have a request for reconsideration that was filed timely.
- Assesses Continuing Disability Review (CDR) claims to determine if disability continues, reviews past decisions upon receipt to determine if claimant’s impairment meets the medical improvement review standard established by the Social Security Reform Act of 1984, checks for entitlement to extended periods of eligibility or clear-cut cessations.
- Determines validity and appropriateness of prior reconsideration case decisions that are remanded to the Disability Determination Services (DDS) for possible reopening and revision.
- Assists Administrative Law Judges and/or SSA Appeals Council.
- Provides technical advice to less experienced adjudicators and provides assistance in problem resolution at any stage of case development.
- Serves on special task groups as assigned.
- 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 license 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 I.
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: 8:00 a.m. - 4:30 p.m. Monday-Friday
(1 vacancy) Section A, Unit 3
(1 vacancy) Section B, Unit 15
(1 vacancy) Section B, Unit 17
(1 vacancy) Section C, Unit 7
(1 vacancy) Section E, Unit 12
(1 vacancy) Section G, Unit 20
(1 vacancy) Section G, Unit 21
(1 vacancy) Section H, Unit 32
(1 vacancy) Section H, Unit 34
Adjudication Services
Work Location: 100 N 1st St Springfield, IL 62794
Division of Rehabilitation Services
Disability Determination Services
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)
- 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