Disability Claims Examiner jobs in Miami, FL

Requisition No: 826559

Agency: Department of Health

Working Title: MEDICAL DISABILITY EXAMINER - 64006794

Pay Plan: Career Service

Position Number: 64006794

Salary: $40,739.92 - $71,087.03

Posting Closing Date: 04/24/2024

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DEPARTMENT OF HEALTH

DIVISION OF DISABILITY DETERMINATIONS

OPEN COMPETITIVE OPPORTUNITY

POSSIBLE MULTI-HIRE OPPORTUNITY

TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER

POSITION LOCATION: MIAMI/DADE COUNTY

POSITION #: 64006794

SALARY: $40,739.92 - $71,087.03

Your Specific Responsibilities:

This is entry level professional work researching, developing, compiling, analyzing, and rendering independent decisions relative to Social Security Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is provided on relevant policy, medical review and vocational evaluation. Potential advancement based on successful performance of job duties.

As a key member of the team, you must be able to communicate effectively with team members and the public. You must be able to operate successfully in a demanding environment, manage multiple tasks, and work independently. We are looking for people who are detailed-oriented, have critical thinking skills, understand basic math, and are able to work in a Windows-based computer environment.

Electronic Case Management - All work is conducted utilizing multiple computer screens and typed case notes. Appropriate transactional inputs process cases from beginning to closure, reviewing computer generated alerts to ensure timely processing. Competencies required: Written communication skills, organizational abilities, and basic computer skills required: Maintains records and other reading materials related to services or benefits. Plans, organizes and coordinates work assignments.

Verbal Communication - Utilizes effective verbal communication skills and telephone techniques to develop and/or establish necessary factual medical and vocational documentation.

Evaluates a variety of documents to determine their evidentiary sufficiency for decision-making purposes. Evaluates data for accuracy and completion.

Authorizes purchase of specialized medical or psychological diagnostic services, when appropriate, for the purpose of documenting the severity of impairment.

Secures medical evidence of record needed to document the presence of "disabling" or "not disabling" impairments. Competencies: Identifies errors or problems and takes appropriate action. Conducts fact -finding research.

Renders a formal decision of disability based on evidentiary requirements of Social Security law rules and regulations. Competencies: Understands and applies rules, regulations, policies and procedures relating to services and benefits.

Required Knowledge, Skills, and Abilities:

Knowledge of the principles and techniques of effective communication.

Ability to collect, evaluate and analyze data relating to disability benefits.

Ability to understand and apply applicable rules, regulations, policies and procedures relating to disability benefits.

Ability to evaluate data for accuracy and completion.

Ability to identify errors or problems and take appropriate corrective action.

Ability to compose correspondence.

Ability to organize data into logical format.

Ability to work independently.

Ability to conduct fact-finding research.

Ability to utilize problem-solving techniques.

Ability to plan, organize and coordinate work assignments.

Ability to communicate effectively.

Ability to establish and maintain effective working relationships with others.

Qualifications:

Preference will be given to applicants with a bachelor’s degree (or an equivalent combination of education and work experience - such as an Associate’s degree with two years of work experience, or a high school diploma with four years of work experience), in one or more of the following fields:

1) Managing a caseload for an insurance, disability, vocational, social work or government program

2) Determining initial or continued eligibility of claims, based on rules and regulations

3) Experience working in a medical or vocational field

Florida Department of Health Mission, Vision, and Values:

Mission:

To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

Vision:

To be the Healthiest State in the Nation.

Values:

I nnovation: We search for creative solutions and manage resources wisely.

C ollaboration: We use teamwork to achieve common goals & solve problems.

A ccountability: We perform with integrity & respect.

R esponsiveness: We achieve our mission by serving our customers & engaging our partners.

E xcellence: We promote quality outcomes through learning & continuous performance improvement.

Where You Will Work:

Miami

The Benefits of Working for the State of Florida:

Working for the State of Florida is more than a paycheck. The State’s total compensation package for employees features a highly competitive set of employee benefits including:

• Annual and Sick Leave benefits;
• Nine paid holidays and one Personal Holiday each year;
• State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
• Retirement plan options, including employer contributions

(For more information, please click www.myfrs.com);

• Flexible Spending Accounts;
• Tuition waivers;
• And more!

For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com.

Please be advised:

Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.

This position requires a security background check and participation in direct deposit.

Your conditional job offer and access to Social Security Administration’s (SSA’s) systems, data, information, and/or premises are contingent upon you passing the SSA suitability process.

• Note: This covers the preliminary screening (pre-screen) and the final background adjudication stage of the suitability process.

Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.

Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: http://www.sss.gov

If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.

The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.

Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.

Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-877-562-7287). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.

The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

VETERANS’ PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans’ Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.