Disability Claims Adjudicator - HYBRID

Full Time
Columbus, OH 43235
Posted
Job description

Organization: Opportunities for Ohioans with Disabilities

Classified Indicator: Classified

Bargaining Unit / Exempt: Bargaining Unit

Schedule: Full-time

Work Hours: 8:00am - 5:00pm

Compensation: $22.81

Unposting Date: Mar 16, 2023, 11:59:00 PM

Job Function: Claims Examination

Agency Contact Name: Jason White

Agency Contact Information: OOD.HRSelections @ ood.ohio.gov

Now accepting applications for

Hybrid - Disability Claims Adjudicators

This position offers the flexibility of a hybrid schedule that combines working from home with regular in-office and/or community presence. In-person work requirements may change for training, meetings, and other operational needs. Employees must reside at a location that allows for reasonable response time to workplace reporting requirements. Daytime travel within Ohio may be required.

Hourly $22.81

$500 bonus after 90 days with successful probation evaluation

$500 bonus upon completion of probation at 1 year

Pay increase on July 1, 2023

Who We Are

Opportunities for Ohioans with Disabilities (OOD) is the state agency that empowers Ohioans with disabilities through employment, disability determinations, and independence. It is accomplished through its Bureau of Vocational Rehabilitation (BVR), Bureau of Services for the Visually Impaired (BSVI) and Division of Disability Determination (DDD). A fourth area is the Division of Employer and Innovation Services (EIS), which is responsible for establishing and maintaining partnerships with employers.

What We Do

OOD works with partners in businesses, education and non-profit organizations to facilitate customized employment plans for Ohioans with disabilities; helps Ohio companies recruit and retain employees with disabilities; and is the sole agency determining medical and vocational Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) programs in Ohio.

Our Guiding Principles

In striving for excellence in service, we will:

  • Listen first
  • Act with a sense of urgency
  • Honor diversity
  • Foster inclusiveness
  • Value collaboration
  • Inspire innovation, be transparent
  • Be accountable
  • Celebrate Success

The Division of Disability Determination (DDD)

The Division of Disability Determination (DDD), in agreement with the Social Security Administration (SSA), determines medical eligibility for Ohioans who apply for Social Security disability benefits. DDD is federally regulated and receives 100% of its funding from SSA. Under SSA, disability is based on an individual’s inability to work. To learn more about DDD, please click here.

What is a Disability Claims Adjudicator and what do they do?

At OOD, a Disability Claims Adjudicator (DCA) is a State of Ohio employee who considers medical and vocational information to process Social Security disability determination claims for Ohioans; gathers and analyzes information from various sources to include medical, psychological and functional evidence in determining one’s work-related limitations; interacts frequently with claimants, attorneys, medical sources and other professionals to obtain evidence used to evaluate the severity of medical conditions and a claimant’s ability to perform work-related activities.

Characteristics of a Successful Disability Claims Adjudicator

  • Ability to manage a high-paced workflow in a time-efficient manner
  • Ability to stay organized and quality-focused
  • Strong analytical and critical-thinking skills
  • Ability to make decisions independently with good judgement
  • Motivation and ability to deliver excellent customer service

What’s in it for you:

At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes:

Medical Coverage

  • Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans.

Dental, Vision and Basic Life Insurance

  • Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.

Time Away From Work and Work/Life Balance

  • Paid time off, including vacation, personal, and sick leave
  • 11 paid holidays per year
  • Childbirth/Adoption leave

Employee Development Funds

  • The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.

Ohio Public Employees Retirement System

  • OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee’s salary. Visit the OPERS websitefor more information.

Deferred Compensation

  • The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation websitefor more information.

Ohio is a Disability Inclusion State and strives to be a Model Employer of Individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.

Opportunities for Ohioans with Disabilities is an Equal Employment Opportunity Employer

Join Our Team, Apply Today!

Follow us on social media @OhioOOD

Qualifications

Completion of undergraduate core program in human/medical services area (e.g. psychology, sociology, criminology, pre-medicine, special education), public relations, public administration, business administration, communications or closely related field.

-Or 24 mos. exp. in adjudication of social security disability benefit claims for another state jurisdiction or federal component of social security administration.

-Or equivalent of Minimum Class Qualifications for Employment noted above.

Knowledge of: disability claim development procedures*, Social Security disability law (e.g. Program Operations Manual System (POMS))*, procedures & regulations*, HIPAA Privacy Act*, natural & physical sciences (e.g. biology, anatomy, physiology)* vocational analysis*, psychological testing & measurement*, behavioral assessment*, medical terminology*, psychology*, sociology*, body systems/functions & disorders*, diseases & disabling conditions *, adjudicative practices*, critical thinking/problem solving techniques, interviewing techniques, computer applications (e.g. Microsoft Office), public relations/customer service.

Skill in: operation of office equipment, related agency software*.

Ability to: interpret extensive variety of technical, medical & vocational data, identify problems with complex variables, analyze, evaluate & draw valid conclusions, maintain high level of accuracy while handling a constantly fluctuating workload, manage an individual caseload of claimants (with both physical &/or mental disabilities) with successful performance as demonstrated by quality/timely production which meets or exceeds the expectations for the position, gather & collate information about data, people or things, communicate effectively (both verbally & in writing), work efficiently & accurately, maintain composure & flexibility under pressure, challenging conditions & job related stress, work in cooperation with all levels of government structure, medical community & individuals with life-threatening diseases, emotional distress, severe mental illness & significant economic difficulties, handle sensitive inquiries from & contacts with general public, retain & apply newly learned concepts, work independently.

*Developed after employment

Applications must clearly indicate how the applicant meets the minimum qualification for the position. If you meet minimum qualification due to educational achievement, you must submit a copy of your unofficial transcript(s) with your application by the posting deadline. All answers to the supplemental questions must be supported by information provided in the work experience &/or education sections on your civil service application. Please do not use “see resume” as a substitution for the completed application; assumptions will not be made.

Internal applicants, information in your personnel file does not supplement the need to attach required documents by the posting deadline (e.g., if a transcript is required to demonstrate that you meet minimum qualifications by education you must attach the transcripts). If you have attached supporting documents in the past, you must make them relevant on your current application. This is done in step 7 “Additional Attachments.” If you don’t demonstrate how you meet minimum qualifications in the supplemental questions, your application will automatically be disqualified from consideration.

This documentation can be submitted by attaching to the supplemental attachments with your online application or by email to OOD.HRSelections @ ood.ohio.gov. Indicate DCA Req. #230001Z5 in the subject line of your email.

Application Status: You can check the status of your application online by signing into your profile. Careers to which you’ve applied will be listed. The application status is shown to the right of the position title and application submission details. Questions pertaining to things other than your application status can be directed to OOD.HRSelections @ ood.ohio.gov

Selection Process: These positions are filled through a test and a structured interview. All parts of the assessment will be administered remotely at this time. Testing is tentatively scheduled to be held remotely the week of 4/4/2023. The test is a timed exercise using a device with internet connection. Applicants selected for the assessment will be notified to self-schedule through the Ohio Hiring Management System. Those applicants who successfully complete and pass the test may be eligible to interview.

Technical Assistance: Applicants experiencing technical issues should send an email to careers.ohio.gov for assistance.

Reasonable Accommodation: If you require a reasonable accommodation for the application process, please contact the Human Resources Office at OOD.HRSelections @ ood.ohio.gov so proper arrangements can be made. Otherwise, you will be given specific instructions on requesting an accommodation if you are invited to an assessment.

Background Check Information: The final candidates selected for these positions will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration. Individuals selected for positions with Ohio's Disability Determination Service (DDS) will go through a complete Federal background investigation. A suitability determination by the Social Security Administration 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.

Job Type: Full-time

Pay: $22.81 per hour

Benefits:

  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Parental leave
  • Professional development assistance
  • Retirement plan
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Supplemental pay types:

  • Bonus pay

Work Location: Hybrid remote in Columbus, OH 43235

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