Adjudicator

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Adjudicator 1

Georgia Vocational Rehabilitation Agency

JR

Day (United States of America)

STONE MOUNTAIN, GA

48,927

We are excited to announce MULTIPLE openings for this position! THIS POSITION IS LOCATED IN STONE MOUNTAIN, GA Summary/Objective:
Under supervision, assists in gathering and assessing evidence to decide or recommend decisions on claims or appeals concerning government programs or other government-related matters and prepares decisions.

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Reviews and analyzes evidence of illness, injury, disease or other medical conditions and vocational factors, which prevent an individual from gainful employment, and renders a determination to approve or deny disability benefits.
• Prepares a detailed written analysis explaining the facts of the case and the basis for the decision and provides written notice to the claimant and the Social Security Administration.
• Maintains a caseload of initial Social Security Disability claims, and claims for Supplemental Security Income, at various stages of development, and exercises judgment to ensure resolution of all issues.
• Protects and safeguards confidential and sensitive personal, medical, and vocational information in accordance with federal and state mandates.
• Completes case reviews and writes a comprehensive analysis on initial disability cases, at different stages of development, to assure compliance with the Social Security laws and regulations and legal statutes utilizing the appropriate internal office procedures.
• Determines the medical and vocational information needed to substantiate the claim, analyze medical, vocational, educational, and other collateral information received, and integrates those findings with Social Security regulations concerning disability, and with facts of that claim.
• Determines the need for additional medical tests, evaluations, or consultative examinations in the fields of medicine, psychology, psychiatry, or other specialties, and arranges for expenditure of funds for medical evidence.
• Prepares a written residual functional capacity assessment based on the severity of the medical condition and the nature of the impairment.
• Consult with internal and external professionals or contract providers, including physicians, psychologists, and vocational experts to address highly complex issues.
• Interviews or corresponds with claimants, family members, legal representatives, employers, community resources and others as needed, to obtain additional information or collateral evidence concerning an individual’s functional abilities.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

• Accountability
• Critical Thinking
• Judgment and Decision Making
• Focus on Quality
• Initiative
• Problem Solving/Analysis

Preference will be given to applicants who, in addition to meeting the required education and experience:
Professional experience working with disability, medical or insurance claims…