Job opening: Social Insurance Specialist (Claims Technical Expert) (GEN)
Salary: $99 044 - 128 752 per year
Published at: May 24 2024
Employment Type: Full-time
LOCATION: This position is located in the Oceanside District Office at: 2160 S El Camino Real, Oceanside, CA
TOUR OF DUTY: Full-time | Flextime | Alternate work schedules may be available.
TYPE OF POSITION: Permanent.
Duties
The position description number for this position is 5E2400. A summary of the major duties are listed below. You may also view the full position description on the Agency intranet at the following link: PD Search
The incumbent serves as technical expert responsible for developing and adjudicating the most complex, non-routine Title II and Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring other employees, provides technical expertise on the most effective use of software/systems to process specific complex claims and post-entitlement actions.
Requirements
- All application materials must be received by the closing date.
- Applicants must be in good standing.
- Applicants must have a fully successful rating of record.
- Official Personnel Folders will not be reviewed.
- Requests for copies of application documents will not be accepted.
- All application forms submitted become the property of SSA Human Resources.
- You must indicate on the SSA45 if you are in/or have held a temp promotion/detail.
Qualifications
Applicants must have 52 weeks of specialized experience at the GS-11 level, or equivalent, which is in or related to the work of the position to be filled and has equipped applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position.
Your SSA-45 must show at least one year of qualifying specialized experience equivalent to the GS-11 grade level in the Field Office (FO)/ Workload Support Unit (WSU) and (1) adjudicating, authorizing, investigating or reconsidering claims through face-to-face, telephone, or VSD interviews (2) functioning as a lead worker or performing quality control functions in reviewing caseloads (e.g., income maintenance, benefits, pension plans, health insurance, etc.), (3) adjudicating post-entitlement actions including Continuing Disability and Entitlement Reviews and using software and systems such as Workload Action Center (WAC), SSTNG, and eWork (4) mentoring, reviewing, or providing formal/informal training to FO Claims Specialists (CS) on Social Security laws, regulations, policies, and procedures. Experience in Title II and Title XVI is required. Candidates must describe their Title II and Title XVI experience.
Applicants must also meet the following to qualify for this position:
Meet and deal ability is required. By the closing date of the announcement, candidates who have not occupied SSA positions for which meet-and-deal ability is required as a selective placement factor MUST upload a completed Certification of Meet and Deal Ability form. If you do not submit the form by the closing date of the announcement, you will be disqualified for the position. If you do not already have this documentation, contact your supervisor or manager.
Candidates who are in/have held positions requiring meet-and-deal certification do NOT have to submit documentation when applying for this position. Click here to view a list of positions that meet this requirement.
Qualification requirements must be met by the closing date of this announcement.
Applicants for promotion must have 52 weeks at GS-11.
Time in grade requirement must be met by the closing date of this announcement.
Education
This job does not have an education qualification requirement.
Contacts
- Address Region IX South Coast Area
2011 PALOMAR AIRPORT ROAD
SUITE 201
CARLSBAD, CA 92011
US
- Name: Leticia Brizuela
- Phone: 510-970-2841
- Email: [email protected]
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