This position is located in the Philadelphia Mid-Atlantic Process Service Center at 300 Spring Garden Street, Philadelphia, PA 19123 Promotion Potential: The GS-11 is the full performance lev

Duties

The Social Insurance Specialist (Claims Specialist) reviews and authorizes claims and other complex determinations for benefits under Titles II, XVI and/or XVIII of the Social Security Act. Claims Specialists conduct interviews with the public to obtain, clarify, and verify information about initial and continuing eligibility for retirement, survivors, disability, health insurance benefits, and eligibility for supplemental security income including State supplements. In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA; and use state of-the-art technology to access and update claims information. Adjudicates and authorizes entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. Develops, investigates, and resolves claims and post-entitlement actions that may involve suspension, resumption, adjustment, or termination of eligibility, or payments. Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission through direct and personal service to the public. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims. Desired skills: written and oral communication, interpersonal, analytical, problem solving, decisiveness and automation.

Requirements

• Proof of ICTAP eligibility required
• U.S. Citizenship required
• Selective Service Registration, if applicable (www.sss.gov)
• Fingerprinting and Background and/or security investigation required
• Job offers are contingent on fingerprinting and background / security investigation results.
• Must pass the Competency Assessment Interview Process (CAIP).

Qualifications

COMPETENCY ASSESSMENT INTERVIEW PROCESS (CAIP) INTERVIEW Applicants will be required to participate in a panel interview (after basic eligibility determination) to demonstrate an aptitude for meeting and dealing with the public. Applicants must pass this interview process in order to be found fully qualified for this position and receive further consideration for selection. This interview will cover typical situations, which might be encountered on the job, in person or over the telephone. Applicants must demonstrate qualities such as clarity of speech, ability to listen, ability to establish confidence and put others at ease and the ability to organize and express thoughts clearly. If you do not pass the CAIP interview, you will not qualify for the job. All qualification requirements must be met by the closing date of the announcement. If you are using experience to qualify, you must have: GS-11: Fifty-two weeks of specialized experience at least equivalent to the GS-9 level. Examples of specialized experience include developing, examining, investigating or authorizing of claims under a program for SSA benefits, health insurance, pension plan, income maintenance or related programs. Note: Part-time work is prorated in crediting experience (e.g., if you work 20 hours per week for a 12 month period, you will be credited with 6 months of experience).

Education

Substituting Education
For information on substituting education for experience, visit http://www.opm.gov/qualifications/standards/group-stds/gs-cler.asp

GS-11: Ph.D. or equivalent doctoral degree, or successful completion of three full years of progressively higher level graduate education leading to a Ph.D. or equivalent degree, or LL.M.

Combining Education and Experience:

GS-11: Experience and graduate level education beyond the second year may be combined to meet the minimum qualification requirement.

Note: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information is not provided, we will consider 18 semester/27 quarter hours to be equal to one year of full-time graduate study.

If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position. Experience and education will be computed as percentages of the overall requirements and must equal to 100 percent when combined.

Contacts

• Address Region III PCO 300 Spring Garden Street 7th Floor Philadelphia, PA 19123 US
• Name: Megan Robertson
• Phone: (215) 597-8938
• Email: [email protected]