Claim Specialist

Job Overview Employees in these positions assist individuals in establishing entitlement to benefits under Social Security programs. You will have contact with the public either by face-to-face interviews or by telephone. These contacts will allow you to obtain, clarify, and verify information which will be used to analyze claims and make decisions regarding entitlement to benefits. Duties Reviews facts, evidence and issues in claims for benefits or entitlement to health insurance and/or supplemental medical insurance benefits, or representative payee cases. Participates in intensive study of procedures, policies, systems and regulations governing the process of adjudication of claims for benefits. Makes formal and informal determinations on claims issues. Authorizes awards or disallowances of claims. Develops facts relevant to issues in the claim by contacting the public by telephone, direct mail contact or the field office. Processes recomputations of benefits and resolves other benefit rate-related issues. Processes earnings maintenance cases. Maintains manuals, memoranda and work-related instructions in an organized manner, facilitating accurate and timely decision-making. Responds to telephone calls/visits from the public by providing information about eligibility to benefits and other types of government and public services. Prepares notices to the public. Refers applicants and other individuals to various agencies and sources for additional assistance and services. Job Type: Full-time Pay: $50,460.00 - $74,678.00 per year Benefits: 401(k) Health insurance Life insurance Paid time off Retirement plan Vision insurance Work Location: In person