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State of Georgia

State government delivering health, transport, education

Adjudicator 1

Claims AdjudicationUpdated on Nov 14
Full-timeStone Mountain, GA, USA$48.9k

About the Job

Requirements

  • A bachelor's degree in a related area from an accredited college or university, or three years of experience interpreting and applying laws regarding program eligibility.
  • Applicants must be legally authorized to work in the United States.
  • Employees must successfully complete a mandatory federal and national background check, pre-employment testing, and additional checks required for the job.
  • Employment is contingent upon meeting the requirements of Homeland Security Presidential Directive-12.
  • The role requires a 40-hour workweek and regular attendance; occasional long hours and weekend work may be required.
  • The role requires occasional lifting or moving of up to 10 pounds and up to 25 pounds.
  • Applicants must be able to perform the stated physical demands, including talking or hearing; frequently standing, walking, handling objects, and reaching; occasionally sitting, climbing or balancing, and stooping, kneeling, crouching, or crawling; and using the specified vision abilities.

Responsibilities

  • Review and analyze evidence of illness, injury, disease, or other medical conditions and vocational factors that prevent an individual from gainful employment, and determine whether to approve or deny disability benefits.
  • Prepare a detailed written analysis explaining case facts and the basis for decisions, and provide written notice to claimants and the Social Security Administration.
  • Maintain a caseload of initial Social Security Disability and Supplemental Security Income claims at various stages of development, exercising judgment to resolve all issues.
  • Protect confidential and sensitive personal, medical, and vocational information in accordance with federal and state mandates.
  • Review initial disability cases at different stages of development and write comprehensive analyses to ensure compliance with Social Security laws and regulations, legal statutes, and internal office procedures.
  • Determine the medical and vocational information needed to substantiate claims; analyze medical, vocational, educational, and other collateral information; and integrate findings with Social Security disability regulations and the facts of each claim.
  • Determine whether additional medical tests, evaluations, or consultative examinations in medicine, psychology, psychiatry, or other specialties are needed, and arrange payment for medical evidence.
  • Prepare written residual functional capacity assessments based on the severity of medical conditions and the nature of impairments.
  • Consult internal and external professionals or contract providers, including physicians, psychologists, and vocational experts, to address complex issues.
  • Interview or correspond with claimants, family members, legal representatives, employers, community resources, and others as needed to obtain information or collateral evidence about an individual's functional abilities.
  • Travel primarily locally during the business day; some out-of-area and overnight travel may be required.

Desired Qualifications

  • Professional experience working with disability, medical, or insurance claims adjudication or investigation; health care; unemployment; workers' compensation; social services; or a related field.

About the Company

State of Georgia

State government delivering health, transport, education

Georgia's government runs the state by delivering public services through its about 130 state agencies, covering areas like health, transportation, education, environment, and more. It employs roughly 200,000 teachers and state workers who staff schools, agencies, and programs, ensuring laws and services are carried out for residents and businesses. The state interacts with residents and businesses through its agencies, licensing, grants, infrastructure projects, and public programs. What makes Georgia different is its large, diverse economy and status as a business hub, with well-known regional employers and industries (e.g., Hartsfield-Jackson Airport, Delta, CNN, Home Depot, Coca-Cola) and Atlanta’s role as a center for culture and commerce. Its goal is to support residents’ well-being, enable economic growth, and maintain efficient, accessible public services that attract and retain businesses and talent.

Company size
5,001-10,000
Company stage
Grant
Total funding
$4M
Headquarters
Atlanta, GA
Founded
1788

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