State of Washington Classified Job Specification
DDS ADJUDICATOR 4
Class Series Concept
Positions carry a partial caseload of disability claims and independently mentor and coach lower level staff on Social Security disability program, policy, and technical aspects of claims adjudication.
Provide technical assistance concerning interpretation of medical and program policy;
Maintains a partial caseload of disability claims to keep current on program, policy, caseload management and technology changes;
Develops and coordinates caseload management plans for lower level staff;
Provides desk coverage for adjudicators on leave;
Provides consultative examination order review and recommendation;
Acts in supervisor’s absence, attending supervisor meetings, reporting to management, leading unit meetings;
Advises adjudicators on appropriate medical and vocational development and decision policy;
Keeps current with policy changes and relays information to unit;
Mentors and assists trainees through steps of the in-training plan;
May be responsible for participating in pilots, special studies or adjudicating special workloads;
Develops and carries out specialized studies, analyses and reports;
Prepares summary and status reports;
Participates in developing and maintaining appropriate and consistent statewide policies, procedures and standards;
Performs other work as required.
Knowledge and Abilities
Ability to: coach, mentor and train; rapidly review and analyze Social Security/SSI cases for sufficiency of documentation and correctness of decision; speak effectively in a public setting; establish and maintain effective working relationships with peers, colleagues, supervisors, claimants, physicians and the general public.
A Bachelor's degree
Professional experience working with disability, medical or insurance claims adjudication or investigation, health care, unemployment, workers compensation, social services, or related field will substitute, year for year, for education.
Three years of recent experience as an adjudicator of Social Security Disability Insurance. Must have successful experience adjudicating all claim types.Note: Recent years of experience must be gained within four years of application.