Disability Determination Adjudicator I

This is the first level of disability determination adjudication work. 

Upon satisfactory completion of department promotional standards and job requirements, employees may be eligible to be promoted to the next level.

Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

• Reviews claims and plans case development to adjudicate claims.
   
• Gathers necessary medical, vocational and other evidence by telephone and letter contact to clarify initially submitted information and obtain additional information needed to adjudicate a case.
   
• Reviews and analyzes medical, psychological, psychiatric, social, educational and vocational evidence to determine the severity of medically determinable impairments, justifiable onset date, and credible work-related limitations in accordance with Federal regulations and programmatic mandates.
   
• Requests consultative medical examinations to adjudicate claims and manages scheduling arrangements with medical providers and claimants to ensure that claimants attend examinations.
   
• Researches the affects of disease processes and resulting impact on the ability to perform work-related activities.
   
• Prepares documentation for favorable decisions; prepares written decision rationales and letters to inform claimants of unfavorable decisions made on their disability applications; and explains due-process and appeal rights.
   
• Authorizes payment of medical invoices.
   
• Maintains up-to-date reference materials and manuals necessary to the adjudication process.

JOB REQUIREMENTS for Disability Determination Adjudicator I
Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

• Possession of a Bachelors degree or higher in Behavioral, Social or Health Science or related field.

         OR

1. Six months experience in analyzing medical conditions in terms of vocational success.
2. Six months experience in conducting medical and vocational case assessments to include collecting, analyzing and summarizing data in written narrative reports.
3. Six months experience in applying laws, rules, regulations, standards, policies and procedures.

Telework opportunities may be available upon satisfactory completion of initial probationary period. Writing Exercise: A writing exercise will be given at the time of interview.

This posting may be closed on or before (3/30/2022) upon filling the vacant position(s).

Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.

Criminal background check:  A satisfactory criminal background check is required as a condition of hire.  The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire.

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position.  It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties.  For education and training, list name of educational provider, training course titles and summary of course content.   Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

Once you have submitted your application on-line, all future correspondence related to your application will be sent via email.  Please keep your contact information current.  You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at Delaware State Jobs.

Accommodations are available for applicants with disabilities in all phases of the application and employment process.  To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance. The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.