The Disability Examiner is the core pillar of the social security administration and disability insurance firm. The job description involves reviewing disability claims of long-term disabled patients to determine their settlement amount. The core job tasks included on the Disability Examiner Resume include the following – reviewing disability claims to determine the level of liability, analyzing police reports, medical bills, and physical property damages; executing accurate review of disability, negotiating an acceptable settlement amount for both parties, undertaking further investigations by interviewing claimants and making a disability determination after obtaining enough information and consulting with other professionals.
To execute the job successfully, the following skills are needed – strong reading comprehension skills, ability to understand technical terms, potential to make an accurate determination of claims, negotiation skills, a thorough knowledge of physical and mental disabilities, and the ability to evaluate impacts of physical and mental impairment. A bachelor’s degree in Physical therapy is the common qualification seen on most resumes.
Objective : Dedicated professional with two years of experience in evaluating disability claims and assessing medical documentation. Skilled in analyzing functional capacity and facilitating communication between claimants and healthcare providers. Committed to ensuring accurate and timely decisions that support individuals with disabilities in accessing essential benefits.
Processed Social Security Disability cases by requesting and reviewing medical information from various healthcare providers.
Conducted interviews with claimants to gather additional details about their work history and functional abilities.
Evaluated disability claims to determine eligibility based on medical evidence and guidelines.
Obtained and analyzed vocational information to assess claimants' past job duties and their impact on current capabilities.
Assisted with the processing of disability claims across multiple states, ensuring adherence to federal guidelines.
Finalized disability cases upon completion of medical assessments, inputting findings into the agency's database.
Managed a caseload effectively while meeting production and quality assurance standards.
Experience
0-2 Years
Level
Entry Level
Education
B.S. Health Admin.
Senior Disability Examiner Resume
Headline : Accomplished Senior Disability Examiner with over 7 years of experience in evaluating complex disability claims. Adept at analyzing medical documentation and applying federal regulations to ensure fair determinations. Passionate about advocating for individuals with disabilities and dedicated to delivering timely and accurate decisions that empower claimants to access essential benefits.
Skills : Microsoft Office Suite, Claims Processing Software, Confidentiality, Organizational Skills, Team Collaboration
Description :
Conducted comprehensive investigations into the medical and vocational aspects of disability claims.
Applied expertise in medicine, federal law, and administrative regulations to assess complex cases.
Screened incoming claims to determine eligibility and appropriate program assignments.
Synthesized medical and non-medical information in compliance with federal guidelines.
Authorized specialized medical and psychological evaluations to support claim decisions.
Coordinated with contracted medical vendors to ensure accurate examinations and tests.
Reviewed examination reports to verify that all authorized services were completed.
Experience
5-7 Years
Level
Senior
Education
B.S.W.
Disability Examiner Resume
Objective : Accomplished Disability Examiner with 5 years of comprehensive experience in evaluating disability claims and medical documentation. Proficient in interpreting regulations and collaborating with healthcare professionals to ensure timely and accurate determinations. Passionate about empowering individuals with disabilities by facilitating access to vital benefits.
Skills : Medical Documentation Review, Regulatory Compliance, Presentation Skills, Work Ethic, Self-motivation, Goal Orientation
Description :
Evaluated disability claims by analyzing medical records and applicant information to determine eligibility.
Collaborated with healthcare professionals to obtain necessary medical evidence and clarify complex cases.
Communicated effectively with claimants to explain the claims process and address inquiries.
Wrote detailed rationales to justify disability decisions in compliance with federal regulations.
Processed claims in a timely manner, maintaining a high level of accuracy and attention to detail.
Managed a diverse caseload, prioritizing tasks to meet deadlines and ensure efficient processing.
Reviewed and authorized medical exams and tests as required for thorough claim evaluations.
Experience
2-5 Years
Level
Junior
Education
B.S. in Health Sci.
Associate Disability Examiner Resume
Summary : Experienced Associate Disability Examiner with a decade of expertise in assessing complex disability claims and interpreting medical documentation. Proficient in applying federal regulations to ensure accurate decisions that facilitate access to benefits for individuals with disabilities. Committed to enhancing the claim process and advocating for the rights of claimants.
Skills : Conflict Resolution, Client Advocacy, Data Analysis, Critical Thinking, Interpersonal Skills, Problem Solving
Description :
Conducted thorough evaluations to determine eligibility for leave and disability benefits.
Reviewed and processed medical documentation in compliance with federal regulations.
Collaborated with healthcare providers to gather necessary information for claims assessment.
Utilized analytical skills to assess functional capacity and make informed decisions.
Maintained accurate records of case evaluations and decisions.
Participated in cross-functional teams to enhance service delivery and claimant support.
Ensured timely communication with claimants regarding their case status and required documentation.
Experience
7-10 Years
Level
Consultant
Education
BASW
Disability Examiner Resume
Headline : Seasoned Disability Examiner with over 7 years of expertise in evaluating and adjudicating disability claims. Proficient in analyzing medical records and applying relevant regulations to ensure equitable outcomes. Driven to advocate for individuals with disabilities, ensuring they receive timely access to necessary benefits while maintaining the highest standards of accuracy.
Contacted claimants and field offices to resolve issues, collaborating effectively with medical consultants on complex cases.
Requested consultative medical examinations when evidence was insufficient for determination.
Interviewed claimants to gather vocational documentation necessary for eligibility assessments.
Obtained detailed descriptions of claimants' daily living activities to evaluate the impact of symptoms on work capabilities.
Analyzed all evidence to ensure sufficiency for disability determinations and addressed material conflicts promptly.
Developed strategies to streamline the claims review process, enhancing overall efficiency.
Maintained meticulous records and documentation to support decision-making processes.
Experience
5-7 Years
Level
Management
Education
B.S. Health Admin.
Entry-Level Disability Examiner Resume
Objective : Motivated individual with two years of experience in disability claims evaluation and medical documentation assessment. Proficient in gathering evidence, analyzing functional capacity, and ensuring compliance with regulations. Passionate about facilitating access to benefits for individuals with disabilities while maintaining accuracy and efficiency in decision-making.
Skills : Data Analysis Software, Decision Making, Time Management, Research Skills
Description :
Collected and evaluated medical and vocational information to determine eligibility for disability benefits.
Reviewed medical records and daily activity reports to assess claim validity.
Collaborated with physicians and psychologists to analyze evidence and provide recommendations.
Drafted clear analyses and decisions based on factual findings and established criteria.
Ensured compliance with relevant laws, regulations, and policies throughout the evaluation process.
Organized and managed caseload effectively, prioritizing timely decision-making.
Maintained accurate records and documentation to support case determinations.
Experience
0-2 Years
Level
Entry Level
Education
B.S. Health Sci.
Disability Examiner Resume
Objective : With two years of hands-on experience in evaluating disability claims, I excel at reviewing medical documentation and assessing functional capacity. My expertise lies in fostering clear communication between claimants and healthcare professionals, ensuring efficient and accurate determinations that facilitate access to essential benefits for individuals with disabilities.
Evaluated disability claims, ensuring comprehensive review of medical documentation and claimant information.
Facilitated communication between claimants and medical professionals to gather necessary evidence.
Applied federal regulations to determine eligibility for Social Security benefits.
Ensured timely and accurate decision-making in accordance with agency standards.
Maintained detailed records of claims processed and decisions made.
Provided support and guidance to claimants throughout the evaluation process.
Identified and resolved discrepancies in submitted documentation to uphold claim integrity.
Experience
0-2 Years
Level
Fresher
Education
B.S. Health Admin.
Senior Disability Examiner Resume
Summary : With a decade of experience in disability examination, I excel in evaluating complex claims and ensuring compliance with federal regulations. My expertise in analyzing medical documentation and collaborating with healthcare providers enables timely and accurate determinations. I am dedicated to empowering individuals with disabilities by facilitating their access to essential benefits.
Skills : Claims Evaluation, Report Writing, Medical Terminology, Communication Skills, Resource Management, Documentation Skills
Description :
Evaluated and adjudicated complex Social Security Disability claims, ensuring compliance with federal regulations.
Conducted thorough analysis of medical records, application details, and physician recommendations to determine claim validity.
Maintained a pending caseload of 34.4 claims, significantly lower than the state average of 56.46.
Implemented effective strategies for managing medical costs, achieving a consultative examination rate of 29.67%.
Ensured 100% accuracy in decision-making through rigorous end-quality reviews.
Finalized decisions in an average of 31.33 days, outperforming the state average of 43.72 days.
Collaborated with interdisciplinary teams to streamline the claims process and enhance claimant outcomes.
Experience
7-10 Years
Level
Management
Education
B.S. Health Admin.
Disability Examiner Resume
Objective : Motivated Disability Examiner with 5 years of experience in evaluating and processing disability claims. Expert in assessing medical evidence and applying regulatory guidelines to ensure accurate eligibility determinations. Committed to supporting individuals with disabilities by facilitating timely access to essential benefits and improving claim outcomes.
Gathered comprehensive medical history and social data to inform disability evaluations.
Provided training to agency staff on effective documentation of case histories and eligibility criteria.
Drafted detailed written determinations summarizing findings and rationale for decisions.
Collaborated with medical professionals to enhance understanding of disability assessments.
Established and maintained relationships with community agencies to support claimants.
Ensured compliance with federal regulations in all documentation and decision-making processes.
Conducted regular reviews of case files to verify accuracy and completeness of information.
Experience
2-5 Years
Level
Junior
Education
B.A.
Assistant Disability Examiner Resume
Objective : Bringing two years of experience in disability claims evaluation, I specialize in reviewing medical documentation and assessing claimant eligibility. My strong analytical skills enable me to ensure compliance with regulations while providing compassionate support to individuals with disabilities. I am dedicated to facilitating timely and accurate decisions that empower claimants to access crucial benefits.
Skills : Empathy, Record Keeping, Technical Proficiency, Interviewing Skills
Description :
Prepared detailed reports summarizing findings and recommendations for claim decisions.
Authorized necessary consultative examinations based on case requirements.
Evaluated all pertinent evidence continuously for sufficiency in documentation and adjudication.
Ensured compliance with federal and state regulations regarding disability determinations.
Ensured timely completion of actions through initial and subsequent development.
Adjudicated cases by preparing final determinations and notices.
Maintained accurate and organized case files for efficient tracking and reporting.
Experience
0-2 Years
Level
Entry Level
Education
B.S. Health Admin.
Disability Examiner Resume
Headline : With over 7 years of experience as a Disability Examiner, I excel in evaluating complex claims and interpreting medical documentation. My expertise in regulatory compliance and effective communication enhances the decision-making process, ensuring timely access to benefits for individuals with disabilities. I am dedicated to advocating for claimants and delivering accurate, fair outcomes.
Skills : Data Analysis And Management, Persuasion Skills, Emotional Intelligence, Feedback Reception, Risk Assessment
Description :
Reviewed and analyzed initial claim information for accuracy and completeness.
Organized and maintained documentation, ensuring a systematic approach to claims processing.
Collaborated with healthcare providers to obtain necessary medical evidence for claims.
Prepared and submitted detailed reports justifying claim decisions based on regulatory guidelines.
Entered data into the claims management system, ensuring accurate record-keeping.
Facilitated communication between claimants and medical sources to clarify information.
Monitored case files to ensure compliance with legal standards and timely resolutions.
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