Disability Examiner Resume Samples

Description :

1. Processed Social Security Disability cases by requesting medical information from medical sources by mail and phone.
2. Contacted a claimant to obtain additional information regarding their work history and functioning abilities.
3. Reviewed the returned medical and functional information and prepare documentation for the medical review team to assess.
4. Performed work as a Single Decision Maker- review medical information and prepare physical residual functioning capacity and mental residual functioning.
5. Obtained vocation information related to duties performed and capacity level in past work and compared those duties and capacities.
6. Assisted the federal government by processing disability claims for other states.
7. Finalized cases when the medical assessment is complete by inputting information into a computer system.
8. Managed caseload along with meeting all required production, processing time, and quality assurance quotas.

Experience

7-10 Years

Level

Management

Education

Criminal Justice

Description :

1. Initiated a thorough investigation of the medical and vocational aspects of disability claims.
2. Utilized knowledge of medicine, federal law, and administrative regulations to complex and unique cases.
3. Screened incoming initial claims to identify the appropriate program pursuant to regulations.
4. Compiled evaluates and synthesizes medical and non-medical information in accordance with federal guidelines.
5. Authorized the purchase of specialized medical or psychological diagnostic services.
6. Coordinated the preparation of authorization to the contracted medical vendor to include the exact exam and/or test to be performed.
7. Reviewed the final report of examination to ensure that all authorized services have been performed.
8. Ensured the confidentiality of communications relative to claims management in accordance with the Federal Privacy Act.

Experience

10+ Years

Level

Senior

Education

Diploma

Description :

1. Gathered data through electronic requests sent via email and SSA/DDS software programs and through written and verbal correspondence.
2. Consolidated and correlated data using SSDI/SSI program regulations, policy directives, and agency guidelines to determine an applicant's ability.
3. Conferred and collaborates with agency physicians and other agency specialists to clarify gathered data as needed.
4. Explained the Social Security disability programs to applicants, the public, and various other professionals.
5. Wrote the rationale to explain and justify the disability decision. Process disability claims.
6. Authorized the purchase of medical exams, tests, and procedures from physicians, hospitals, and laboratories.
7. Maintained a constantly changing caseload of clients who had applied for disability through social security administration.
   

Experience

7-10 Years

Level

Management

Education

M.A

Description :

1. Determined eligibility for leave and disability benefits.
2. Attended Physician Statement form is forwarded to your treating physician immediately.
   
3. Released and Use of Medical Information form are signed.
4. Faxed the signed Authorization form to Sedgwick, and Give a signed copy to your physician along with the Attending Physician's Statement form.
5. Authorization must be signed to obtained medical information for approval of leave and disability benefits.
6. Evaluated and make medical decisions on Social Security disability claims Case Management.
7. Evaluated data to determine eligibility for disability benefits under Titles II and XVI of the Social Security Act (SSA).

Experience

7-10 Years

Level

Management

Education

Diploma

Description :

1. Reviewed initial claim information supplied by the Social Security field office for accuracy and completeness.
2. Contacted the claimant or the field office to resolve issues. Confer with medical consultants on medical issues.
3. Requested reports from medical sources and other appropriate sources of evidence needed to document the claim.
4. Requested consultative medical examinations when evidence of record is not sufficient to make a disability determination.
5. Obtained the vocational documentation necessary to make eligibility determination by interviewing the claimant.
6. Obtained a detailed description of the claimant's activities of daily living and how symptoms affect these and work-related activities.
7. Analyzed all of the evidence to determine its sufficiency to make a disability determination and take appropriate actions to resolve material conflicts.

Experience

5-7 Years

Level

Executive

Education

Diploma

Description :

1. Obtained information to be utilized as evidence in determining eligibility for disability benefits.
2. Informed includes medical records, the vocational history of applicants, and reports of applicants' daily activities.
3. Worked with a staff physician or psychologist in analyzing the evidence.
4. Correlated the medical evidence and vocational evidence with established criteria.
5. Wrote an analysis of the facts and the determination to write an analysis of the facts and the decision to set forth in a clear, concise manner.
6. Assessed and correlating evidence to learn pertinent laws, regulations, and policies.
7. Organized and controlled a systematic plan of case development and caseload management.

Experience

2-5 Years

Level

Junior

Education

Public Administration

Description :

1. Arrangements for special examination by medical specialists.
2. Prepared written determination summarizing findings and providing a rationale for eligibility decisions.
3. Contacted physicians, hospitals work establishments, claimants, or other sources by telephone to collect necessary data as needed.
4. Developed and maintained working relationships with community agencies and professional and medical personnel.
5. Ensured the availability and provision of supportive services for clients.
6. Helped in furthering career experience. Skills Used have skills in Microsoft words, excel, access, and PowerPoint.
7. Adjudicated of disability claims for Title and Title SSA applications.
8. Worked directly with assigned claimants to acquire all information on their allegations and medical history.

Experience

5-7 Years

Level

Consultant

Education

Master Of Science

Description :

1. Gathered medical/work history and social data are needed and make arrangements for special examinations by medical specialists.
2. Advised and trained agency staff on better ways to prepare and maintain social case histories, case summaries, case records, and correspondence.
3. Prepared written determination summarizing findings and providing a rationale for eligibility decisions.
4. Recruited and trained contract physicians to assist in disability determination.
5. Contacted physicians, hospitals work establishments, claimants, and other sources to collect necessary data as needed.
6. Developed and maintain working relationships with community agencies and professional and medical personnel to ensure availability.
7. Prepared written reports of all contacts to ensure the legality of documentation.

Experience

5-7 Years

Level

Executive

Education

Psychology

Description :

1. Gathered medical/work history and social data are needed and make arrangements for special examinations by medical specialists.
2. Advised and trained agency staff on better ways to prepare and maintain social case histories, case summaries, case records, and correspondence.
3. Prepared written determination summarizing findings and providing a rationale for eligibility decisions.
4. Recruited and train contract physicians to assist disability determination.
5. Contacted physicians, hospitals work establishments, claimants, and other sources to collect necessary data as needed.
6. Developed and maintain working relationships with community agencies and professional and medical personnel to ensure availability.
7. Prepared written reports of all contacts to ensure the legality of documentation.

Experience

5-7 Years

Level

Executive

Education

Psychology

Description :

1. Analyzed case issues upon receipt and develop a case in a cost-effective manner through appropriate contacts with medical and lay sources for evidence of record.
2. Authorized appropriate consultative examination as required.
3. Evaluated all pertinent evidence on an ongoing basis for sufficiency in documentation and adjudication.
4. Managed assigned caseload in accordance with established policies, procedures, and objectives in order to deliver timely decisions.
5. Ensured actions are completed timely through initial and subsequent development.
6. Adjudicated case by preparing final determination and notice.
7. Provided exceptional customer service to internal and external customers.

Experience

5-7 Years

Level

Executive

Education

Business Administration

Description :

1. Organized forms, made photocopies, filed records, and prepare correspondence and reports.
2. Added new material to file records and created new records.
3. Outlined the appropriate process and procedures necessary to fulfill and complete inquiries.
4. Scanned documentation and entered into the database.
5. Reviewed initial claim information supplied by the Social Security field office for accuracy.
6. Requested reports from medical sources and other appropriate sources of evidence needed to document the claim.
7. Prepared necessary forms and rationales to support the decision.

Experience

7-10 Years

Level

Management

Education

Finance