Disability Claims Examiner jobs in South Carolina

Disability Claims Examiner reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner typically reports to a supervisor/manager. To be a Disability Claims Examiner typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is closely managed. (Copyright 2024 Salary.com)

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Disability Determination Examiner I (6 Positions) - Office of State Claims (Repost)
  • State of South Carolina
  • Lexington, SC FULL_TIME
  • Join South Carolina state government where you can have a meaningful career, incomparable benefits, and a positive work-life balance!

    • You will, under guidance of a supervisor or designee, reviews applications for disability claims for the Social Security Administration. 
    • You will requests and authorizes payment for medical, psychological, vocational, employment, and other evidence needed to determine eligibility for benefits under Title XVI of the Social Security Act. 
    • You will recommend purchase of consultative examinations as needed to provide documentation of files.
    • You will interview applicants, usually by telephone, to document medical and nonmedical evidence as well as determine the existence of pertinent medical sources of evidence.
    • You will make sure that all information and casework actions associated with the adjudicative process are documented in an electronic file specific to each claimant.
    • You will identify and resolve conflicts in medical, vocational, and other evidence. Interviews physicians and other medical sources by telephone or by letter to resolve these conflicts. 
    • You will implement solutions to disability claim documentation and development problems within the boundaries of organizational policy and procedures. 
    • You will as a Disability Examiners choose from a variety of approaches to accomplish claim documentation, but must insure claim quality and production standards are met.
    • You will, under guidance of a supervisor or designee, read and analyze a great quantity of medical reports and other disability file documents and makes a judgment as to the existence of physical or mental impairments confirmed by medical diagnosis.
    • You will prepare analysis and makes decision as to eligibility for benefits on a medical basis alone or remaining functional capacity of applicants to perform work.
    • Makes judgments and findings of fact regarding the manner in which impairments impact the applicant’s ability to perform specific work related activities based on the presence of medically determinable physical or mental impairments and you will submit these documents for medical consultant review.
    • You will make judgments regarding the accuracy of the treating physician’s opinion as to the severity of the applicants’ impairment, comparing the physicians supporting medical evidence to the opinion rendered. 
    • You will accept the opinion, offer a refutation of the opinion and/or weighs the opinion against the medical evidence and submits a recommendation for medical consultant review.
    • You will establish residual functional capacity (ability of an applicant, given their current physical condition, age, education and work history, to function in the workplace) and findings of fact regarding age, education, and vocational background to determine eligibility for benefits.
    • You will make judgment as to what occupations would be appropriate given the remaining functional capacity, relevant work skills, age, and education, if the claimant is not eligible for benefits.
    • You will, under guidance of a supervisor or designee, prepares a formal determination of eligibility for benefits based on regulations for Title XVI of the Social Security Act, court orders, rules, and regulations. 
    • You will identify pertinent findings of fact used in arriving at a legal determination of eligibility for benefits. 
    • You will prepare a written individualized explanation for the disability applicant.
    • You will, under the guidance of a supervisor or designee, manages the assigned caseload budget.
    • You will make and justify decisions for the expenditure of funds to meet claim documentation requirements.
    • You will follow established procurement and documentation procedures.
    • You will identify the most cost effective forms of expenditures and utilize alternate sources of documentation to minimize budgetary expenditures.
    • Master's Degree, or Bachelor's Degree and two years professional experience.

    • Individuals selected for positions with the South Carolina Vocational Rehabilitation Department's Disability Determination Service (DDS) will go through a complete federal background investigation. A suitability determination by the Social Security Administration is necessary to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records, and systems.
    If invited to interview, please obtain your Official 10 year driving record from the Department of Motor Vehicles to bring with you.
     
    Official transcripts will be required to verify college degree.The South Carolina Vocational Rehabilitation Department is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
       
      The South Carolina Vocational Rehabilitation Department offers an exceptional benefits package for FTE positions that includes:
      
     
    • Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
    • Paid parental leave
    • Flexible work schedules
    • 15 days annual (vacation) leave per year
    • 15 days sick leave per year
    • 13 paid holidays
    • State Retirement Plan and Deferred Compensation Programs

     
      South Carolina is making our veterans a priority for employment in state agencies and institutions.  Click here for eligibility requirements
  • 2 Days Ago

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Claims Examiner
  • Polikov Recruitment Solutions
  • Columbia, SC FULL_TIME
  • Available On March 14 , 2024 Expires On May 14 , 2024 Categories Accounting / Finance / Insurance City Columbia Region South Carolina Country United States Our client is a personal and commercial insu...
  • 11 Days Ago

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Field Technician
  • Hancock Claims Consultants
  • Columbia, SC CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 1 Month Ago

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Field Technician
  • Hancock Claims Consultants
  • Florence, SC CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 1 Month Ago

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PLANS EXAMINER
  • County of Greenville
  • Greenville, SC OTHER
  • Review and permit residential, land development, subdivision and commercial construction plans to ensure compliance with Greenville County's Flood Damage Prevention Ordinance along with local, state a...
  • 4 Days Ago

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Education and Disability Services Manager
  • Community Development Institute Head Start
  • Charleston, SC FULL_TIME
  • Location: Charleston County South Carolina Pay Period: Biweekly Fixed Salary: $ 1,718.30 Weeks per Year: 52 Hours Per Week: 40 Education Services Manager Pay Rate: $1,718.30 Bi-Weekly Benefits: Paid V...
  • 10 Days Ago

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Electronic Data Interchange Analyst 77805
  • Medix™
  • Chicago, IL
  • EDI Analyst 100% Remote Open to any timezone hours 6 week contract- could be extended Based in Chicago, IL $60/hr W2 W2 ...
  • 3/29/2024 12:00:00 AM

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Human Resources Manager
  • Company
  • Little Falls, NJ
  • OVERVIEW: The Human Resources Manager is responsible for guiding and managing the daily operations of the Human Resource...
  • 3/29/2024 12:00:00 AM

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Human Resources Manager
  • Mad City Windows & Baths
  • Madison, WI
  • Mad City Windows and Baths is looking for an Human Resources Manager to join our growing Human Resources team in Madison...
  • 3/29/2024 12:00:00 AM

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Corporate Risk and Safety Manager
  • Coldspring
  • Cold Spring, MN
  • ABOUT US: Who we are: For over 120 years, Coldspring has been recognized as one of the world's leading quarriers and fab...
  • 3/29/2024 12:00:00 AM

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Optometrists
  • The Judge Group
  • Las Cruces, NM
  • Attention Optometrists! Our client in Las Cruces, New Mexico is seeking an Eye Doctor/Optometrist to join their team as ...
  • 3/29/2024 12:00:00 AM

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Occupational Therapist-Early Intervention & Preschool 41-086 (Continuous Recruitment)
  • Erie County, NY
  • Buffalo, NY
  • Salary: $36.59 Hourly Location : Buffalo, NY Job Type: Full Time Job Number: 41-086 Department: ERIE COUNTY MEDICAL CENT...
  • 3/29/2024 12:00:00 AM

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Real Estate Processor (HGA-BR)
  • Hunt Guillot & Associates
  • Baton Rouge, LA
  • Position Summary & Duties: The Real Estate Processor is a direct hire position working for HGA in the Baton Rouge, LA ar...
  • 3/29/2024 12:00:00 AM

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Nursing Care Coordinator-Rehabilitation Services 41-088 (Continuous Recruitment - No written exam)
  • Erie County, NY
  • Buffalo, NY
  • Salary: $102,991.00 - $116,654.00 Annually Location : Buffalo, NY Job Type: Full Time Job Number: 41-088 Department: ERI...
  • 3/29/2024 12:00:00 AM

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$47,083 to $58,455