Veterans Recruitment Appointment Who is eligible: VRA eligibility applies to the following categories: • Disabled veterans • Veterans who served on active duty in the Armed Forces during a war declared by Congress, or in a campaign or expedition for which a campaign badge has been authorized • Veterans who, while serving on active duty in the Armed Forces, participated in a military operation for which the Armed Forces Service Medal was awarded • Veterans who separated from active duty within 3 years and separated under honorable conditions To apply: please submit resume and DD214 to Julie Hahn via fax at 903-874-4169 or email at [email protected] Job Description attachment included. 1/5/15 Beginning salary will range from $31944.00 to $39570.00 Social Insurance Specialist (Claims Representative) GS-105-07-#1E160B Major Duties: This is a mid-level developmental ID leading to the full performance PD Social Insurance Specialist, GS-105-11, #1E160. At this level, the trainee continues to seek advice from higher graded analysts. Management devises structured training and development activities to provide Experience and technical competence in the methods. Procedures, principles, and techniques of the full performance level. The appropriate manager may noncompetitively promote the trainee to the next grade provided work at the higher level continues to exist. The employee has demonstrated the ability to perform it and the trainee meets time• in• grade and other administrative requirements. Supervisory Controls: Assignments in this position are developmental in nature. The supervisor defines the objectives, priorities and deadlines for projects or assignments. The supervisor OJ a higher graded analyst is available for consultation and assists the employee with unusual situations, problems or studies that do not have clear precedents. The supervisor evaluates reports and other completed work for technical soundness, appropriateness of conclusions or recommendations, consistency, and relevance. Complexity: In this midlevel position. The trainee performs a variety of functions in support of higher graded specialists. The incumbent consults with higher graded analysts to identify problems and methods of approach, but is expected to perform standard. routine duties independently. During this period of training, management broadens assignments to enable the incumbent to eventually perform all the duties of the next higher grade. Scope and Effect The work of the trainee affects the efforts of the immediate organization and SSA procedures or processes. The work generally involves clearly defined areas and readily understood duties. Social Insurance Specialist (Claims Representative) GS-1 05-11-#1 E160 Major Duties This is the position of the Social Security Administration through which entitlements to programs administered by the agency are established. Incumbents of this position will perform duties involved in either Title 2 or Title 16 or as a generalist in both Title 2 and Title 16. The incumbent will perform the duties below as it relates to their assigned area . -Conducts interviews to obtain , clarify, and verify information about individual applicants initial and continuing eligibility for all programs administered by SSA. Assists the public by explaining all available options for conducting business with SSA, including online services, and informs claimants and/or their authorized representatives about their legal rights and reporting responsibilities -Examines evidence to evaluate its validity and acceptability in establishing entitlement to benefits, and, when necessary, takes the required developmental actions to insure that all available relevant evidence has been obtained. Assists the applicant in securing evidence, electronically records the evidence required and when applicable, prepares and records special determinations of fact. -Finally adjudicates and authorizes entitlement or disallowance actions under all programs administered by SSA. Determines eligibility for presumptive disability payments and effectuates those decisions. -Conducts T16 nonmedical issue case reviews and/or conferences to reconsider initial and post eligibility decisions affecting initial eligibility, payment amounts or overpayments. Obtains supporting documentation, makes and records the final decision in the T16 record and issues appropriate notices. -Makes final decisions on T2 FO jurisdiction reconsiderations. This includes but is not limited to disability insured status; res judicata determinations; work issue continuing disability review decisions; substantial gainful activity decisions: representative payee determinations: Medicare state-buy-issues: and Income Related Medicare Adjustment appeals. Processes incorrect payment issues to completion making the determination as to whether waiver provisions apply and taking appropriate recovery action. -Processes overpayment issues to completion, makes and documents waiver determinations, conducts personal conferences, and/or takes appropriate recovery action. Develops, makes, and implements administrative sanction decisions. -Conducts interviews, develops, investigates, and resolves post-entitlement actions, which may involve suspension, resumption, adjustment, or termination of eligibility, or payments. ,-Provides technical guidance and mentoring (informal and formal) to other employees. Participates in training sessions both as a student and/or an instructor, as required. -Identifies persons requiring a representative payee, evaluates the qualification of prospective candidates, selects the preferred payee, and as needed, reassesses the continuing suitability of such payees. Investigates and fully develops misuse allegations, makes system inputs, and refers to appropriate component. -Identifies need for social services and makes appropriate referral to private, nonprofit or other government organizations supplying such services. -Determines benefit amount due, and authorizes immediate, emergency advance. One-time, and critical payments under Title 2 and/or Title 16 programs, as appropriate. Approves peer initiated payments as appropriate and permitted by management. -Investigates and makes final substantial gainful activity determinations for Title 2 and/or Title 16 disability benefits and/or Title 2 continuing disability issues -Develops, investigates, and resolves discrepancies in earnings and determines amounts to be posted. Adjusted, or deleted from individual records; and determines whether income is wages or self-employment income and if covered income under the Social Security Act. -Protects the integrity of SSA programs through identification, investigation, and resolution of potential program abuse/fraud. When appropriate, determines the need for and makes referrals to the appropriate component. Properly safeguards personally identifiable information (PII) from loss, theft, or improper disclosure including inadvertent disclosure, and immediately notifies management of any breach, loss or potential loss of PII in any form. Participates, as assigned, in district informational activities through speeches, special projects, and by keeping management informed of trends and issues observed. As assigned, develops and responds to congressional inquiries. -Assists individuals in filing administrative appeals in the programs administered. -As assigned, performs cashier duties using the appropriate system for the payment of certain programmatic and administrative expenses. Maintains accurate receipts and controls to account for all drafts issued for authorized Purposes. Inputs payment information into the agencys central accounting system. -As assigned, performs duties as the office remittance clerk, processing payments received in the office on a daily basis using the appropriate automated system. This includes overpayment refunds, returned benefit checks, returned conserved funds and payment of fees. -Receives and refers individuals to file food stamp applications per current procedures and policies. -Performs other duties as assigned and assumes new responsibilities mandated by legislative or policy changes. Factor 1. Knowledge Required by the Position ... Knowledge of the mission, principles, objectives, and specific provisions of all programs administered by SSA and how these interact with other related programs to effectively deliver services that meet the needs of the public. .. Knowledge of various federal and state laws pertaining to veteran benefits, workers compensation, railroad retirement, tax codes, immigration and naturalization, and others having a relationship to SSA programs to make appropriate adjudicative decisions and referrals as needed. .-Functional familiarity with legal and general business processes sufficient to understand the intent and effects of documents pertaining to adjudicative and/or post-entitlement determinations. -Knowledge of SSA automated programs and systems, including online services, and the ability to use them to perform all aspects of claims taking, adjudication, and all post-entitlement actions. -Ability to research: evaluate evidence, facts, and allegations: to draw sound and timely conclusions: and explain and document the basis for the conclusions. -Skill to effectively communicate orally and in writing with a diverse population representing varied cultures, races, ethnicities, education, socioeconomic backgrounds and values. This skill is essential to obtain information, to convey an understanding of complex requirements and secure compliance as needed with the programs administered by SSA. -Skill in adapting to changes in policies, procedures, technology, and priorities in order to maintain balanced workloads which are processed timely and accurately. -Ability to conduct business in a professional and courteous manner with both the public and coworkers: and to support unit efforts to achieve a positive and productive work environment in order to meet the agency goals and mission. -Skill in computer operations including data entry, commercial software and web based programs to perform daily work. Factor 2. Supervisory Controls Work is performed under the general supervision of a district manager, assistant district manager, or operations supervisor. Supervisors and technical experts are available to discuss and provide guidance on technical issues of a precedent setting, sensitive, or unsettled nature, but most activities are handled without supervisory assistance. Completed cases are subject to spot quality control reviews in the originating office and elsewhere within the agency. However, most cases and incremental issues are decided independently without a review. Incumbents serving as Title 16 specialists personally resolve any contested issues or eligibility factors in dispute at the reconsideration stage of the Title 16 appeals process. While making other conclusive and binding decisions in the areas described. Factor 3. Guidelines The guidelines consist of legal regulations and procedural requirements of the various RSDHI , black lung, and supplemental security income programs as well as related provisions incorporated in separately negotiated State contractual agreements. These guides are numerous, extensive, and complex. The incumbent must decide between alternative guidelines and must interpret applicable provisions. Their application to individual cases and circumstances requires judgment and insight in applying the requirements to the needs of the individuals concerned. Factor 4. Complexity The work involves interviewing and conducting conferences to explain the programs and to elicit claims, post-entitlement, and reconsideration information and decisions: determining initial and continuing disability for benefits and taking final authorization action. Incumbents analyze substantive issues and procedural matters in each case in order to determine required action. They weigh all relevant factors against controlling policies and regulations in order to reach and document determinations. Subjects and issues covered in interviewing work include the complete range of substantive issues and procedural matters of all programs administered by SSA. The development and adjudicative functions involve quasi-legal matters which must be related to the individual circumstances of each applicant. Factor 5. Scope and Effect The work is vital to the processes through which the agency directly informs and serves the public. Conclusions reached and the decisions made are normally binding on both an applicant and the agency. Those decisions can result in awards involving the expenditure of large sums of money or denials which may have major adverse consequences for an applicant. They may also affect an applicants eligibility for Medicare or Medicaid protection, for social services, food stamps, and other forms of income assistance, Factor 6, Personal Contacts Coverage of the programs is so extensive that all segments of the general public will be encountered as potential applicants, beneficiaries, claimants, legal representatives, employers, or other sources. Contacts are also with co-workers, other agencies and institutions providing other payments and/or services, Factor 7, Purpose of Contacts Contacts with the general public are to explain the programs and to elicit information upon which entitlement, post-entitlement. And reconsideration decisions are made, Contacts with other agencies and institutions may involve negotiating to obtain information or to represent a claimants needs and/or rights to payments or services. Much of the eligibility information is acquired through the interviews conducted which may involve some intuitive probing into very personal situations. The incumbent must also be able to explain complex rules and requirements to evoke responsive reactions or cooperation from individuals who may have little direct interest or concern on how a matter is resolved, Factor 8, Physical Demands The work is primarily sedentary with no special physical demands, There may be some walking; standing: bending: and/or carrying of folders and light items such as papers and mail, etc, Factor 9, Work Environment Work is performed in a typical office setting, which may include contact stations or other temporary locations Some travel may be required,
Posted on: Tue, 06 Jan 2015 14:33:23 +0000
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