Social Insurance Specialist (Claims Specialist)

Resumes exceeding two pages in length will not be considered. Visit the 'Required Documents' section below for more information. Applicants must have 52 weeks of specialized experience at the next lower grade level, or equivalent, which is in or related to the work of the position to be filled and has equipped applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position. GS-7: Fifty-two weeks of specialized experience equivalent to the GS-5 grade level.

Examples of specialized experience include assisting individuals in filing applications for financial assistance, unemployment, Veterans benefits, insurance benefits, health benefits and/or social service programs; developing, processing, or authorizing claims; explaining benefit related programs to the general public and providing information through the media; or evaluating benefit program policies, procedures and guidelines. GS-9: Fifty-two weeks of specialized experience at least equivalent to the GS-7 level.

Examples of specialized experience include assisting individuals in establishing their entitlement to receive benefits; adjudicating or investigating claims; or evaluating benefit programs to assess the integrity and quality of operations. GS-11: Fifty-two weeks of specialized experience at least equivalent to the GS-9 level.

Examples of specialized experience include developing, examining, investigating or authorizing of claims under a program for SSA benefits, health insurance, pension plan, income maintenance or related programs. Applicants must also meet the following Selective Placement Factor(s) to qualify for this position: Meet and deal ability is required. Candidates who are in/have held positions requiring meet-and-deal certification do NOT have to submit documentation when applying for this position.

Click here to view a list of positions that meet this requirement. By the closing date of the announcement, candidates who have not occupied SSA positions for which meet-and-deal ability is required as a selective placement factor MUST upload a completed Certification of Meet and Deal Ability form. If you do not submit the form by the closing date of the announcement, you will be disqualified for the position. If you do not already have this documentation, contact your supervisor or manager.

Qualification requirements must be met by the closing date of this announcement. GS-7: Applicants for promotion must have 52 weeks at the GS-5 or higher. GS-9: Applicants for promotion must have 52 weeks at the GS-7 or higher. GS-11: Applicants for promotion must have 52 weeks at the GS-9 or higher. Time in grade requirement must be met by the closing date of this announcement.

The position description number for this position is 6F0240/A/B/C. A summary of the major duties is listed below. You may also view the full position description on the Agency intranet at the following link: PD Search This is a developmental position leading to the full performance level of GS-11. Closer supervision and technical guidance and/or on-the-job training are provided.

Duties are gradually broadened so the incumbent is eventually performing all of the duties of the full performance level, position description number 6F0240.

At the full performance level, the incumbent will conduct interviews with the public to obtain, clarify and verify information about initial and continuing eligibility for retirement, survivors, disability health insurance benefits and eligibility for supplemental security income including State supplements; resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA; and use state of-the-art technology to access and update claims information.