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Claims Specialist

Social Security Administration
This job announcement has closed

Summary

This position is located in the Lihue District Office at: 4334 Rice Street, Lihue, CA.

NOTE: This position is being filled on a full-time, permanent basis. Additional selections may be made within six months from the closing date of this announcement.

This is a career-ladder position leading to the GS-11 grade level.

Overview

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Hiring complete
Posted 06/28/21
Location
1 vacancy in the following location:
Work site options
Telework eligible
No
Relocation expenses reimbursed
No
Salary
$36,363 - $58,558 per year
Pay scale & grade
GS 5 - 7
Promotion potential
11
Pay scale and grade determines the salary of the job.
Work schedule
Full-time
Travel Required
Not required
Appointment type
Permanent
Occupations and job series
Supervisory status
No
Federal service type
This job is in the Competitive Service
Drug test
No
Security clearance
Not Required
Position sensitivity and risk
Moderate Risk (MR)
Jobs require a background check and some require a security clearance. The type depends on the job.
Background check type
Announcement number
DEU-SC11158109-21-AMO
Control number
605974800

Duties

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Once selected for the Claims Specialist position in SSA, you will contribute to the Agency's mission through direct and personal service to the public. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims.

Claims Specialists 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. In addition, they 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.

Requirements

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Conditions of employment

  • U.S. Citizenship required
  • Selective Service Registration, if applicable (www.sss.gov)
  • Background and/or security investigation required
  • Job offers are contingent on background / security investigation results
  • Selectees are required to serve a 1-year probationary period
  • Relocation expenses will not be paid
  • All qualifications requirements must be met by the closing date of the announcement

Qualifications

GS-5: Three years of general experience equivalent to the next lower grade level in the federal service that demonstrates the ability to 1) analyze problems, identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; 3) communicate effectively orally and in writing; and 4) use online technology and automation tools. Examples of qualifying experience include analyzing, explaining, applying or interpreting laws, rules, regulation or policies.

GS-7: Fifty-two weeks of specialized experience at the GS-5 grade level or equivalent in the federal service in 1) assisting individuals in establishing their entitlement to receive benefits; 2) adjudicating, authorizing or reconsidering claims; 3) explaining benefit entitlements or requirements to the general public; 4) evaluating benefit program operations to assess the integrity and quality; or 5) interpreting benefit program requirements to formulate policies, procedures or guidelines.

Note: Part-time work is prorated in crediting experience (e.g., if you work 20 hours per week for a 12 month period, you will be credited with 6 months of experience).

COMPETENCY ASSESSMENT INTERVIEW PROCESS (CAIP) INTERVIEW - Applicants will be required to participate in a panel interview (after basic eligibility determination) to demonstrate an aptitude for meeting and dealing with the public. Applicants must pass this interview process in order to be found fully qualified for this position and receive further consideration for selection. This interview will cover typical situations, which might be encountered on the job, in person or over the telephone. Applicants must demonstrate qualities such as clarity of speech, ability to listen, ability to establish confidence and put others at ease and the ability to organize and express thoughts clearly. If you do not pass the CAIP interview, you will not qualify for the job. Panel interviews may be conducted via video conferencing software, if technically feasible.

NOTE: Previous Meet and Deal results are not valid for this vacancy announcement; you will be required to complete the CAIP assessment.

Education

Substituting Education
GS-5: Successful completion of a full 4-year course of study in any field leading to a bachelor's degree. One year of study is defined as 30 semester hours or 45 quarter hours.
GS-7: One full year of graduate level education in any field. One year of full-time graduate study is defined as 18 semester hours or 27 quarter hours OR a combination of graduate level education and the specialized experience as described below OR a Bachelor's degree and superior academic achievement.

Combining Education and Experience:
GS-5: Experience and education as described above may be combined to meet the minimum qualification requirements.
GS-7: Experience and graduate level education as described above may be combined to meet the minimum qualification requirements.

Note: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information is not provided, we will consider 18 semester/27 quarter hours to be equal to one year of full-time graduate study.

If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position. Experience and education will be computed as percentages of the overall requirements and must equal to 100 percent when combined.

For information on substituting education for experience, visit http://www.opm.gov/qualifications/standards/group-stds/gs-cler.asp.

Additional information

Selective Service: If you are a male applicant born after December 31, 1959, you must certify that you have registered with the Selective Service System, or are exempt from having to do so under the Selective Service Law. See www.sss.gov.

This location receives a 10.28% cost of living allowance (COLA). The 10.28% cost of living allowance is in addition to the locality pay salary table.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

The evaluation you receive is based on your responses to the questionnaire. Your resume and supporting documentation will be compared to your responses to the occupational questionnaire, which is designed to capture the desired competencies for this position. These competencies include:

  • Knowledge of government or corporate principles, objectives, policies, rules and regulations.
  • Ability to research, interpret and apply standards, directives, policies and legislation.
  • Ability to communicate orally.
  • Ability to communicate in writing.
  • Skill in using online technology and automation tools.
  • Ability to manage multiple priorities and balance workloads.
Please make sure you answer all questions and follow all instructions carefully. Errors or omissions may affect your evaluation. The questionnaire takes approximately 15 minutes to complete. To preview the questions, click the following link:https://apply.usastaffing.gov/ViewQuestionnaire/11158109

For additional information see: What to include in your resume.

Your application will be evaluated under the Category Rating method, based on your responses to the Assessment Questions. If you meet the basic requirements for the position, your application will be evaluated and placed into one of three categories:

1) Qualified Category - Candidates who meet the Minimum Qualification Requirements.
2) Well Qualified Category - Candidates who meet the Minimum Qualification Requirements and demonstrate a satisfactory level of the knowledge, skills, and abilities necessary to perform the duties of the position.
3) Best Qualified Category - Candidates who meet the Minimum Qualification Requirements and demonstrate a high level of the knowledge, skills, and abilities necessary to perform the duties of the position.

Candidates eligible for veterans' preference will be placed ahead of other candidates in the appropriate category for which they have been rated. Additionally, preference eligibles who have a compensable service-connected disability of at least 10 percent and who meet the Minimum Qualification Requirements will automatically be placed in the Best Qualified Category.

ICTAP candidates who meet the requirements for the Well Qualified category will be placed at the top of the Best Qualified category and be given selection priority.

Social Security Administration

Do you have a desire to:

  • help SSA manage its Social Security programs?
  • analyze and solve problems?
  • help and advise millions of retired and disabled individuals?
  • work on a team to make a difference in people's lives and your own?
Join SSA, one of the Best Places to Work in the Federal Government!

Agency contact information

Alexis Ortega
Phone
(510) 970-2835
Email
alexis.ortega@ssa.gov
Address
Region IX South Coast Area
2011 PALOMAR AIRPORT ROAD
SUITE 201
CARLSBAD, CA 92011
US

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Learn more about what it's like to work at Social Security Administration, what the agency does, and about the types of careers this agency offers.

http://www.ssa.gov/careers

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