Social Insurance Specialist (Claims Specialist) Job in US Social Security Administration

US Social Security Administration, Idaho Falls, ID, Openings : 1, Experience : Not Specified
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Job Description :

Duties

Once selected for the Claims Specialist position in SSA, you will contribute to the Agencys 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.

Requirements

Conditions of Employment

  • U.S. Citizenship required
  • Selective Service Registration, if applicable (www.sss.gov)
  • Fingerprinting and background and/or security investigation required
  • Job offers are contingent on fingerprinting and background / security investigation results
  • Selectees are required to serve a 1 year probationary period
  • Relocation expenses will not be paid
  • All qualification requirements must be met by the closing date of the announcement
  • Selectees are required to complete a 12-14 week technical training class.
  • Candidates are required to participate the Competency Assessment Interview Process (CAIP).
  • As required by Executive Order 14043, Federal employees are required to be fully vaccinated against COVID-19. See Additional Information section.

Qualifications

All qualification requirements must be met by the closing date of the announcement. If you are using experience to qualify, you must have:

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 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.

SELECTIVE PLACEMENT FACTOR

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.

Education

SUBSTITUTING EDUCATION: If you are qualifying for this position based on completed education at an accredited U.S. college, university, or other educational institution, you must provide a copy of your transcripts or other proof of education prior to being appointed. NOTE: Education completed in a foreign institution must be deemed equivalent to that gained in conventional/accredited U.S. education programs. It is the applicants responsibility to acquire U.S. Certification and provide it at the time of application. For a list of Credential Evaluation Services, log on to: Credential Evaluation Services.

GS-5: Completion of a full 4-year course of study in any field leading to a bachelors degree OR a combination of post-high school education and the general experience described above. One year of study is defined as 30 earned semester hours or 45 earned quarter hours.

GS-7: One full year of graduate level education in any field. One year of full-time graduate education is defined as 18 earned semester hours or 27 earned quarter hours. A combination of graduate level education and the specialized experience as described above OR a Bachelors degree and superior academic achievement in any field can be applied as a substitution. Superior academic achievement is based on:

  • Graduated in the upper third of the graduating class in the college, university, or major subdivision; OR
  • Graduated with a cumulative 3.0 GPA or higher out of 4.0 based on 4 years of education, or based on courses completed during the final 2 years of the curriculum; OR
  • Graduated with a 3.5 GPA or higher based on the average of all the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum; OR
  • Election to membership in a national scholastic honor society that meets the minimum requirements of the Association of College Honor Societies (except for freshman honor societies).
COMBINING EDUCATION AND EXPERIENCE:
Experience and education as described above may be combined to meet the minimum qualification requirements.

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.

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

This position is currently not virtual or eligible for out-stationing. Selectee will be required to report to the Idaho Falls duty location. This position may be eligible for telework in accordance with agency and office policy.

This position is also being announced at the GS- 9 level under announcement number: SX22-GSL-11597284.

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.

COVID-19 Vaccination Requirement: As required by Executive Order 14043, Federal employees must be fully vaccinated against COVID-19 regardless of the employees duty location or work arrangement (e.g., telework, remote work, etc.), subject to such exceptions as required by law. If selected, you will be required to be vaccinated against COVID-19 no later than November 22, 2021 and submit documentation of vaccination by November 23, 2021 OR shortly after appointment or onboarding with SSA, if this occurs after November 22, 2021. At the time of selection, SSA will provide additional information regarding what documentation you must provide and how you can request a legally required exception from this requirement.

UPDATE ON COVID-19 VACCINATION REQUIREMENT: To ensure compliance with an applicable nationwide preliminary injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce the COVID-19 vaccination requirement pursuant to Executive Order 14043 on Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a Federal job announcement includes the requirement that applicants must be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply. Federal agencies may request information regarding the vaccination status of selected applicants for the purposes of implementing other workplace safety protocols, such as protocols related to masking, physical distancing, testing, travel, and quarantine.


  • Benefits

    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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.

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/11597137

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.

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 Well Qualified Category.

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

  • Benefits

    A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

    Review our benefits

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

  • Required Documents

    As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have – whether youre a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure youre eligible under their policies.

    You must submit ALL supporting documentation by the closing date of the vacancy announcement to claim certain types of preference.

    PROOF OF EDUCATION: If you are qualifying on the basis of education or satisfying an educational requirement, submit a copy of your transcripts that includes your name, the name of the educational institution, course title(s), number of credits, grade, and date of completion. Unofficial transcripts or screenshots of electronic/web transcripts with the required information will be accepted at the time of application. You must submit your transcripts according to the application submission details of this announcement. Documents will not be accepted via email or regular mail. 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.

    INTERAGENCY CAREER TRANSITION ASSISTANCE PLAN (ICTAP): ICTAP provides eligible displaced Federal competitive service employees with selection priority for competitive service vacancies. To receive selection priority, candidates must meet the requirements for the Well Qualified category as described in the vacancy announcement. Candidates must also provide:

    • proof of eligibility with your application. Such proof may include a copy of your written notification of ICTAP eligibility or a copy of your separation Notice of Personnel Action, (SF-50); and
    • proof of your most recent performance rating of at least “fully successful” (Level III) or equivalent.
    For more information visit http://www.opm.gov/rif/employee_guides/career_transition.asp.

    VETERANS PREFERENCE: If you are claiming veterans preference, you must submit a copy of your military discharge certificate (DD 214 member 4 copy) or an official statement of service from your command if you are currently on active duty. To be acceptable, the document must show Character of Service. If you are claiming 10-point veterans preference based on a service-connected disability, you must also submit the required documentation specified on the reverse of the SF-15, Application for 10-Point Veterans Preference (SF 15). Applicants claiming derived preference must submit the veterans DD-214, the SF-15, and the required documentation specified on the reverse of the SF-15. Preference will be granted based on the documents received. For more information visit the Vet Guide.

    IMPORTANT NOTICE TO VETERANS : The Office of Personnel Management has published the end date for Operation Iraqi Freedom (OIF) as August 31, 2010. To receive veterans preference for service during the Enduring Freedom/Iraqi Freedom era, you must have served for more than 180 days between September 11, 2001 and August 31, 2010 OR be in receipt of a campaign badge or expeditionary medal. The updated CFR language is available here. Other qualifying eligibility for preference (e.g., disability) remains unchanged.

    MILITARY SPOUSE APPOINTING AUTHORITY: You may be eligible for an appointment under the Military Spouse Appointing Authority if you are: 1) The spouse of an active duty member of the armed forces; 2) The spouse of a former service member who is 100% disabled due to a service-connected disability; or 3) The un-remarried widow or widower of a service member killed while on active duty. Each of these categories has different eligibility criteria that must be met. Individuals applying for consideration under this authority MUST provide the applicable supporting documentation (e.g., documentation verifying marriage, DD-214 member 4, copy of a statement from the Department of Veterans Affairs or a branch of the military certifying the service members service-connected disability rating, DD-1300, statement from military installation certifying current active duty etc.). You are no longer eligible if you remarry.

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

  • How to Apply

    To apply for this position, you must provide a complete Application Package which includes:
    1. Your Resume
    2. The Occupational Questionnaire
    3. Transcripts (if using education to qualify – unofficial copies accepted)
    4. Additional Required Documents, if applicable (see Required Documents section)

    The complete Application Package must be submitted before midnight (ET) on 08/22/2022.

    To begin the process, click the Apply Online button to create an account or log in to your existing USAJOBS account. Follow the prompts to complete the occupational questionnaire. Please ensure you click the Submit My Answers button at the end of the process.

    If you use assistive software or an adaptive device, or you are experiencing some other type of technical difficulty and/or otherwise require assistance with the application process, please contact Ginny Sherrard-Lees at [email protected] 206-615-2672.

    Individuals with disabilities may also call us via Federal Relay using the (voice) contact telephone provided.

    Due to our security procedures, our office will not accept any applications submitted via email or standard mail. The email address is listed only for inquiries about the position or the How to Apply process.

    Agency contact information

    Ginny Sherrard-Lees

    Address
    Region X Area 2
    701 Fifth Avenue
    Seattle, WA 98104
    US

    Next steps

    Once you have successfully submitted your application materials, you can expect to receive at least two or more of the following email notifications concerning your application status: (1) Receipt of application; (2) Qualifications status and whether your application has been Referred/Not Referred to the selecting official; and (3) Selection status for the position. The hiring office will contact candidates directly for interviews. Interviews may be conducted via video conferencing software, if technically feasible.

    To check the status of your application or return to a previous or incomplete application, log in to your USAJOBS account, select Application Status, and click on the more information link under the application status for this position.

  • Fair and Transparent

    The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

    • Equal Employment Opportunity (EEO) Policy
    • Reasonable accommodation policy
    • Financial suitability
    • Selective Service
    • New employee probationary period
    • Signature and false statements
    • Privacy Act
    • Social security number request

Required Documents

You must submit ALL supporting documentation by the closing date of the vacancy announcement to claim certain types of preference.

PROOF OF EDUCATION: If you are qualifying on the basis of education or satisfying an educational requirement, submit a copy of your transcripts that includes your name, the name of the educational institution, course title(s), number of credits, grade, and date of completion. Unofficial transcripts or screenshots of electronic/web transcripts with the required information will be accepted at the time of application. You must submit your transcripts according to the application submission details of this announcement. Documents will not be accepted via email or regular mail. 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.

INTERAGENCY CAREER TRANSITION ASSISTANCE PLAN (ICTAP): ICTAP provides eligible displaced Federal competitive service employees with selection priority for competitive service vacancies. To receive selection priority, candidates must meet the requirements for the Well Qualified category as described in the vacancy announcement. Candidates must also provide:

  • proof of eligibility with your application. Such proof may include a copy of your written notification of ICTAP eligibility or a copy of your separation Notice of Personnel Action, (SF-50); and
  • proof of your most recent performance rating of at least “fully successful” (Level III) or equivalent.
For more information visit http://www.opm.gov/rif/employee_guides/career_transition.asp.

VETERANS PREFERENCE: If you are claiming veterans preference, you must submit a copy of your military discharge certificate (DD 214 member 4 copy) or an official statement of service from your command if you are currently on active duty. To be acceptable, the document must show Character of Service. If you are claiming 10-point veterans preference based on a service-connected disability, you must also submit the required documentation specified on the reverse of the SF-15, Application for 10-Point Veterans Preference (SF 15). Applicants claiming derived preference must submit the veterans DD-214, the SF-15, and the required documentation specified on the reverse of the SF-15. Preference will be granted based on the documents received. For more information visit the Vet Guide.

IMPORTANT NOTICE TO VETERANS : The Office of Personnel Management has published the end date for Operation Iraqi Freedom (OIF) as August 31, 2010. To receive veterans preference for service during the Enduring Freedom/Iraqi Freedom era, you must have served for more than 180 days between September 11, 2001 and August 31, 2010 OR be in receipt of a campaign badge or expeditionary medal. The updated CFR language is available here. Other qualifying eligibility for preference (e.g., disability) remains unchanged.

MILITARY SPOUSE APPOINTING AUTHORITY: You may be eligible for an appointment under the Military Spouse Appointing Authority if you are: 1) The spouse of an active duty member of the armed forces; 2) The spouse of a former service member who is 100% disabled due to a service-connected disability; or 3) The un-remarried widow or widower of a service member killed while on active duty. Each of these categories has different eligibility criteria that must be met. Individuals applying for consideration under this authority MUST provide the applicable supporting documentation (e.g., documentation verifying marriage, DD-214 member 4, copy of a statement from the Department of Veterans Affairs or a branch of the military certifying the service members service-connected disability rating, DD-1300, statement from military installation certifying current active duty etc.). You are no longer eligible if you remarry.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.


Help

This job is open to

  • Career transition (CTAP, ICTAP, RPL)

    Federal employees who meet the definition of a “surplus” or “displaced” employee.

  • Military spouses

  • The public

    U.S. Citizens, Nationals or those who owe allegiance to the U.S.

Clarification from the agency

US Citizens. This position is currently not virtual or eligible for out-stationing. Selectee will be required to report to the Idaho Falls duty location. This position may be eligible for telework in accordance with agency and office policy.

Last Date For Apply: 17/Nov/2022 07:11:45 Job Type : Full Time, Employment Type : PermanentApply Here