Disability Eligibility Specialist – Retirement Counselor 2
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Job Description
Disability Eligibility Specialist handling retirement and disability eligibility determinations. Providing support and information to members while analyzing medical documentation for the State of Oregon.
Responsibilities:
- Determine retirement eligibility and benefits, specifically disability eligibility
- Provide information to members, beneficiaries, alternate payees, and employers on rights and benefits
- Analyze complex medical documentation to determine and recommend disability eligibility
- Work closely with internal Medical Advisor and external Medical Staff
- Recommend continuation or discontinuation of disability benefits based on medical documentation and employment review
- Create individualized complex letters detailing review of a disability claim; quoting proper ORS and OAR that supports determination
- Effectively communicate by phone to members, detailing complex and sensitive information
Requirements:
- Two years of experience researching or reconciling accounts AND explaining rules, programs or procedures
- OR One year of experience researching or reconciling accounts AND explaining rules, programs, or procedures AND 12 quarter (8 semester) college level credit hours in accounting, finance or business administration
- OR Two years of calculating payment amounts AND explaining rules, programs, or procedures
- OR One year of calculating payment amounts AND explaining rules, programs, or procedures AND 12 quarter (8 semester) college level credit hours in accounting, finance or business administration
- Familiarity with medical terminology, medical chart notes and/or medical insurance claims
- Demonstrate logical deductive analysis by providing well thought out documentation and reasoning when making decisions
- Utilize problem-solving abilities to analyze and accurately evaluate data, identify discrepancies and determine possible solutions and determinations based on regulatory criteria to support outcomes
- Ability to communicate both orally and complex program processes and concepts in a simplified manner to customers and public
- Manage and track multiple complex caseloads from initial application through final determination
- Exercise tact and diplomacy when dealing with sensitive, complex and confidential member situations
- Experience in communicating sensitive subject matter to members that may be angry or frustrated.
Benefits:
- Work/life balance
- 11 paid holidays a year
- Competitive benefits package
- Advancement and learning opportunities that will help grow your career with the State of Oregon
- Remote work option depending on position needs
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