Evaluates adequacy of developmental practices on claims work. Makes evaluations about individual performance as well as agency practices, procedures, and training needs. Claim Consultations Conducts case reviews of pending disability cases at the request of Disability Analysts or Unit Managers to resolve complex case issues. Provides guidance and direction to Disability Analysts in clarifying, addressing, refuting, accepting and weighing opinions offered by treating physicians. Reviews disability case files, severity of medical impairments and assists Disability Analysts in completing documents which establishes the manner in which impairments impact the applicants ability to perform specific work related activities and makes recommendations as to impairment severity.
Conducts reviews to answer specific questions relating to case development or adjudication.
Training Prepares lesson plans and delivers formal training sessions for Disability Analysts, agency physicians, and other professional staff at the request of the agency training manager. Provides general outline about the subject matter being covered and designs training content. Reviews the work of Disability Analysts during trial service. Claim Development and Adjudication May develop and adjudicate disability claims by reviewing applications, documenting the file, analyzing evidence, and making a judgment as to impairment severity based on medical condition. Makes findings of fact regarding work related limitations based on the severity of medical impairments.