Disability Claims Examiner

Winthrop, Maine, United States | Human Services | Full-time

Apply by: Nov. 30, 2020
Opening Date: November 12, 2020

Closing Date:  November 30, 2020

Job Class Code: 3066
Grade:    20 (Pro-Tech)      
Salary: $17.11-$23.05/hour
Position Number: 02000-3202, 02024-1630, 02000-2877, 02000-3200          


Agency information:

The Department of Health and Human Services (DHHS) is dedicated to promoting health, safety, resilience, and opportunity for Maine people. The Department provides health and social services to approximately a third of the State's population, including children, families, older Mainers, and individuals with disabilities, mental illness, and substance use disorders. The Department also promotes public health, operates two state psychiatric hospitals, and provides oversight to health care providers.


Within the Office for Family Independence (OFI) is the Division of Disability Determination Services (DDS).  DDS is responsible for evaluating and making medical decisions on claims for Social Security disability benefits.  DDS has vacancies in Winthrop. 


Job duties:

 As a Disability Claims Examiner, you will:

  • Gather and evaluate medical and psychological reports, vocational information, and other evidence on a claimant’s condition.
  • Manage a caseload of 100+ cases and be in contact with claimants and medical providers to gather the proper documentation.
  • Discuss the evidence with in-house medical and psychological consultants and prepare formal decisional documents.
  • Arrange for special medical or psychological examinations.
  • Review the medical evidence and perform all elements of the claim process.
  • Analyze complex medical information and apply it to national standards.
  • Proficiency in modern computer office software and applications is required.


 In order to qualify, you must have a four (4) year combination of education, training, and/or experience providing knowledge and abilities required to obtain, evaluate, and adjudicate medical, psychiatric, and psychological evidence pertinent to claims for disability benefits.


SUPPLEMENTALS:  In addition to your application, you must address each of the following competency areas in a cover letter in order to be evaluated properly:


  1. Disability Claims Examiners review and analyze complex medical and psychological histories of individuals who seek disability benefits through the Social Security Administration. Briefly summarize those aspects of your background that would provide you with the technical knowledge necessary to understand and evaluate this information.
  2. Disability Claims Examiners rely heavily on automation technology in processing disability claims. Examiners use both enterprise-level business applications and standardized desktop products such as Windows, MS Word, and Outlook in performing their daily duties.  Briefly comment on your experiences in using automation technology to accomplish your work that demonstrates your degree of skill in using automation technology to perform your duties.



For additional information about this position please contact Lee Freeman, Recruitment & Retention Specialist  by email at recruitment.ofi@maine.gov. To apply, please upload a recent resume, cover letter, and transcript (transcript needed only if education is used to meet the minimum qualifications). To request a paper application, please contact Ashley Smith at Ashley.Smith@maine.gov.


The bi-weekly dollar values of some State-paid benefits for full-time employees include: $14.60 for dental insurance; 14.11% of employee’s pay towards retirement; and, depending on the employee’s annual pay, at least 85% ($400.34) of health insurance premiums (more information is available here). Participation in the Health Premium Credit Program can decrease the employee’s cost of health insurance by 5%. 


The Department of Health and Human Services is an Equal Opportunity/Affirmative Action employer.  We provide reasonable accommodations to qualified individuals with disabilities upon request.