Disability Claims Adjudicator

State of Maine

Winthrop, Maine

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JOB DETAILS

SALARY

$54,412.80–$76,315.20

SKILLS

Adjudication, Analysis Skills, Benefits Software, Claims Processing, Communication Skills, Customer Relations, Customer Support/Service, Data Analysis, Detail Oriented, Federal Government, Federal Laws and Regulations, Medical Records, Medical Research, Mentoring, Problem Solving Skills, Production Systems, Psychiatry and Mental Health, Psychology, Quality Assurance, Social Security Administration, Staff Development, Statistics, Team Player, Videoconferencing, Writing Skills

LOCATION

Winthrop, Maine

POSTED

5 days ago

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State's career page and indicate on the application that they have previously worked for the State.
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Department of Health and Human Services (DHHS)

Opening Date: June 26,2026

Closing Date: July 10, 2026

Job Class Code: 3065

Grade: 25 (Professional & Technical)

Salary: $54,412.80 to $76,315.20 per year

Position Numbers: 02024-1592, 02024-1041, 02000-3202, 02000-2539, 02000-2214

Location: Winthrop

Maine Disability Determination Services is hiring! DDS provides disability decisions for Social Security Disability Benefits. As a Disability Claims Adjudicator, you request and research prior medical records, collaborate with in-house Doctors and Psychologists around functional limitations, conduct vocational work analyses, and ultimately make disability determinations for the Social Security Administration. Good candidates will have a dedication to public service, the ability to learn quickly and manage different and complex tasks efficiently and display a collaborative approach with excellent and compassionate customer service. In-depth training will be provided and a remote option for up to 3 days a week is available after the first 8-12 months. On-going staff development is available as well as the ability to collaborate with many state, local, and federal partners. For more information watch the linked video. Please note that this video uses the term 'claims examiner' which is the same position in Maine as 'claims Adjudicator'.

Core Responsibilities:

This is administrative work involving the review and analysis of initial, reconsideration, and continuing disability review claims for disability benefits under the Social Security Act. Duties include:

• Collect, review, examine, and analyze medical, psychiatric, and vocational claimant reconsideration appeals, continuing benefits applications, and complex initial applications in order to determine final adjudication of eligibility and benefit payments eligibility.

• Determine eligibility for disability benefits according to federal regulations, and complete written disability determinations in order to provide assistance.

• Determine eligibility for advanced payments for claimants with severe disabilities in order to provide immediate aid to those eligible.

• Contact and interview claimants and physicians in order to obtain medical and vocational evidence.

• Authorize and arrange for consultations and medical and psychiatric examinations in order to comply with program requirements.

• Write detailed letters to claimants, medical consultants, and state and federal agencies in order to request information and inform claimants of the reasons and results of disability decisions.

• Assign codes to written decisions in order to develop and maintain statistical data.

• Perform additional special duties such as quality assurance, mentoring, training, professional relations activities, processing Canadian claims, and other special projects in order to meet division needs.

Ideal candidates will have:

• Ability to work in a production environment with quality and processing speed goals.

• Sensitivity to the needs of the public and customer focus.

• Ability to communicate effectively and work cooperatively through phone, email, video-conferencing, and other communication technologies.

• Attention to detail, analytical and problem-solving skills.

• Ability to learn complex medical information, vocational policies, and ongoing technologies.

• Positive attitude and a desire to work in a team atmosphere.

Minimum Qualifications:

Intermediate education, training, and/or experience in a field involving research, investigation, data analysis, and/or development of comprehensive reports.

Your conditional job offer, and access to the Social Security Administration's (SSA's) system, data, information, and/or premises are contingent upon you passing the SSA suitability process.

*Note: This covers the preliminary screening (pre-screen) and the final background adjudication stage of the suitability process.

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About the Company

State of Maine

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