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Disability Determination Specialist

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Wyoming Game and Fish Department

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Location:
United States , Cheyenne

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Category:
Public Sector

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Contract Type:
Employment contract

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Salary:

24.78 USD / Hour
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Job Description:

This Disability Determination Specialist is responsible for determining medical eligibility for disability benefits under the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) program by gathering, evaluating, and analyzing medical and non-medical data. Document the disability determination by citing legal references from the Social Security regulations. Writes the rationale to explain, justify, and effectively communicate the disability determination. Confer and collaborate with medical consultants, psychological consultants, speech-language pathologists, and team panels to clarify data as needed. Responsible for managing disability claims caseload.

Job Responsibility:

  • Determine medical eligibility for disability benefits under SSDI and SSI programs by gathering, evaluating, and analyzing medical and non-medical data
  • Document the disability determination by citing legal references from Social Security regulations
  • Write the rationale to explain, justify, and effectively communicate the disability determination
  • Confer and collaborate with medical consultants, psychological consultants, speech-language pathologists, and team panels to clarify data as needed
  • Manage disability claims caseload
  • Gather, evaluate, and analyze medical and non-medical data for initial SSDI and/or SSI disability claims and prioritize claims based on criteria
  • Assess functional abilities, consult with medical consultants, and complete necessary forms
  • Request and coordinate the scheduling of claimants' consultative examinations and other medical testing
  • Develop and prepare functional assessments and vocational analyses based on the vocational and medical facts of each case
  • Review and analyze evidence of medical conditions and vocational factors that prevent an individual from working
  • Determine whether the claimant is disabled as defined by Federal, District, Appellate, and Supreme Court decisions
  • Social Security laws, regulations, and rulings
  • Social Security policies and procedures
  • Program Operations Manual System (POMS)
  • and regional directives
  • Prepare a legally defensible analysis explaining the disability determination, including the facts of the case, basis for the determination, and relevant Social Security Act (SSA) guidelines and regulations, and prepare a notice of the determination to send to the claimant and SSA
  • Interview claimants, various professionals (doctors, lawyers, teachers, etc.), and other interested parties to obtain necessary information
  • Explain the Social Security disability programs to applicants, the public, and various other professionals
  • Confer and collaborate with DDS contract medical consultants and other DDS specialists to clarify gathered data as needed

Requirements:

  • Bachelor's Degree
  • 0-1 year of progressive work experience (typically in Benefits and Eligibility)
  • OR 3-4 years of progressive work experience (typically in Benefits and Eligibility) as a substitution for education
  • Knowledge of current SSA rules, regulations, and policies related to disability benefits for SSI and/or SSDI
  • Comprehensive knowledge of Social Security disability programs, policies, and procedures, particularly the Listing of Impairments
  • Excellent case development and case management skills
  • Ability to think analytically and critically
  • Excellent writing skills to prepare a detailed analysis of case facts
  • Knowledge of Federal and State laws, rules, and regulations regarding employment, disability insurance, and supplemental security income benefits
  • Knowledge of the various methods and procedures used in the adjudication of disability claims
  • Knowledge of industrial, commercial, and professional occupations
  • Knowledge of medical and psychological terminology

Nice to have:

  • Prior case management experience
  • Excellent ability to analyze information and write detailed information
  • Excellent organizational and time management skills
What we offer:
  • Comprehensive health, dental, and vision insurance
  • Paid vacation, sick leave, FMLA, and holidays
  • Retirement - Pension and 457B plans
  • Flexible schedules and work-life balance options

Additional Information:

Job Posted:
March 26, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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