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About the Role

The Disability Specialist II/Claims Examiner II adjudicates Social Security Administration (SSA) adult and childhood disability cases. This role researches and verifies DDS jurisdiction, solicits necessary evidence, and applies the SSA Sequential Evaluation process to determine disability. It involves preparing detailed analyses of impairments, assessing their impact on functional capacity, and developing vocational profiles to determine potential ability to work. The position also involves creating documentation, identifying potential fraud, and working under moderate supervision.

Responsibilities

Adjudicates Social Security Administration (SSA) adult and childhood disability cases.
Researches and verifies Disability Determination Services (DDS) jurisdiction to process incoming cases.
Returns to SSA any cases DDS is proscribed from processing.
Solicits medical evidence of record (MER), activities of daily living (ADL) information, detailed descriptions of past relevant work (PRW), education records and teacher evaluations on child claimants, and other information required to evaluate disability and properly document the case file.
Applies the SSA Sequential Evaluation (SE) process to determine whether a claimant is disabled.
Orders Consultative Examinations (CEs) to investigate undocumented claimant allegations and/or clarify medical evidence.
Prepares a detailed analysis of the cumulative effect of all medically determined physical and mental impairments on residual functional capacity (RFC) for adults.
Assesses the cumulative impact of developmental deficits to determine disability in childhood cases.
Develops complete claimant vocational profiles for adults.
Determines adult disability by assessing a claimant’s potential ability to work based on a complex analysis of vocational profiles, RFC limitations, PRW performance criteria, and national economy job references.
Creates forms, letters and supporting materials required to document disability decisions.
Identifies and reports for investigation cases involving potential fraud.
Attends work on a regular and predictable schedule and performs other duties as assigned.
Develops adult physical/mental residual functional capacity (RFC) and childhood developmental assessments.
Determines when available information is sufficient to evaluate impairments alleged by the claimant.
Creates all forms, letters, and supporting materials required to properly document the final disability determination.
Completes the determination in a timely manner.
Reviews all file documentation upon receipt of disability cases, researching and investigating information that may affect DDS jurisdiction.
Applies provisions of the Social Security Act, as amended, related Federal and State statutes, regulations, SSA rulings, and pertinent Federal Court rulings to decide whether a claimant is or is not disabled.
Applies the SSA sequential evaluation standard to render decisions as soon as possible.
Establishes standards for customer-focused communication and coordination within areas of responsibility and with all internal and external associates and customers.
Develops cases in a timely manner by contacting medical and non-medical sources for MER relevant to alleged physical/mental impairments.
Obtains functional and work history information about claimants to evaluate how alleged mental and physical impairments affect their daily lives and ability to work.
Orders Consultative Examinations (CE) to clarify evidence and properly document the impairments and the claimant’s current condition.
Provides backup for absent Disability Specialists in accordance with established procedures.

Requirements

A bachelor’s degree from an accredited college or university by September 1, 2026, or at least 24 months experience as a Texas Disability Determination Services Pre-Development Specialist.
Employment stability in applicant’s work history.
Documented experience using a personal computer.
Documented experience communicating effectively in writing.
Documented experience in managing time, organizing job-related responsibilities and meeting deadlines.
Applicants may not have a history of substantiated fraudulent activity against HHSC or any programs it administers.
Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the overpayment balance as a condition of employment.
Successful applicants must be willing to work in a highly stressful and fast-paced environment, under constant pressure to meet required deadlines.
Any employment offer is contingent upon available budgeted funds.
Individuals selected for positions with the Disability Determination Services (DDS) will go through a complete federal background investigation.
A suitability determination by the Social Security Administration (SSA) is necessary to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records, and systems.
The job offer is contingent upon a full suitability clearance through SSA.
Applicants will be assessed through a panel interview.
Consideration will be given to filling additional vacancies that occur during this posting period.
Demonstration of skill will be administered at the time of the interview.
Individuals with the same current functional job description may not apply.
Applicant must follow the instructions in completing the required fields on the online application.
Detailed information on work history should include job title, dates of employment, and the requested employer information.
Application MUST contain a full employment history for the past 7 years for each position held, even those with the same employer, in a way that demonstrates meeting the initial selection criteria.
Missing information may lead to disqualification.
Applicant may upload a resume but must include required information on either the online application or the resume.
Individuals selected for hire may be required to pass background and other due diligence checks.
Must bring I-9 documentation on the first day of work.

Skills

Documenting and adjudicating SSA disability cases.
Using a Personal Computer and peripherals, Microsoft Suite or equivalent software, and SSA-unique software applications such as the national Query system and the case management and adjudication system.
Making timely and accurate independent decisions.
Adapting to program changes and fluctuating work loads.
Establishing and maintaining effective working relationships.
Communicating effectively both orally and in writing.
Managing time, organizing job related responsibilities, and meeting deadlines.
Gathering, assembling and evaluating pertinent information for all levels of cases, including appellate cases.
Knowledge of the provisions of the Social Security Act, as amended, related Federal and State statutes, regulations, Social Security rulings, pertinent court rulings, and the paper and electronic folder disability case processes for adult and childhood disability cases.
Knowledge of medical terminology, physical and mental conditions and impairments, disease processes, the current impact/future implications/prognosis associated with mental and physical diagnoses, signs/symptoms/tests/lab results, and selected treatment modalities, and the potential impact of the impairments on SSA disability eligibility.
Knowledge of pediatric medical terminology, age-appropriate childhood development standards and milestones, the impact of physical/mental impairments and disease processes on childhood development, and the degree of severity of cumulative developmental deficits that is required to be eligible for Social Security Administration (SSA) disability benefits.
Knowledge of legal principles as they apply to the SSA disability program, including: Res Judicata, Collateral Estoppel, Administrative Finality, Evidentiary Findings of Fact, Evidence Admissability, Fraud and Similar Fault, and Witness Credibility.
Knowledge of non-medical and vocational factors affecting job opportunities and a claimant’s ability to work, including: age; education; skills and abilities; vocational background; occupational categories/classifications; exertional and non-exertional criteria and standards used by the industry to classify all occupations in the national economy.
Knowledge of all Federal and State laws governing confidentiality personal information accessible in Social Security, medical evidence of record, and disability case files.

Location

AUSTIN

Work Type

Full time
Regular
Onsite

Experience Level

At least 24 months experience as a Texas Disability Determination Services Pre-Development Specialist

Education Level

Bachelor’s degree

Salary/Compensations

$4,594.16 - $5,094.16 Monthly

Benefits

100% paid employee health insurance for full-time eligible employees
A defined benefit pension plan
Generous time off benefits
Numerous opportunities for career advancement

About the Company

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans.
At HHSC, your contributions matter, and we support you at each stage of your life and work journey.
DDS employees perform all business functions for SSA, using the federal SSA network and equipment.

Equal Opportunity

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability.