Social Insurance Specialist (Claims Specialist)
Relocation expenses reimbursed No
GS-5: Three years of general experience, one year which was equivalent to the GS-4, that demonstrates the ability to 1) analyze problems to identify significant factors, gather pertinent data, and recognize solutions; 2) plan and organize work; and 3) communicate effectively orally and in writing. Examples of general experience include providing information and assistance to the general public, analyzing, explaining, applying or interpreting laws, rules, regulation or policies.
GS-7: Fifty-two weeks of specialized experience equivalent to the GS-5 grade level. Examples of specialized experience include assisting individuals in filing applications for financial assistance, unemployment, Veterans benefits, insurance benefits, health benefits and/or social service programs; developing, processing, or authorizing claims; explaining benefit related programs to the general public and providing information through the media; or evaluating benefit program policies, procedures and guidelines.
GS-9: Fifty-two weeks of specialized experience at least equivalent to the GS-7 level. Examples of specialized experience include assisting individuals in establishing their entitlement to receive benefits; adjudicating or investigating claims; or evaluating benefit programs to assess the integrity and quality of operations.
GS-11: Fifty-two weeks of specialized experience at least equivalent to the GS-9 level. Examples of specialized experience include developing, examining, investigating or authorizing of claims under a program for SSA benefits, health insurance, pension plan, income maintenance or related programs.
Applicants must also meet the following Selective Placement Factor(s) to qualify for this position:
Meet and deal ability is required.
- Candidates who are in/have held positions requiring meet-and-deal certification do NOT have to submit documentation when applying for this position. Click here to view a list of positions that meet this requirement.
- By the closing date of the announcement, candidates who have not occupied SSA positions for which meet-and-deal ability is required as a selective placement factor MUST upload a completed Certification of Meet and Deal Ability form. If you do not submit the form by the closing date of the announcement, you will be disqualified for the position. If you do not already have this documentation, contact your supervisor or manager.
GS-5: Applicants for promotion must not have held a position lower than GS-3 within the preceding 52 weeks.
GS-7: Applicants for promotion must have 52 weeks at the GS-5 or higher.
GS-9: Applicants for promotion must have 52 weeks at the GS-7 or higher.
GS-11: Applicants for promotion must have 52 weeks at the GS-9 or higher.
Time in grade requirement must be met by the closing date of this announcement.
GS-5: Successful completion of a full 4-year course of study in any field leading to a bachelor's degree. One year of study is defined as 30 semester hours or 45 quarter hours.
GS-7: One full year of graduate level education in any field. One year of full-time graduate study is defined as 18 semester hours or 27 quarter hours OR a combination of graduate level education and the specialized experience as described below OR a Bachelor's degree and superior academic achievement.
GS-9: Master's or equivalent graduate degree, or successful completion of two academic years of progressively higher graduate education, or LL.B. or J.D.
GS-11: Ph.D. or equivalent doctoral degree, or successful completion of three full years of progressively higher level graduate education leading to a Ph.D. or equivalent degree, or LL.M.
Combining Education and Experience:
GS-5: Experience and education as described above may be combined to meet the minimum qualification requirements.
GS-7: Experience and graduate level education as described above may be combined to meet the minimum qualification requirements.
GS-9: Experience and graduate level education beyond the first year may be combined to meet the minimum qualification requirement.
GS-11: Experience and graduate level education beyond the second year may be combined to meet the minimum qualification requirement.
Note: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information is not provided, we will consider 18 semester/27 quarter hours to be equal to one year of full-time graduate study.
If selected, you may be required to provide your official college transcripts prior to the effective date of the personnel action placing you into the new position. Experience and education will be computed as percentages of the overall requirements and must equal to 100 percent when combined.
Position to be filled under the provisions of the SSA/AFGE Merit Promotion Plan. Additional selections may be made within 3 months of the date of the initial selection.
LOCALITY PAY: Salary will be set in accordance with locality pay provisions. The locality percentage for this location is 28.22%. Candidates currently receiving a higher locality pay than the office applied for are advised that should they be selected, they will lose entitlement to the higher locality pay.
This position is a career ladder leading to GS-11.
TRAINING: Candidates selected for this position will be required to attend a training class that lasts approximately 12 to 14 weeks. This training may be held outside of the selectee's normal commuting area.
This position is not eligible for telework.
Relocation expenses will not be paid.
You will be evaluated for this job based on how well you meet the qualifications above.
Applicants will be rated using a 100-point scale and evaluated according to the following criteria:
- Experience Assessment: 50 points
- Performance Appraisal: 35 points
- Awards: 10 points
- Career Achievements: 5 points
- Knowledge of SSA mission, principles, objectives, policies, procedures, and entitlement programs.
- Ability to research, interpret and apply standards, directives, policies and legislation.
- Ability to communicate orally.
- Ability to communicate in writing.
- Skill in using online technology and automation tools.
- Ability to manage multiple priorities and balance workloads.