Disability Eligibility Specialist – Retirement Counselor 2

Job Description:

• Determine retirement eligibility and benefits, specifically disability eligibility
• Provide information to members, beneficiaries, alternate payees, and employers on rights and benefits
• Analyze complex medical documentation to determine and recommend disability eligibility
• Work closely with internal Medical Advisor and external Medical Staff
• Recommend continuation or discontinuation of disability benefits based on medical documentation and employment review
• Create individualized complex letters detailing review of a disability claim; quoting proper ORS and OAR that supports determination
• Effectively communicate by phone to members, detailing complex and sensitive information

Requirements:

• Two years of experience researching or reconciling accounts AND explaining rules, programs or procedures
• OR One year of experience researching or reconciling accounts AND explaining rules, programs, or procedures AND 12 quarter (8 semester) college level credit hours in accounting, finance or business administration
• OR Two years of calculating payment amounts AND explaining rules, programs, or procedures
• OR One year of calculating payment amounts AND explaining rules, programs, or procedures AND 12 quarter (8 semester) college level credit hours in accounting, finance or business administration
• Familiarity with medical terminology, medical chart notes and/or medical insurance claims
• Demonstrate logical deductive analysis by providing well thought out documentation and reasoning when making decisions
• Utilize problem-solving abilities to analyze and accurately evaluate data, identify discrepancies and determine possible solutions and determinations based on regulatory criteria to support outcomes
• Ability to communicate both orally and complex program processes and concepts in a simplified manner to customers and public
• Manage and track multiple complex caseloads from initial application through final determination
• Exercise tact and diplomacy when dealing with sensitive, complex and confidential member situations
• Experience in communicating sensitive subject matter to members that may be angry or frustrated.

Benefits:

• Work/life balance
• 11 paid holidays a year
• Competitive benefits package
• Advancement and learning opportunities that will help grow your career with the State of Oregon
• Remote work option depending on position needs