The Claims Specialist role involves providing direct service to the public to support the agency's mission. Responsibilities include speaking with beneficiaries about their rights under Social Security laws, gathering facts and evidence to determine eligibility, and making critical benefit decisions.
They use advanced computer technology to access and update claim information. The position requires conducting interviews to verify eligibility for retirement, survivors, disability, health insurance, and supplemental security income benefits, including State supplements.
Claims Specialists resolve discrepancies, clarify issues, and make final decisions on initial and ongoing benefits. They adjudicate and authorize entitlement or disallowance actions across varying levels of complexity, ensuring proper administration of SSA programs.