The Claims Specialist role involves providing direct service to the public by assisting beneficiaries with their Social Security benefits.
They communicate with individuals about their rights under Social Security laws, gather facts and evidence to determine eligibility, and make critical decisions on benefit amounts.
The position requires conducting interviews to verify eligibility for retirement, survivors, disability, health insurance, and supplemental security income, including state supplements.
Claims Specialists resolve discrepancies, clarify issues, and make final decisions on initial and ongoing benefits and payments.
They adjudicate and authorize entitlement or disallowance actions, handling cases of varying complexity using advanced computer technology to access and update claim information.
Overall, the role supports the agency’s mission through personalized service and decision-making to ensure accurate benefit administration.