Occ. Code 6884200
DISABILITY ANALYST 2, GRADE 20
New York State Department of Civil Service
BRIEF DESCRIPTION OF CLASS
Disability Analysts 2 review individual claims for disability benefits under the provisions of Title II and Title XVI of the Social Security Act and special programs to determine the claimant's eligibility for such benefits. Analysts are responsible for the review, evaluation and adjudication of initial, continuing and other disability claims. Determinations are based on an evaluation of medical, vocational, and non-medical information submitted by the claimant and/or obtained by the Analysts.
Positions in this class are classified only in the Office of Temporary and Disability Assistance, Division of Disability Determinations.
Disability Analysts 2 engage in journey level tasks and activities in the examination and determination of claims for disability benefits under both Title XVI of the Social Security Act and Title II of the Supplementary Security Income Act. They review the cases, develop and obtain medical, vocational and other relevant information. The Analysts evaluate all of the information obtained and independently determine the claimant's case except when required by law to have a physician or psychologist participate in or review the decision.
Disability Analysts 3 supervise claims sections responsible for the review and administrative adjudication of claims for benefits under the provision of the Title II and Title XVI of the Social Security Act and they serve as staff specialists in methodology development and quality of claims review.
Reviews initial and continuing court cases and other disability claims.
Develops and obtains medical, vocational and non-medical information.
When assigned to a medical relations unit, resolves problems concerning consultative examinations.
Independently issues favorable decisions.
Claims can be disapproved within the framework of procedural and judgmental criteria
Prior to any disapproval, the Analyst:
Conducts review of continuing cases to determine whether claimants are still eligible for benefits.
INDEPENDENCE OF OPERATION
Disability Analysts 2 perform their duties with a high degree of independence of judgment and are typically supervised by Disability Analysts 3. Written guidelines are provided in the form of the Program Operations Manual system, Code of Federal Regulations, SSA rulings and interoffice memoranda. Disability Analysts 2 work independently in reviewing detailed case material developing information and conducting pre-decision conferences to determine the applicability of the Federal guidelines. They are required to maintain a large caseload; taking necessary actions and making eligibility decisions within stated time frames. Samples of their work are reviewed for accuracy.
They are required to prepare a detailed written analysis of each case, which supports their decision. They are required to prepare and sign the necessary assessment forms as part of their decision. Determinations made by Analysts are reviewed by a staff physician only when required by statute, e.g., all children's claims and adult claims based on mental impairment, which result in a less than favorable decision.
Disability Analysts 2 are expected to work within a framework of very detailed State and Federal policies and procedures. Their work requires a high degree of analysis and judgment of medical and non-medical information. They use individual initiative, ingenuity, and the application of a wide range of technical knowledge regarding the effects of disabilities and the body systems.
They must issue decisions and prepare detailed written analyses, which document the investigation, provide a full assessment of the medical opinions and address the credibility of allegations and medical information.
Disability Analysts 2 communicate with claimants, administrators, physicians, attorneys, social workers, psychologists, medical records personnel, clergy, and others to gather accurate and sufficient information required to make a case determination. These conversations are frequently concerned with sensitive matters and require that the Analysts have knowledge of medical terminology. They may have face-to-face contact or communicate via the telephone with their clientele and claimants' attorneys or other representatives. This requires that the Analysts have good interviewing and communication skills to elicit the right responses required to make a case decision.
They frequently prepare standard form letters requesting and providing information and must be able to compose correspondence. The Analysts are required to prepare a detailed analysis for each of their new cases. The narratives must be detailed and comprehensive as they may be used as a legal document in appeal cases.
They communicate with staff to exchange information on procedures, policies and cases.
They may communicate with medical consultant staff to discuss medical evidence.
Disability Analysts 2 do not supervise. A Disability Analyst 3 typically supervises Analysts in a Unit by reviewing cases on a sample basis.
A license to practice as a registered professional nurse, nurse practitioner, or physician's assistant and two years' post-licensure experience as an RN, nurse practitioner or physician's assistant;
OR a Bachelor's Degree in any field which included the successful completion of 24 credit hours in one or any combination of the following: biology, biochemistry, human anatomy, human physiology or medical terminology;
OR a Bachelor's Degree in psychology which included the successful completion of 24 credit hours in psychology;
OR a Bachelor's Degree in any field, or a license to practice as a registered professional nurse, nurse practitioner, or physician's assistant, and either two years of experience adjudicating claims under Title II and XVI of the Social Security Act, or two years of experience adjudicating disability benefit claims where the primary responsibility is the evaluation of medical criteria to award claims.
NOTE: Please contact the Division of Staffing Services for current information on minimum qualifications for appointment or examination.