Occ. Code 6884300

 

DISABILITY ANALYST 3, GRADE 23

6884300

DISABILITY ANALYST 4, GRADE 25

6884400

DISABILITY ANALYST 5, GRADE 27

6884500

DISABILITY DETERMINATIONS PROGRAM MANAGER, M-4

6897750

 

New York State Department of Civil Service

 

Classification Standard

 

BRIEF DESCRIPTION OF CLASS SERIES

 

Positions in this series supervise the review and administrative adjudication of claims for benefits under Title II and Title XVI of the Social Security Act (SSA). They provide expertise on SSA rules and regulations on case processing, including face-to-face adjudications to terminate benefits; assess the quality of claims processing and determinations for efficiency; coordinate training; evaluate regional programs; and oversee the Automated Case Processing System.

 

Positions in this series exist only in the Office of Temporary and Disability Assistance, Division of Disability Determinations (DDD).   

 

DISTINGUISHING CHARACTERISTICS

 

 DISABILITY ANALYST 3:  supervisory level;  oversees review and determination of cases, including the more complex hearing and pre-hearing preparation cases,  aged or delayed cases, and claims with high level congressional or public official inquiries.

 

DISABILITY ANALYST 4:  supervises a module consisting of multiple processing units within a region, or a unit primarily responsible for medical review of claims.   

 

DISABILITY ANALYST 5:  supervises several processing modules within a regional processing center and plans, directs and coordinates development and dissemination of new and updated legislation and policy regarding disability programs.

 

DISABILITY DETERMINATIONS PROGRAM MANAGER: administers federal and State policies related to disability insurance claims; interprets procedures and policies related to the adjudicative process of claims; and oversees the operation of a processing center.

 

ILLUSTRATIVE DUTIES

 

DISABILITY ANALYST 3  

 

Case Processing

 

When assigned to a case processing unit, supervises a unit of Disability Analysts 2 in developing and determining claims for benefits and may do any of the following:

 

·       Ensures that cases are processed efficiently and accurately by periodically reviewing a sample of cases at different stages of development for completeness, timeliness and appropriateness of any action or determination.

 

·       Assists staff by suggesting methods for case analysis; reviews cases and  sources to be contacted for proper case development; provides information on precedent cases; refers staff to specific policies and procedures to be followed; and provides alternatives to usual methods of case development.

 

·       Corrects procedural, substantive and judgmental deficiencies noted in the case review and instructs staff in the specific technique, policy and procedure to be followed to ensure proper case development and determinations.

 

·       Reviews statistical production reports to identify problems in meeting acceptable production targets and sets goals, defines and solves work problems and trains staff on new policies.

 

·       Consults with medical personnel or the Quality Assurance Unit to support initial case development or determination; reviews additional case development for completeness and soundness of judgment before referring the case back to the medical consultant or the Quality Assurance Unit.

 

·       Adjudicates difficult aged or delayed cases and reviews pre-hearing cases prior to forwarding them to the Hearing Unit.

 

·       Ensures each case is complete and that the decision to stop benefits is correct.  If decision to stop benefits is incorrect, ensures benefits are resumed and cancels hearing.

 

·       Reviews claims and cases returned by Quality Assurance Unit, medical consultants or federal examiners for inadequate case development or disagreements on the case determination and returns or refers the case back to Quality Assurance or the medical consultant.

 

Quality Assurance   

 

When assigned to Quality Assurance, reviews a sample of cases developed and determined by examining staff to ensure compliance with policies and procedures and to maintain high quality and timely determinations.  

 

 

 

·       Reviews all cases returned by the federal reviewer and, following the reexamination of the claim, returns the case to the federal reviewer.

 

 

·       Reviews the case when returned from the supervisor in the case processing unit for comment and/or action and follows up until the case is complete.  

 

·       Evaluates staff performance in accordance with office policy regarding quality and timeliness standards or to evaluate the effectiveness of training.

 

·       Prepares periodic reports on work performance, case processing, problems or other issues.

 

·       Reviews a sample of imaged cases to ensure appropriateness, accuracy and quality.

 

·       Enters all quality assessment reviews in the Quality Assurance Database.

 

·       Acts as a vocational consultant; reviews and advises on complex vocational issues in accordance with SSA rules and regulations.

 

 

Hearings

 

When assigned to the Hearings Unit, reviews determinations for correctness and determines eligibility or ineligibility for benefits and conducts face-to-face hearings to cease benefits.

 

 

 

 

 

 

Automated Case Processing (ACP)

 

When assigned as an Automated Case Processing (ACP) Coordinator, provides support for all ACP and program related systems applications.

 

 

 

 

 

 

Training

 

When assigned as a training coordinator, provides regional support for the planning and coordination of Division-wide training activities and report preparation,  and may assist in quality reviews and program evaluation trends to plan and develop training for the Division.

 

  

 

 

 

 

DISABILTY ANALYST 4

 

Supervises a group of units responsible for case processing, quality assurance, training or medical review. 

 

When assigned to case processing, quality assurance or ACP oversight:

 

 

 

 

When assigned to a medical records liaison function:

 

 

 

 

 

 

DISABILITY ANALYST 5

 

Supervises a group of modules responsible for case processing, quality assurance, training or medical review; supervises operations and production of analyses; and develops new policies arising from new and changed laws, rules and regulations.

 

When assigned to oversee program integrity and quality assurance:

 

 

 

 

When assigned to a Statewide Division training function:

 

 

 

 

 

DISABILITY DETERMINATIONS PROGRAM MANAGER

 

Develops and administers policies related to Disability Insurance claims.

 

 

 

Ensures the smooth operation of a processing center by acquiring needed resources, monitoring case processing and making necessary adjustments.

 

 

 

 

 

 

 

 

Maintains liaison with federal, State, county and civil agencies whose clientele is seeking or receiving SSA disability benefits.

 

MINIMUM QUALIFICATIONS

 

          DISABILITY ANALYST 3

 

Promotion:  One year of permanent service as a Disability Analyst 2.

 

DISABILITY ANALYST 4

 

Promotion:  One year of permanent service as a Disability Analyst 3.

 

DISABILITY ANALYST 5

 

Promotion:  One year of permanent service as a Disability Analyst 4.

 

          DISABILITY DETERMINATIONS PROGRAM MANAGER

 

 Promotion:  One year of permanent service as a Disability Analyst 5.

 

Rev: 4/19

 

NOTE:  Classification Standards illustrate the nature, extent and scope of duties and responsibilities of the classes they describe.  Standards cannot and do not include all of the work that might be appropriately performed by a class.  The minimum qualifications above are those which were required for appointment at the time the Classification Standard was written.  Please contact the Division of Staffing Services for current information on minimum qualification requirements for appointment or examination.