Governor of Illinois
DISABILITY CLAIMS SPECIALIST
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Job Description
- Req#: 48133
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Audits aged cases and provides analysis of trends leading to delays.
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Adjudicates assigned backlog of disability claims in compliance with state and federal guidelines to ensure accuracy and expediency.
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Analyzes complex disability claims involving medical and vocational issues to ensure compliance with the state and federal guidelines, integrity of pertinent documentation and accurate evaluation of medical, functional, and vocational evidence.
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Assists with Cooperative Corrective Action Plans for the Division of Adjudication Services.
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Promotes and maintains professional relationships with key providers, reviews requests for additional testing with authority to approve or deny such requests.
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Performs other duties as assigned or required which are reasonably within the scope of duties enumerated above.
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Requires a bachelor's degree, with major courses in medical, premedical, legal, prelegal, nursing, psychology, pharmacy, health, biological sciences, physical sciences, business administration, management, or disability claims adjudication OR requires current valid licensure as a Registered Nurse in the State of Illinois, plus three (3) years of professional registered nursing experience.
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Requires two (2) years of progressively responsible professional experience as a Disability Claims Adjudicator II.
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Requires ability to pass a federal employment background check. Individuals selected for positions with the Illinois Disability Determination Service (DDS) must go through a complete federal background investigation suitability determination by the Social Security Administration. Those individuals meeting the state requirements for employment must first complete the federal background investigation prior to their start date. This is necessary to determine whether an employee can be issued credentials in order to have access to the Social Security Disability data, records and systems. Further details will be provided during the pre-employment background check process.
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A Pension Program
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Competitive Group Insurance Benefits including Health, Life, Dental and Vision Insurance
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3 Paid Personal Business Days annually
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12 Paid Sick Days annually (Sick days carry over from year to year)
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10-25 Days of Paid Vacation time annually - (10 days in year one of employment)
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Personal, Sick, & Vacation rates modified for 12-hour & part-time work schedules (as applicable)
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13 Paid Holidays annually, 14 on even numbered years
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Flexible Work Schedules (when available dependent upon position)
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12 Weeks Paid Parental Leave
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Deferred Compensation Program - A supplemental retirement plan
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Optional Pre-Tax Programs such as Medical Care Assistance Plan (MCAP), Dependent Care Assistance Plan (DCAP)
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Federal Public Service Loan Forgiveness Program eligibility
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GI Bill® Training/Apprenticeship Benefits eligibility for qualifying Veterans
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5% Salary Differential for Bilingual Positions
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Commuter Savings Program (Chicago only)
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systems@SIL-P1.ns2cloud.com
Job Requisition ID: 48133
Opening Date: 06/30/2025
Closing Date: 07/14/2025
Agency: Department of Human Services
Class Title: DISABILITY CLAIMS SPEC - 12558
Skill Option: None .
Bilingual Option: None
Salary: Anticipated Salary: (Effective 7/1/25) $6,242-$9,021/month ($74,904-$108,252/year)
Job Type: Salaried
Category: Full Time
County: Sangamon
Number of Vacancies: 1
Bargaining Unit Code: RC062
Merit Comp Code:
This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position.
While not required, a Resume/Curriculum Vitae (CV) is recommended. When applicable, titles that require specific coursework, professional license or certification will include a notation requesting the appropriate document(s) be uploaded in the Additional Documents section of your application. Failure to upload requested transcripts, license and/or proof of certification when specified may result in ineligibility. Please note that the Department of Human Services must verify proof of higher education for any degree earned (if applicable) regardless of vacancy title before any offer can be extended.
All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal.
Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered.
Why Work for Illinois?
Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you’re helping to improve schools, protect our natural resources, or support families in need, you’re part of something bigger—something that touches the lives of every person who calls Illinois home.
No matter what state career you’re looking for, we offer jobs that fit your life and your schedule—flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois.
Position Overview
The Division of Rehabilitation Services is seeking to hire a detail-oriented Disability Claims Specialist to provide technical advice and serve as a resource person on claim-related matters to adjudicators and adjudicator trainees. This position adjudicates assigned backlog of disability claims in compliance with state and federal guidelines to ensure accuracy and expediency. The Disability Claims Specialist also analyzes complex disability claims involving medical and vocational issues to ensure compliance with the state and federal guidelines, integrity of pertinent documentation and accurate evaluation of medical, functional, and vocational evidence.
Essential Functions
Minimum Qualifications
Conditions of Employment
*The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description.
Work Hours: Mon-Fri, 8am-4:30pm, 1 hour unpaid lunch.
Work Location: 100 N 1st St Springfield, IL 62702
Division of Rehabilitation Services
Bureau of Disability Determination Services
Adjudication Services/Supplemental and Assistive Services Section
Agency Contact: DHS.HiringUnit@illinois.gov
Posting Group: Legal, Audit & Compliance; Social Services
About the Agency:
The Illinois Department of Human Services uplifts individuals and communities across Illinois. Our mission is to respond to the needs of all people in Illinois so they can lead healthy, safe, and enriched lives. Our vision is the future we are shaping with dignity and the well-being for everyone in Illinois. Our values are the principles that guide us as we work to remove systemic barriers and create lasting opportunities with Compassion, Accessibility, Responsibility, and Equity.
As a State of Illinois Employee, you will receive a robust benefit package that includes the following:
For more information about our benefits please follow this link: https://www2.illinois.gov/cms/benefits/Pages/default.aspx
APPLICATION INSTRUCTIONS
Use the “Apply” button at the top right or bottom right of this posting to begin the application process.
If you are not already signed in, you will be prompted to do so.
State employees should sign in to the career portal for State of Illinois employees – a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon.
Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account.
If you have questions about how to apply, please see the following resources:
State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid
Non-State employees: on Illinois.jobs2web.com – click “Application Procedures” in the footer of every page of the website.
State employees should include temporary assignment in the application profile. Temporary assignment verification forms can be uploaded to the Additional Documents section.
The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses:
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About the company
The Governor of Illinois is the chief executive of the State of Illinois, and the various agencies and departments over which the officer has jurisdiction, as prescribed in the state constitution.
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