Claims Developer

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout the U.S.—all committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in six Canadian provinces and Europe. PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit www.publicconsultinggroup.com .

Our Human Services team helps state and municipal human services and economic development agencies keep their promises—responsibly and sustainably—to the children, adults, and families they serve. Join us and use your professional skills to build stronger communities and better serve populations in need by making meaningful and lasting changes in government organizations.

Services:

Program Consulting

Finance Consulting and Billing Services

Applied Technology

Outsourcing and Operations

Strategy

Project and Grants Management

Assessments and Feasibility Studies

PCG is seeking a child welfare Claims Developer. This person will be responsible for submitting SSA’s required application forms and evidence for youth in foster care who have been identified as potentially eligible for SSI benefits. The Claims Developer is responsible for obtaining signed forms from case planners, youth and/or parents, collecting medical & school evidence to support the disability claim, and for preparing and filing SSI claims with SSA. The Claims Developer will be responsible for providing case development and follow up activities of pending SSI applications. They will be required to collect technical information, medical & school evidence to support applications to be filed or filed with the Social Security Administration (SSA). The person in the role of the Claims Developer must have effective time management skills, attention to detail, ability to communicate effectively and apply critical thinking to claim development. The Claims Developer will need to understand or learn SSA’s childhood and young adult disability criteria and apply analytical thinking to claims development. The Claims Developer will work closely with Disability Determination Services (DDS) to ensure youth attend Consultative Exams (CE).

Social Security Advocacy Management Services Overview:

Within the organization PCG has a project team dedicated to providing Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) representation and advocacy work for low-income Temporary Assistance for Needy Families (TANF) and child welfare agencies throughout the country. This project team is referred to as our Social Security Advocacy Management Service SSAMS™ team. The SSAMS™ team’s projects include the identification, development, application and representation of and post entitlement claims at all levels of the adjudication process including attending hearings with our clients before Administrative Law Judges and SSA post entitlement work.

Overall Responsibilities:

PCG is seeking a child welfare Claims Developer. This person will be responsible for submitting SSA’s required application forms and evidence for youth in foster care who have been identified as potentially eligible for SSI benefits. The Claims Developer is responsible for obtaining signed forms from case planners, youth and/or parents, collecting medical & school evidence to support the disability claim, and for preparing and filing SSI claims with SSA. The Claims Developer will be responsible for providing case development and follow up activities of pending SSI applications. They will be required to collect technical information, medical & school evidence to support applications to be filed or filed with the Social Security Administration (SSA). The person in the role of the Claims Developer must have effective time management skills, attention to detail, ability to communicate effectively and apply critical thinking to claim development. The Claims Developer will need to understand or learn SSA’s childhood and young adult disability criteria and apply analytical thinking to claims development. The Claims Developer will work closely with Disability Determination Services (DDS) to ensure youth attend Consultative Exams (CE).

Specific Responsibilities:

Follow up on requested medical, mental health, school and work records.

Identify proper forms and obtain signatures on all the required forms and documentation.

Request additional information from case workers as needed.

Submit medical evidence to DDS when requested.

Obtain status updates from SSA and DDS.

Confirm CE appointment or assist with rescheduling appointments.

Refer denied claims to DEA for appeal reviews.

Provide monthly reporting statistics to Supervisor.

Required Skills:

Intermediate skills with Word, Excel. PPT, Outlook Microsoft products.

Professional writing and verbal communication skills

Strong interpersonal skills, including the ability to establish working relationships with public sector agencies.

Ability to recognize and maintain confidentiality of all materials in the work setting.

Knowledge and understanding of SSA’s medical, mental and vocational criteria’s

Knowledge and understanding of SSI,RSDI and other federal funding sources for foster youth.

Ability to maintain record keeping to monitor monthly targeted goals.

Ability to work independently, requiring minimal supervision.

Required Experience:

An associate degree or 2 years relevant experience.

Medical and/or Human Service background preferred.

For more information on Public Consulting Group, please visit our website at www.pcgus.com

EEO Statement : Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

n

Additional Job Description

This position is a remote, work from home position. PCG is a remote-friendly organization and is committed to creating a culture where remote work remains a vital part of the company’s success. To be successful in a remote work role at PCG, you must:

be available during your set working hours.

have a safe, private, and distraction-free environment in which to complete your work, and

be able to give your full attention to the completion of your PCG job duties.

Some travel to the office or elsewhere may be required for team meetings, client meetings, etc.

We are accepting applications on an ongoing basis until filled.

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role: $20.14 -$25.33 . In addition, PCG provides a range of benefits for this role.

Compensation:

Compensation for roles at Public Consulting Group varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, PCG provides the following reasonable range of compensation for this role below. In addition, PCG provides a range of benefits for this role, including medical and dental care benefits, 401k, PTO, parental leave, bereavement leave.

EEO Statement:

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.