SENIOR CLAIMS ADJUDICATOR DISABILITY DETERMINATIONS BILINGUAL SPANISH & ENGLISH
Bilingual Spanish & English
Senior Claims Adjudicator Disability Determinations Bilingual Spanish & English is a competitive state title, the kind you test for: the exam result, not a hiring manager's pick, decides where you land in line.
You can qualify with a bachelor's degree or, if you do not have one, by piling up more experience instead. Pay on the FY2027 schedule runs $72,896 to $106,798, and state payroll currently lists about 90 people in the title, most of them at Labor.
How to apply
-
Exam
This is an application to sit an exam and be placed on an eligible list for this title, not an application for a specific job. A $35 application fee applies to Non-Public-Safety announcements issued on or after 2026-02-01. There may be no current vacancy behind it, and the list it produces may not be certified for months or years.
-
Exam
Open to permanent employees in the competitive division who hold a qualifying lower title in the same unit. A $35 application fee applies to Non-Public-Safety announcements issued on or after 2026-02-01. Like the open competitive exam, this places you on a list; it is not itself a job offer.
-
Agency posting
Department of Labor and Workforce Development's employment page may require a click-through to see specific openings. Provisional appointment against a posted vacancy is how most people are actually hired into this kind of title.
Who employs this title
State payroll records show 90 people working under this title. The median actual salary is $103,187. The agencies employing the most are:
- Labor (90)
Counts from NJ YourMoney agency payroll. See statewide workforce analytics.
Official job specification
The text below is the official specification published by the New Jersey Civil Service Commission. The plain-language summary and analysis above are derived from it by NJ Civil Service Navigator.
Definition
Under direction of a Claims Adjudicator Supervisor, Division of Disability Determinations, reviews and evaluates medical and vocational evidence to make determinations on claims for Social Security Disability, including the more complex and specialized claims involving claims in appeal status or other specialized claims; analyzes legal, medical and vocational issues; develops and conducts skill assessment and training; acts as a technical expert and expediter; may conduct sample reviews and provide guidance and direction in development and documentation of claims files; does other related duties.
Examples of work
Makes decisions for a specific caseload or as an expeditor on the more complex types of cases. Develops generally the more complex cases by obtaining pertinent medical, work history, vocational and rehabilitative evidence to make determinations of eligibility on claims. Analyzes and evaluates evidence and determines current and past eligibility for SSA disability benefits. Advises beneficiary and auxiliary beneficiaries of denial decisions so they may provide any additional supporting evidence to prevent cessation of benefits or denial of claim. Provides advice and guidance to Claims Adjudicators of lower grades and to medical consultants in case problems to ensure that cases are properly identified, developed, evaluated, and documented. Reviews the work of other adjudicators with special focus on correct and timely development, complete medical, vocational, technical and legal documentation and correctness of decision; provides feedback and maintains written records of findings. Provides review of findings and makes recommendations on revising determinations of disability to ensure that the relative probative values of all pertinent evidence, and explicit resolution of all pertinent issues, including opinion evidence, substantiation of inferences, with a resultant decision of legal integrity in conformity with administrative policies and guides. Provides guidance on the proper development of evidence. Undertakes special development in appropriate cases with claimants, employers, third parties, physicians, psychologists or other medical sources, personnel offices of local employers and community resources such as work evaluation centers, state employment centers and vocational consultants. Provides, when needed, case analysis explaining the meaning and weight to be given to evidence in file, the interaction of medical, vocational, and other evidence, and the overall impact on the claimant's ability to engage in substantial, gainful activity. Serves as a resource for disability examiners, reviewers, and medical consultants and others concerned with case adjudication in the proper use of special vocational reference publications and source material on the physical and vocational requirements of jobs and of the availability of the jobs in the economy, locally, and regionally. May function as a lead worker in the absence of the supervisor. Provides consultation and advice on establishing residual functional capacity and translating this into the range of work the claimant is capable performing. Responds to inquiries from claimants, attorney, representatives or public officials. Explains adjudicative principles applied to the case in question, and discusses in non-technical language the pertinent medical, vocational and legal findings used in the evaluation of the claim. Analyzes all aspects of case processing to identify possible causes of case delay; makes recommendations for correction and assists in implementing action plan. Prepares and delivers lectures to outside groups on specific aspects of the disability program if needed. Consults with staff on issues pertaining to specific policy interpretation and application. Reviews internal QA and Federal case returns to determine if rebuttal is possible, researches reference material, and utilizes this information in support of rebuttal. Identifies any shifts in policy interpretation and advises adjudicators. Analyzes and evaluates medical evidence, both past and current, to determine if medical improvement has occurred. Assesses impact of advances in medical treatment on claimant's ability to engage in substantial, gainful activity. Evaluates vocational therapy received by claimant since original award; makes adjustments in vocational profile to reflect any pertinent training and education. Contacts sources of vocational therapy, e.g. schools, veterans' programs, state training schools, for details of training rendered claimant. Accurately identifies any skill acquired through such training. Applies principle of collateral estoppel where appropriate. Will be required to learn to utilize various types of electronic and/or manual recording and computerized information systems used by the agency, office, or related units.
License
Appointees will be required to possess a driver's license valid in New Jersey only if the operation of a vehicle, rather than employee mobility, is necessary to perform the essential duties of the position.
Knowledge, skills and abilities
Knowledge of legal aspects, procedures, ramifications, or "Due Process" issues when benefits cease or claims are unfavorably reversed. Knowledge of the in-person and telephone interviewing techniques. Knowledge of the theories of disability determination practices and other insurance methodology. Knowledge of the methods of case processing. Ability to interpret and apply rules and regulations governing the disability provisions of the Social Security Act and Supplemental Security Income program and their amendments, international agreements, and operational procedures and policies. Ability to interpret statistical data contained in reports. Ability to make clear, concise and convincing presentations of study findings, conclusions, and recommendations at conferences and staff meetings. Ability to deal effectively with all situations with claimants, attorneys and other claimant representatives. Ability to deal effectively with all situations with claimants, attorneys and other claimant representatives. Ability to organize assigned work, analyze complex claims problems, and evaluate all pertinent evidence obtained, and maintains accurate claims files and records. Ability to obtain medical documentation necessary to case adjudication. Ability to handle and resolve complaints from claimants and/or their representatives. Ability to plan and effectively conduct orientation and in- service training programs. Ability to effectively communicate policies, procedures, rules, and regulations both orally and in writing. Ability to utilize various types of electronic and/or manual recording and information systems used by the agency, office, or related units. Ability to read, write, speak, understand, and communicate in English sufficiently to perform duties of this position. American Sign Language or Braille may also be considered as acceptable forms of communication. Persons with mental or physical disabilities are eligible as long as they can perform essential functions of the job after reasonable accommodation is made to their known limitations. If the accommodation cannot be made because it would cause the employer undue hardship, such persons may not be eligible. This job specification is applicable to the following title code(s) which are different work week or work month and/or variants of the job class title: Job Spec Code State, Local or Common Class of Service Work Week State Class Code Local Class Code Salary Range
Note
The examples of work for this title are for illustrative purposes only. A particular position using this title may not perform all duties listed in this job specification. Conversely, all duties performed on the job may not be listed. NOTE: Appointments may be made to positions requiring bilingual skills. - Bilingual in Spanish and English SPECIAL SKILL Applicants must be able to read, write, speak, understand, or communicate in Spanish and English sufficiently to perform the duties of this position. Applicants must meet one of the following or a combination of both experience and education. Thirty (30) semester hour credits are equal to one (1) year of relevant experience. Six (6) years of professional experience in work involving the review of medical documentation and investigation of medical claims for eligibility determination of benefits or services. OR Possession of a bachelor's degree from an accredited college or university; and two (2) years of the above-mentioned professional experience. "Professional experience" refers to work that is creative, analytical, evaluative, and interpretive; requires a range and depth of specialized knowledge of the profession's principles, concepts, theories, and practices; and is performed with the authority to act according to one's own judgment and make accurate and informed decisions. SC3524N/AP23-Bilingual Spanish & EnglishSC3524N/AP23- This job specification is for government use only. Salary range is only applicable to state government. Local salaries are established by individual local jurisdictions. 09/11/1999