Company Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Job Description The Claims Developer represents claimants before the Social Security Administration in cases pending at the initial, reconsideration, and hearing levels. If you are looking for a culture of purpose and belonging – where your growth is priority, your identity is embraced, and the work you do matters, then join our team. You will learn new skills daily, work in a fast-paced environment, work with a great team, and be valued. Perks: Full and comprehensive benefits programs starting on your first day, 24 days of paid vacation/holidays in your first year plus sick days, Employee Assistance and a Referral Program. Job Duties & Responsibilities: Represent claimants in Social Security cases pending at the initial and appeal levels until/unless a hearing is scheduled. Claims Developer has authority, granted by claimant, to act of the claimant’s behalf in all matters relating to the Social Security claim. Interprets Social Security statutes and regulations and applies to facts of each case. Analyzes existing medical evidence and determines additional medical records necessary to demonstrate proof of Social Security disability. Recommend closure or OTR to lead developer based upon evidence of record. Analyze SSA/DDS/OHO requests and determines appropriate response. Obtains status from SSA/DDS/OHO. Files Reconsiderations and Hearing Requests within specified timeframes. Assists claimants in completing DDS questionnaires. Completes initial applications for Social Security benefits with claimants. Fields claimant and client company calls and determines next steps based on information obtained, SS law and process and internal process and procedures. Documents all claim activity in departmental database. Other duties as assigned. Qualifications Minimum Education: High School diploma required, 4 year college degree strongly preferred. Required skills and Experience: Formal schooling as noted above and/or 1-3 years of experience as a Social Security Representative or paralegal. Must be able to use technology, computers, applications, strong typing skills, and software experience. Ability to work well in a team setting. Must be flexible and responsive to change. Minimum qualifications: Strong analytical and critical thinking skills. Ability to multitask effectively in a fast paced environment. Strong organizational, verbal communication and customer relations skills. Ability to adhere to schedules and follow departmental procedures within set time frames. Certificates and professional licenses not required Benefits We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $14.71 - $20 hour, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-EG1 #LI-Remote