Apply on Employer Site

N.C. Department of Information Technology · 9 hours ago

Disability Benefits Analyst

Wake County, NC

Full-time

Onsite

Mid Level

4+ years exp

N.C. Department of Information Technology is responsible for preserving and managing the state's pension and healthcare plans. The Disability Benefits Analyst processes claims for various disability benefits within the public pension plans, ensuring eligibility and compliance with relevant statutes.

Information Technology & Services

Work & Life Balance

Responsibilities

Pulls workflows for the processing of disability files for short-term, preliminary long-term, extended short-term, long-term, disability retirement, and reexams in preparation for the Medical Board review

Determines eligibility based upon factors identified by the General Assembly for the Disability Income Plan and Disability Retirement for State and Local Governmental employees

Reviews required forms for accuracy and completeness to apply to the applicable disability

Contacts members and/or employers to discuss discrepancies in the payroll, date of disability certified by member's physician; last day worked and/or last day exhausted leave

Reviews and determines if a member has been or is in receipt of Workers' Compensation, Veteran's benefits, Social Security benefits, and salary continuation benefits and if these benefits are applicable to the current medical reported to RSD

Once eligibility is determined, enters all applicable dates into ORBIT

Prepares appropriate forms for the Medical Board

Ensures all applicable medical forms are prepared for the Medical Board

Transfers files to Medical Board SharePoint site for virtual Medical Board meetings

Attends virtual Medical Board meetings and ensures at least three Medical Board physicians agree with their decision about the case

Obtains clarification from members or member's physician regarding any questions generated from the Medical Board

Processes correspondence immediately following the Medical Board to notify disability applicants about the decisions of the Medical Board

Pulls 7C forms from workflow after Medical Board Approval

Pulls forms from AX to determine applicable salary to base disability benefits

Determines and enters the re-exam date based on Medical Board approval

Determines and notifies Health Insurance Team of the health care date, if needed

Determines the applicable longevity percentage to apply to base salary

Reviews service history and requests service audit, when necessary, so system calculates the cease date of the disability

Enters all information into ORBIT for appropriate calculation and double checks ORBIT calculations

Contacts employers and employees for applicable documents needed for payments

Applies applicable offsets to the member’s benefits, such as, Workers' Compensation, Veterans benefits, Social Security, etc. when setting up the initial payment

Refers to General Statutes for applicable laws regarding calculations

Receives report quarterly where suspected payments were made and were not authorized thus resulting in an overpayment; researches all cases to ensure correct payment amount; manually reviews all records, and calculates the appropriate amount

Monitors workflow daily, pulls and resolves correspondence items

Assists in yearly disability activities, such as, Statements of Income

Processes re-exams

Processes offsets to the member’s benefits, such as, Workers' Compensation, Veterans benefits, Social Security, etc., after the initial benefit is setup, according to the disability laws, processes, and procedures

Interprets applicable statutes regarding questionable disability cases for other analysts

Responds to internal and external emails from customers and employers regarding disability status

Provides formal and informal training/mentoring

Prepares reports for management concerning Medical Board cases

Handles sensitive/internal member cases for DST employees for privacy concerns

Provides disability processing information to the Call Center

Processes paper and online Statements of Income

Pulls workflows for the processing of employee’s paper and online return of contributions (Refund) applications

Reviews and determines eligibility of Refund

Reviews contributory history, verifies demographic information, and Melissa data

Verifies notary; reviews and validates overpayment status

Reconciles information between ORBIT and AX

Processes obsolete forms, rollover requests, and pension transfer requests

Processes funds/service between the local and State systems

Creates appropriate correspondence for rollovers and refunds

Checks for overpayments and discusses with appropriate internal employees

Reviews for domestic relations orders and legal issues and discusses with appropriate subject matter expert

Requests information from various sections regarding the status of a member's account as it relates to the processing of the Refund. i.e. Disability, Retirement, and Death

Assists in the yearly Required Minimum Distribution (RMD) project and processes RMD files throughout the year

Makes customer and employer contacts, when necessary

Reviews letters and forms to be mailed

Participates in special projects, as assigned

Creates help tickets and tests all applicable payment processing through ORBIT

Assists supervisor/manager, when needed

Qualification

Disability Case TrackingEligibility DeterminationORBIT SoftwareMedical Board PreparationStatutory InterpretationCustomer CommunicationTrainingMentoring

Required

High school diploma or General Educational Development (GED) diploma and four years of related administrative experience; or equivalent combination of education and experience