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For the statements below, please select the response that best describes your experience and/or education. Select only one answer.
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1.
Your response to the question below will determine if you qualify for the position of Claims Specialist, GS-7. If you meet more than one choice, select the response that describes the highest level of experience/education that you possess. You must fully meet the description in the response to select it. You may be required to provide proof for the response you select.
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2.
Your response to the question below will determine if you qualify for the position of Claims Specialist, GS-9. If you meet more than one choice, select the response that describes the highest level of experience/education that you possess. You must fully meet the description in the response to select it. You may be required to provide proof for the response you select.
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3.
I am in good standing and I am not serving under a formal Opportunity to Perform Successfully (OPS) improvement plan.
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4.
Please select the statement that best describes your status.
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5.
Select the option that corresponds to the element average shown on your performance appraisal for the most recently completed appraisal period:
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Select the option that corresponds to the total number of points you should receive for awards. You may receive points for your monetary awards as follows:
--1 point for each cash award earned earlier than 5 years from the date of the vacancy (Maximum of 5 points)
--1 point for each ECSA award within the prior 5 years.
--2 points for each performance award (ROC/QSI) within the prior 5 years.
(Note: Although SSA did not pay cash awards for the appraisal period of 10/01/11-9/30/12, you should credit yourself with 2 points toward the 10 point maximum where your Element Average was equal to or higher than 4.0. You should credit yourself with 1 point for the appraisal period was between 3.0-3.9.
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6.
Your overall total for monetary awards may not exceed 10 points.
Please indicate the number of points you should receive for awards:
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The following questions list examples of career achievements that contribute to SSA's mission. Please answer Yes or No for each question. Each question is worth 1 point, for a maximum of 5 points.
NOTE: All responses must be documented on the SSA-45 and will be subject to further review.
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7.
Have you represented the agency on various initiatives to deliver information about agency programs?
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8.
Have you suggested (formally or informally), recommended, organized, and/or implemented a work process that improved accuracy, or resulted in cost or time savings?
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9.
Have you served as a subject matter expert, delivered formal classroom instruction, or provided formal mentoring or on-the job training; or served on a voluntary detail of at least 30 days?
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10.
Have you participated in a workgroup or interagency activity to develop or revise technical resource materials, or test the effectiveness of a work process or system?
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11.
Have you received a letter of commendation or an honor award for your contribution(s) to the accomplishment of the agency's mission or for providing exemplary service in the community that promotes or enhances the image/mission of the agency or the federal service?
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Please answer yes or no to the statements below.
Note: Submission of this electronic questionnaire is certification that all responses are true to the best of your knowledge. Materially false, fictitious or fraudulent statements or representations are subject to disciplinary action.
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12.
Develop and process a wide range of complex SSA entitlement actions (e.g. federal old-age, survivors and disability insurance; supplemental security income or health insurance for the aged, blind, and disabled, relationship issues, rep payee misuse, SSI complex living arrangements). (4 points)
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13.
Provide formal and informal technical guidance to others on questions and problems concerning claimants benefit eligibility. (2 points)
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14.
Request and evaluate evidence to develop and resolve issues in accordance with SSA policy and procedure. (2 points)
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15.
Monitor case findings, develop and disseminates information on SSA programmatic cases. (1 point)
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16.
Analyze and develop complex policy and situations and make proper referrals (e.g., multiple entitlements, earnings discrepancies, fraud, etc.). (3 points)
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17.
Gather information from multiple sources (e.g. computer output, written documents, oral communications) and evaluate interrelated factors to define issues related to a particular situation or problem. (2 points)
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18.
Identify, examine, and integrate information to resolve problems or questions, in order to make and implement decisions in the most complex cases (e.g., relationship issues, workers compensation, government pension offset & earnings). (2 points)
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19.
Analyze customer needs and make routine determinations and referrals based on the information provided. (1 point)
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20.
Communicate with claimants/beneficiaries, departments, other government agencies, third parties, etc. to convey or obtain technical information regarding benefit programs. (3 points)
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21.
Provide informal training to individuals in a group setting or serve as a mentor. (2 points)
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22.
Utilize variety of techniques addressing emotional distress from customers. (2 points)
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23.
Determine the appropriate action when collecting data from customers and remains engaged through the complete process. (1 point)
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24.
Develop and prepare formal communications and determinations in writing to claimants, departments, other government agencies, third parties, etc. involving complex laws, regulations and procedures. (3 points)
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25.
Prepare correspondence that explains problems, discrepancies and reasons for actions taken in matters pertaining to laws, regulations and/or procedures. (2 points)
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26.
Prepare written request for assistance to solicit pertinent information, clearly describing information requested. (1 point)
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27.
Draft accurate notes when receiving calls from individuals in need or in crisis, providers, and representatives to update their records. (1 point)
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28.
Utilize available automated/online tools or create an automated workflow process to increase workload efficiency for the office. (4 point)
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29.
Use online resources to answer questions and determine appropriate development and documentation, including explaining the use of available online services to the customer. (2 point)
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30.
Process inputs by using the appropriate automated systems. (1 point)
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31.
Use computers/laptops and various software programs (e.g. Microsoft Word, Excel, Access, LAN, Outlook, etc.). (1 point)
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32.
Identify and analyze inefficiencies and obstacles to existing workflows, and make recommendations for improvement. (4 points)
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33.
Maximize use of time and resources to process a large variety of complex workloads. (3 points)
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34.
Manage changing workloads, priorities and/or work assignments to achieve desired results on a consistent basis. (2 points)
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35.
Organize and manage pending work to control and process workloads. (1 point)
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