No matter
what adjudicative level you're on in the disability process, (initial, reconsideration or Administrative
Law Judge), the advocate's actions in processing the case are basically the same.
These processing
steps are:
Interview ClientThe
assessment phase: In this first step, you must determine if the case is worth
accepting. This can be done by interviewing the client and manually or
automatically assessing the case using the Navigator
program. If the case has at least a 70% chance of being won, you can consider
accepting the case. If you accept the case, you must begin the process
of signing on the client.
Acceptance or Intake Phase:
This process involves the exchange and completion of forms by the claimant.
These forms include your instructions to the client, your contract with the client
and the required Social Security forms like the 1696.
Case development:
During this phase, you must collect as much medical and vocational information about your
client as possible. These medical records are used in the case evaluation process.
How much case development you do depends upon the adjudicative level of the case.
On the Initial level, you can expect to do the most case development. Less
development is needed on the Reconsideration level and less still at the ALJ.
Case evaluation:
Once you have your client's medical records, this phase begins. In this phase, you
review the evidence and create an argument on behalf of your client. It is during
the case evaluation process that you apply the sequential analysis, vocational analysis
and physical limitation techniques as discussed in your training program.
Argument Creation:
Your argument or brief is then submitted to Social
Security
and becomes part of the client's file. Social Security must consider your argument before making
a final decision in the case. This Social Security review requirement can significantly improve
a client's chances of receiving benefits.
Submission of argument to SSA
This process is explained in your training materials.
Decision
You and the client should receive a decision notice from
Social Security.
Billing
Only if the case is allowed.
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