All claims filed by an employee, employee’s spouse, or member of the employee’s immediate
household must be reviewed by management. The manager’s should conduct a review that
verifies proper documentation and the recording of evidence is present and supports
the adjudicative decision (e.g., presumptive disability, earning adjustment, etc.),
month of entitlement, medical decision, insured status, etc. Managers must complete
the following steps when handling Employee Claims:
On the Development Worksheet screen (DW01), managers are required to:
Create an issue using the annotation “EE
Enter the managers name in the “Remarks” section
On the Report of Contact (RPOC) screen on MCS, managers are required to:
State that this is an employee or employee related claim
State that the claim has been reviewed by management
For paper claims, managers are required to mail a completed package that includes
the entire file and a signed printout of the (RPOC) screen.
If the claim is processed using a paperless application, managers should mail a signed
printout of the (RPOC) screen.
Employee Claims must be mailed in an envelope mark “Employee
Claim - Do Not Open in the Mailroom” to the following address:
Social Security Administration
P.O. Box 8788
Attn: Center for Security and Integrity
CSI will ensure the procedures in GN 01010.007B were followed, and annotate the file with the result of their review. CSI will notify
the manager if additional action is needed.