DI 43501: Processing Responsibilities for Foreign Claims
Audience:
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A. Policy - responsibilities
Office of Disability and International Operations (ODIO), Office of International Operations (OIO), is responsible for:
Claims filed by or on behalf of individuals who use a foreign address (see DI 43505.001);
Taking claims and making disability determinations when the primary individual is using a foreign address;
Assisting Office of Disability Adjudication and Review (ODAR) when necessary;
Claims filed under the international social security agreements (totalization).
B. Policy - performs DDS functions
ODIO, OIO's foreign disability examiners (FDE's) perform the full range of DDS functions. FDE's develop and adjudicate:
1. Develop and adjudicate
Initial claims
Continuing disability review (CDR) cases
Reconsideration of initial denials
Pre-hearing development of reconsidered cessations
Certain claims based on totalized earnings
2. Process assistance requests
FDE's process assistance requests from:
Department of State,
ODAR, and
Foreign agencies with which we have reciprocal agreements.
C. Policy - performs ODO/PSC function
FDE's, with assistance of claims adjudicators and earnings review examiners, also perform various ODO/PSC functions. These functions are:
Screen and route cases alerted for a medical CDR.
Develop, adjudicate and review substantial gainful activity determinations for initial and continuing cases.
Screen, process and review annual CDR enforcements.
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Implement Administrative Law Judge, Appeals Council and Court decisions and remands for all PC8 jurisdiction cases.