Job Details

ELIGIBILITY SPECIALIST II - 60034898

This is professional work determining initial and ongoing eligibility for social service programs, including reviewing and analyzing error-prone and complex cases to evaluate the quality of services; conducting training and mentoring staff as appropriate. This work also involves planning, evaluating, leading and guiding staff; establishing overpayment and over-issuance claims; conducting fraud investigations for public assistance programs; and making appropriate referrals to community resources and providers.

Examples of work performed:

• Conducts interviews to collect/update personal data on applicants and clients and household members and assists applicants and clients in clarifying and obtaining documentation required to establish eligibility.
• Assists the client in obtaining documentation when the individual is unable to act on his or her own behalf; reviews documents for validity.
• Initiates necessary collateral contracts to verify information provided by applicants and clients.
• Reviews and analyzes forms, applications, documents or other information to make eligibility determinations.
• Obtains necessary documentation, certification or approval in support of actions.
• Uses mainframe computer systems or software applications to access, create, edit, print, send, retrieve or manipulate data, files or other information.
• Provides applicants and clients with information concerning other department and community assistance programs and makes referrals as appropriate.
• Plans, evaluates, guides and coaches staff as required.
• Conducts fraud investigations and recommends appropriate action.
• Reviews and analyzes error-prone and complex cases to assist entry level staff.
• Acquires and maintains a working knowledge of relevant laws, regulations, policies, standards or procedures.
• Collects data, compiles and organizes information.
• Verifies accuracy of data and reconciles errors or inconsistencies.
• Provides training to other staff.
• Explains or justifies decisions, conclusions, findings or recommendations.
• Maintains or updates data, records or other information to ensure accurate case records.
• Makes recommendations for improvements, solves problems or takes corrective action when issues arise.
• Uses prescribed mathematical and statistical formulas, schedules, tables or procedures to perform eligibility determination.
• Collaborates with others or works on teams to accomplish work-related activities and to determine appropriate action or recommend improvements or solutions to problems.
• Reads and understands non-technical materials such as letters, memoranda, electronic mail or simple instructions.
• Completes forms, documents or routine reports, and composes simple correspondence or other written work such as memoranda and form letters.
• Retrieves, adds or removes materials from a filing system.
• Types materials and transfers information from one document or record to another.
• Performs other related work as required.

Knowledge, skills and abilities:

• Knowledge of public assistance program objectives and policies.
• Knowledge of problem-solving techniques.
• Knowledge of training principles and practices.
• Knowledge of goal setting techniques.
• Knowledge of arithmetic.
• Skill in operating a personal computer.
• Ability to conduct fact-finding interviews.
• Ability to accurately prepare and maintain records and reports.
• Ability to work with a diverse range of people.
• Ability to adapt to change.
• Ability to deal calmly and effectively in high stress situations.
• Ability to compose documents or correspondence involving technical information.
• Ability to perform complex arithmetic operations.
• Ability to interpret and apply regulatory materials.
• Ability to prioritize and meet deadlines.
• Ability to establish and maintain effective working relationships.
• Ability to communicate effectively orally.
• Ability to apply ethical business practices.

Minimum qualifications:

• A bachelor's degree from an accredited college or university and two years of professional experience in determining eligibility for social insurance or social service programs.
• A master's degree from an accredited college or university and one year of experience as described above.
• Para-professional experience involving eligibility determination, investigations, interviewing, counseling, recruitment, claims taking or claims examining in a social insurance or social service program can substitute on a year-for-year basis for the required college education.

Location: Ocala, FL, US, 34474