Benefit Appeals Specialist

1 week ago


Bronx, New York, United States City of New York Full time

Position Overview: Benefit Appeals Specialist

This role is integral to the Department of Social Services, which includes the New York City Human Resources Administration and the Department of Homeless Services. The selected candidate will engage with Cash Assistance recipients to address case actions influenced by Agency decisions regarding Cash Assistance benefits, SNAP, and Medicaid. Responsibilities will encompass facilitating hearings with recipients, analyzing databases, guiding clients through Fair Hearing procedures, and assembling evidence for presentation at the Office of Administrative Hearings.

  • Facilitate hearings with recipients to assess the validity of Agency actions.
  • Analyze databases to verify the correctness of actions taken or identify any discrepancies.
  • Guide clients on their rights to contest unfavorable decisions.
  • Compile electronic evidence packets for hearings.
  • Oversee and assess individual System queues to ensure timely processing.
  • Provide urgent support at alternate locations within the same Region as needed.

Work Location: Bronx

Hours/Schedule: Standard hours are 9am – 5pm with flexibility available.

Minimum Qualifications:
1. High school diploma with three years of experience in social or human services or related fields.
2. Bachelor’s degree with eighteen months of experience as a Benefits Opportunity Specialist.
3. College credits may substitute for professional experience.

Preferred Skills:
- Strong communication and writing abilities.
- Familiarity with Agency operations and New York State social service regulations.
- Excellent analytical and time management capabilities.
- Attention to detail.
- Knowledge of FHEMS, WMS, POS, NYCWAY, SEAMS systems.

This position is accessible to qualified individuals with disabilities who meet the criteria for the 55-a Program. Public Service Loan Forgiveness may be applicable to eligible candidates. Residency in New York City is not a requirement for this position.



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