Eligibility Specialist II
5 days ago
We are seeking a highly skilled Eligibility Specialist II to join our team at My Florida Corp Defunct. As an Eligibility Specialist II, you will play a critical role in determining initial and ongoing eligibility for social service programs, including reviewing and analyzing error-prone and complex cases to evaluate the quality of services.
Key Responsibilities- Conduct interviews to collect and update personal data on applicants and clients, and assist applicants and clients in clarifying and obtaining documentation required to establish eligibility.
- Assist clients in obtaining documentation when the individual is unable to act on their own behalf, and review documents for validity.
- Initiate necessary collateral contracts to verify information provided by applicants and clients.
- Review and analyze forms, applications, documents, or other information to make eligibility determinations.
- Obtain necessary documentation, certification, or approval in support of actions.
- Use mainframe computer systems or software applications to access, create, edit, print, send, retrieve, or manipulate data, files, or other information.
- Provide applicants and clients with information concerning other department and community assistance programs and make referrals as appropriate.
- Plan, evaluate, guide, and coach staff as required.
- Conduct fraud investigations and recommend appropriate action.
- Review and analyze error-prone and complex cases to assist entry-level staff.
- Acquire and maintain a working knowledge of relevant laws, regulations, policies, standards, or procedures.
- Collect data, compile, and organize information.
- Verify accuracy of data and reconcile errors or inconsistencies.
- Provide training to other staff.
- Explain or justify decisions, conclusions, findings, or recommendations.
- Maintain or update data, records, or other information to ensure accurate case records.
- Makes recommendations for improvements, solves problems, or takes corrective action when issues arise.
- Use prescribed mathematical and statistical formulas, schedules, tables, or procedures to perform eligibility determination.
- Collaborate with others or work on teams to accomplish work-related activities and to determine appropriate action or recommend improvements or solutions to problems.
- Read and understand non-technical materials such as letters, memoranda, electronic mail, or simple instructions.
- Complete forms, documents, or routine reports, and compose simple correspondence or other written work such as memoranda and form letters.
- Retrieve, add, or remove materials from a filing system.
- Types materials and transfers information from one document or record to another.
- Perform other related work as required.
- 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.
This is a professional work environment that requires strong communication and interpersonal skills. The ideal candidate will be able to work effectively in a team setting and adapt to changing priorities and deadlines.
We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about making a difference in the lives of others, we encourage you to apply for this exciting opportunity.
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