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Eligibility Determination Specialist
2 months ago
We are seeking a highly skilled and detail-oriented Case Resolution Specialist to join our team at the City of New York. As a Case Resolution Specialist, you will play a critical role in resolving case inquiries submitted by community-based providers related to cash assistance, SNAP, medical assistance, and employment services.
Key Responsibilities- Review and resolve case inquiries submitted by community-based providers, conducting research in Agency systems of record and reviewing documentation provided by community-based organizations.
- Provide verbal and written updates to community-based organization representatives and other client representatives on the status of inquiries, obtaining collateral information and documentation as needed.
- Make initial separate eligibility determinations for cash, SNAP, and medical assistance, applying rules and coordinating with FIA and MAP, and processing recertifications based on financial eligibility.
- Process referrals for employment services, making appropriate eligibility referrals, including referrals for eligibility verification, referrals for child support, and referrals for employment/education services.
- Discuss eligibility requirements with representatives from community-based organizations or other client representatives, advising on various benefits that may be available to an applicant or participant and requesting necessary eligibility documents.
- Authorize statistical and financial changes in assistance and/or budgets resulting from valid information received, preparing electronic and paper eligibility forms and submitting for supervisory review.
- Review client data from databases and systems, submitted documentation, computer printouts, matches, and files to enter client-specific information into systems and process clearances as they develop.
- Make corrective actions on cases as determined appropriate, completing agency forms to facilitate appropriate issuance of benefits and participant notification.
- Prepare detailed write-ups on case actions and histories utilizing POS and other internal systems to support eligibility decisions and other case actions.
- A baccalaureate degree from an accredited college; or
- A four-year high school diploma or its educational equivalent and two years of full-time satisfactory experience in social/human services, call centers, customer service, or a related setting performing either interviewing, determining eligibility for and/or providing client benefits and services, or interviewing, determining eligibility for and/or providing employment planning and counseling services involving job development, skills assessment, and employment placement or other economic opportunity programming.
- College credit from an accredited college may be substituted for this experience based on 30 semester credits for 6 months of work experience.
