BENEFIT CLAIMS SPECIALIST

State of careers Rhode Island•Cranston, RI

About The Position

GENERAL STATEMENT OF DUTIES: In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance; to provide input and assistance in resolving adjudication issues and cases; as required, to represent the Department of Labor and Training at Board of Review appeal hearings; and to do related work as required. SUPERVISION RECEIVED: Works under the general supervision of a superior with some latitude in the exercise of initiative and independent judgement; work is reviewed to ensure conformance with laws, regulations, policies, procedures and standards. SUPERVISION EXERCISED: Trains, guides and/or mentors other technical and clerical staff. ILLUSTRATIVE EXAMPLES OF WORK PERFORMED: In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance. To provide input and assistance in resolving adjudication issues and cases. As required, to represent the Department of Labor and Training at Board of Review appeal hearings. To make recommendations and write related reports on results of research, analysis, and/or fact finding interviews in accordance with established procedures and applicable laws. To detect and compute overpayments and determine fault in order to declare the overpayment recoverable or non-recoverable, and refer such cases to the Department’s Central Overpayment Unit. To provide guidance and training to staff on matters related to disputed claims. To establish and maintain effective working relationships with employers, employment representatives, insurers, and other related representatives. To do related work as required.

Requirements

A working knowledge of the Rhode Island Employment Security Act
A working knowledge of state labor laws
A working knowledge of investigative and interviewing techniques and procedures
The ability to conduct effective interviews for the purpose of resolving disputed claims
The ability to provide consistent interpretation and application of applicable laws and procedures
The ability to assemble, organize and evaluate facts
The ability to prepare written factual reports and recommendations in a coherent and concise manner
The ability to establish and maintain effective working relationships with employers, employment representatives, insurers and other related representatives
related capacities and abilities
graduation from a college of recognized standing with a bachelor’s degree in labor relations, personnel, business or public administration, or the behavioral or social sciences, or a closely-related field
employment in a position responsible for conducting interviews involving fact-finding, analysis and evaluation of data relevant to employment issues
any combination of education and experience that shall be substantially equivalent to the above education and experience

Responsibilities

In the Department of Labor and Training, to perform research, fact-finding, analysis, and/or interviews on complex and disputed claims for unemployment insurance or temporary disability insurance.
To provide input and assistance in resolving adjudication issues and cases.
As required, to represent the Department of Labor and Training at Board of Review appeal hearings.
To make recommendations and write related reports on results of research, analysis, and/or fact finding interviews in accordance with established procedures and applicable laws.
To detect and compute overpayments and determine fault in order to declare the overpayment recoverable or non-recoverable, and refer such cases to the Department’s Central Overpayment Unit.
To provide guidance and training to staff on matters related to disputed claims.
To establish and maintain effective working relationships with employers, employment representatives, insurers, and other related representatives.
To do related work as required.

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