BENEFIT CLAIMS SPECIALIST

State of careers Rhode Island

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. REQUIRED QUALIFICATIONS FOR APPOINTMENT: KNOWLEDGES, SKILLS AND CAPACITIES: 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; and related capacities and abilities. EDUCATION AND EXPERIENCE: Education: Such as may have been gained through: 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; and Experience: Such as may have been gained through: employment in a position responsible for conducting interviews involving fact-finding, analysis and evaluation of data relevant to employment issues. Or, any combination of education and experience that shall be substantially equivalent to the above education and experience. NOTE: Due to the customer service aspects of this classification, positions within the class may be identified as requiring proficiency in a designated language specialty.

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
Or, 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.

Benefits

For information regarding the benefits available to State of Rhode Island employees, please visit the Office of Employee Benefits' website at http://www.employeebenefits.ri.gov/.
Also, be advised that a new provision in RI General Law 35-6-1 was enacted requiring direct deposit for all employees.
Specific to new hires, the law requires that all employees hired after September 30, 2014 participate in direct deposit.
Accordingly, any employee hired after this date will be required to participate in the direct deposit system.
At the time the employee is hired, the employee shall identify a financial institution that will serve as a personal depository agency for the employee.

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