Case Review Analyst

CAI•Newark, DE
•Onsite

About The Position

CAI is seeking a Case Review Analyst to review cases completed by case workers, determine benefit eligibility, document errors, and provide detailed feedback. The role is a full-time, long-term opportunity based onsite in Newark, Delaware. The analyst applies knowledge of public assistance program rules and policies, investigates constituent complaints, identifies potential fraud or abuse, communicates with clients and case workers as needed, and shares error trends and training opportunities with management.

Requirements

  • At least one year of case management experience or experience processing state government assistance programs.
  • At least one year of experience determining compliance with state and federal laws, rules, regulations, policies, and procedures, or related experience.
  • Microsoft Office Suite experience.
  • Data entry experience.
  • Attention to detail.
  • Strong organizational skills and ability to manage multiple priorities.
  • Good analytical skills.
  • Strong written and verbal communication skills.
  • Solid interpersonal skills and ability to work on a team.
  • Ability to drive work to completion and escalate when necessary.
  • Transportation to and from the office; dependable and punctual.
  • Availability to work at least one Saturday per month if necessary.

Nice To Haves

  • Strong written and verbal bilingual communication skills.
  • OnBase experience.

Responsibilities

  • Apply knowledge of federal laws, rules, regulations, standards, and state policy governing public assistance programs administered by the Division of Social Services.
  • Investigate and document constituent complaints.
  • Identify fraud or abuse in public assistance programs and report it appropriately.
  • Review cases completed by case workers and determine benefit eligibility.
  • Document errors and provide detailed feedback regarding cases.
  • Provide management with details regarding training opportunities based on error trends.
  • Maintain confidentiality in all situations.
  • Communicate with clients regarding their cases as necessary.
  • Answer case workers’ questions regarding cases.
  • Perform other duties assigned by management.

Benefits

  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Access to a 401(k) retirement account
  • May be entitled to paid sick leave and/or other paid time off as provided by applicable law
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